Department of Social and Preventive Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Int J Paediatr Dent. 2013 Jul;23(4):266-73. doi: 10.1111/ipd.12002. Epub 2012 Sep 28.
Traumatic dental injury (TDI) has been considered a significant problem in youth, not only because of its consequences to the craniofacial structures but also for its potential impact on the quality of life of affected individuals.
The aim of this study was to investigate the impact of TDI with treatment needs on the oral health-related quality of life (OHRQoL) of South Brazilian schoolchildren.
A cross-sectional study was performed in Porto Alegre, Brazil, using a multistage probability sampling strategy. Of 1837 eligible 12-year-old schoolchildren attending public and private schools, 1528 were examined. OHRQoL was assessed by the Brazilian version of the Child Perceptions Questionnaire for 11-to 14-year-old children (CPQ11-14) - 16-item short form. Clinical examination was conducted to assess the presence of TDI in permanent incisors (Children's Dental Health Survey criteria), malocclusion, and dental caries. Parents/legal guardians answered questions on socioeconomic status. Statistical analyses were performed using Poisson regression models.
The overall CPQ11-14 score was not associated with TDI. In the functional limitations domain, individuals presenting TDIs with treatment needs experienced significantly higher mean CPQ11-14 than individuals with no TDI or without treatment needs (RR = 1.21; 95% CI = 1.05-1.39), after adjusting for malocclusion, dental caries, gender, and socioeconomic status. No other domains were associated with TDI.
This study revealed that TDI with treatment needs negatively affects the OHRQoL in this population of 12-year-old schoolchildren and that this impact is related to oral functions.
创伤性牙外伤(TDI)被认为是青少年的一个重大问题,不仅因为其对颅面结构的后果,还因为其对受影响个体生活质量的潜在影响。
本研究旨在调查具有治疗需求的 TDI 对南巴西南部学龄儿童口腔健康相关生活质量(OHRQoL)的影响。
本研究为巴西阿雷格里港的横断面研究,采用多阶段概率抽样策略。在公立和私立学校就读的 1837 名符合条件的 12 岁学龄儿童中,有 1528 名接受了检查。使用巴西版儿童感知问卷(CPQ11-14)-11 至 14 岁儿童 16 项短式版评估 OHRQoL。临床检查评估恒牙中 TDI 的存在(儿童口腔健康调查标准)、错畸形和龋齿。家长/法定监护人回答有关社会经济状况的问题。使用泊松回归模型进行统计分析。
总体 CPQ11-14 评分与 TDI 无关。在功能受限领域,具有治疗需求的 TDI 个体的 CPQ11-14 平均得分明显高于无 TDI 或无治疗需求的个体(RR=1.21;95%CI=1.05-1.39),调整错畸形、龋齿、性别和社会经济状况后。其他领域与 TDI 无关。
本研究表明,具有治疗需求的 TDI 会对该人群 12 岁学龄儿童的 OHRQoL 产生负面影响,这种影响与口腔功能有关。