Viegas Cláudia Marina, Scarpelli Ana Carolina, Carvalho Anita Cruz, Ferreira Fernanda de Morais, Pordeus Isabela Alameida, Paiva Saul Martins
Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Pediatr Dent. 2012 Jul-Aug;34(4):300-6.
The purpose of this study was to assess the impact of traumatic dental injury (TDI) on the quality of life of preschool children and their families.
This cross-sectional study was carried out with 388 60- to 71-month-old children. Data on oral health-related quality of life (OHRQoL) were collected using the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Oral examinations of the children were performed to determine the prevalence of TDI. Data analysis involved the chi-square test and multiple Poisson regression analysis.
The prevalence of OHRQoL of the children and their families was approximately 49% and 35%, respectively. The adjusted Poisson regression model revealed that the OHRQoL of the children and their families was significantly related to parents'/caregivers' report of the occurrence of TDI (PR =1.54, 95% confidence interval=1.22-1.93; and PR=1.63, 95% CI=1.21-2.19, respectively). The nonadjusted Poisson regression analysis, the OHRQofL of the children and their families was not related to TDI, as determined by the clinical examination (PR=1.15, 95% CI=0.92-1.42; and PR=1.28, 95% CI=0.95-1.71, respectively).
The families and children who had traumatic dental injury, perceived by the parents/caregivers, had a greater chance of reporting an impact on quality of life.
本研究旨在评估牙外伤（TDI）对学龄前儿童及其家庭生活质量的影响。
本横断面研究对388名60至71个月大的儿童进行。使用巴西版的幼儿口腔健康影响量表（ECOHIS）收集与口腔健康相关的生活质量（OHRQoL）数据。对儿童进行口腔检查以确定牙外伤的患病率。数据分析包括卡方检验和多重泊松回归分析。
儿童及其家庭的OHRQoL患病率分别约为49%和35%。调整后的泊松回归模型显示，儿童及其家庭的OHRQoL与父母/照顾者报告的牙外伤发生情况显著相关（PR = 1.54，95%置信区间 = 1.22 - 1.93；PR = 1.63，95%置信区间 = 1.21 - 2.19）。在非调整的泊松回归分析中，根据临床检查确定，儿童及其家庭的OHRQoL与牙外伤无关（PR = 1.15，95%置信区间 = 0.92 - 1.42；PR = 1.28，95%置信区间 = 0.95 - 1.71）。
父母/照顾者察觉到有牙外伤的家庭和儿童，报告生活质量受到影响的可能性更大。
