创伤性牙损伤和错颌畸形对幼儿生活质量的影响。
Impact of traumatic dental injuries and malocclusions on quality of life of young children.
机构信息
Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil.
出版信息
Health Qual Life Outcomes. 2011 Sep 24;9:78. doi: 10.1186/1477-7525-9-78.
BACKGROUND
The presence of traumatic dental injuries and malocclusions can have a negative impact on quality of life of young children and their parents, affecting their oral health and well-being. The aim of this study was to assess the impact of traumatic dental injuries and anterior malocclusion traits on the Oral Health-Related Quality of Life (OHRQoL) of children between 2 and 5 years-old.
METHODS
Parents of 260 children answered the six domains of the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the OHRQoL (outcome). Two calibrated dentists assessed the types of traumatic dental injuries (Kappa = 0.9) and the presence of anterior malocclusion traits (Kappa = 1.0). OHRQoL was measured using the ECOHIS. Poisson regression was used to associate the type of traumatic dental injury and the presence of anterior malocclusion traits to the outcome.
RESULTS
The presence of anterior malocclusion traits did not show a negative impact on the overall OHRQoL mean or in each domain. Only complicated traumatic dental injuries showed a negative impact on the symptoms (p = 0.005), psychological (p = 0.029), self image/social interaction (p = 0.004) and family function (p = 0.018) domains and on the overall OHRQoL mean score (p = 0.002). The presence of complicated traumatic dental injuries showed an increased negative impact on the children's quality of life (RR = 1.89; 95% CI = 1.36, 2.63; p < 0.001).
CONCLUSIONS
Complicated traumatic dental injuries have a negative impact on the OHRQoL of preschool children and their parents, but anterior malocclusion traits do not.
背景
创伤性牙外伤和错颌畸形的存在会对幼儿及其家长的生活质量产生负面影响，影响他们的口腔健康和幸福感。本研究旨在评估创伤性牙外伤和前牙错颌畸形特征对 2 至 5 岁儿童口腔健康相关生活质量（OHRQoL）的影响。
方法
260 名儿童的家长根据自身对 OHRQoL（结果）的感知回答了幼儿口腔健康影响量表（ECOHIS）的六个领域。两名经过校准的牙医评估了创伤性牙外伤的类型（Kappa = 0.9）和前牙错颌畸形特征的存在（Kappa = 1.0）。使用 ECOHIS 测量 OHRQoL。使用泊松回归将创伤性牙外伤的类型和前牙错颌畸形特征与结果相关联。
结果
前牙错颌畸形特征的存在并未对整体 OHRQoL 平均值或各领域产生负面影响。只有复杂的创伤性牙外伤对症状（p = 0.005）、心理（p = 0.029）、自我形象/社会互动（p = 0.004）和家庭功能（p = 0.018）领域以及整体 OHRQoL 平均值（p = 0.002）产生负面影响。复杂的创伤性牙外伤的存在对儿童的生活质量产生了更大的负面影响（RR = 1.89；95%CI = 1.36，2.63；p < 0.001）。
结论
复杂的创伤性牙外伤对学龄前儿童及其家长的 OHRQoL 有负面影响，但前牙错颌畸形特征没有。
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