Martins-Júnior P A, Oliveira M, Marques L S, Ramos-Jorge M L
Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil.
Pediatr Dent. 2012 May-Jun;34(3):49-52.
This study's purpose was to evaluate the impact of untreated dental caries on the oral health-related quality of life (OHRQoL) of children of low socioeconomic status.
One hundred twelve impoverished 8- to 10-year-olds from a city in southeastern Brazil were selected. OHRQoL was measured using the Child Perceptions Questionnaire (CPQ8-10; total and subscale scores) and its global question on oral health. The clinical examination recorded the prevalence of untreated dental caries (corresponding to a non-zero D or d component in the DMFT or dmft indices). The children were categorized as without untreated dental caries=0 or with untreated dental caries ≥1. Malocclusions and dental trauma were determined using the Dental Aesthetic Index and Andreasen and Andreasen (1994) classification, respectively. Descriptive analysis, Mann-Whitney, chi-square test, and hierarchically adjusted Poisson regression models were employed.
Eighty-four children (75%) had 1 or more carious teeth. The relative risk of having a negative perception of oral health was greater among the children with untreated dental caries (RR-1:41; 95% confidence interval=1.13-1.75), regardless of gender or malocclusion.
Eight- to 10-year-olds with untreated dental caries have a greater relative risk of having a negative perception of oral health status than those without dental caries.
本研究旨在评估未经治疗的龋齿对社会经济地位较低儿童的口腔健康相关生活质量（OHRQoL）的影响。
从巴西东南部一个城市选取了112名贫困的8至10岁儿童。使用儿童感知问卷（CPQ8 - 10；总分及各子量表得分）及其关于口腔健康的总体问题来测量OHRQoL。临床检查记录未经治疗的龋齿患病率（对应于DMFT或dmft指数中D或d成分非零）。将儿童分为无未经治疗的龋齿 = 0或有未经治疗的龋齿≥1。分别使用牙科美学指数和安德烈亚森与安德烈亚森（1994年）分类法确定错颌畸形和牙外伤情况。采用描述性分析、曼 - 惠特尼检验、卡方检验和分层调整泊松回归模型。
84名儿童（75%）有1颗或更多颗龋齿。无论性别或错颌畸形如何，有未经治疗龋齿的儿童对口腔健康有负面认知的相对风险更高（相对风险 - 1:41；95%置信区间 = 1.13 - 1.75）。
与无龋齿的8至10岁儿童相比，有未经治疗龋齿的儿童对口腔健康状况有负面认知的相对风险更高。
