Department of Community Dentistry, Chulalongkorn University, Bangkok, Thailand.
Int Dent J. 2012 Dec;62(6):320-30. doi: 10.1111/j.1875-595x.2012.00130.x.
This study was carried out to assess the associations between oral diseases and specifically oral health-related quality of life (OHRQoL) in a nationally representative sample of 12-year-old children in Thailand in order to classify children according to their levels of risk for adverse OHRQoL and to apply findings to formulate proposals for oral health goals.
Oral examinations and OHRQoL interviews using the Child-Oral Impacts on Daily Performances (Child-OIDP) schedule were conducted in 1,100 children as part of the Thailand National Oral Health Survey. The severity of oral impacts was categorised according to their 'intensity'. Associations of oral diseases and condition-specific (CS) OHRQoL impacts were investigated.
Oral impacts were prevalent. Most were of low intensity; these were excluded from the analysis used to develop goals. At the threshold of moderate/high intensity, CS impacts attributable to dental caries, edentulous areas, periodontal disease and discolouration were reported by 18.5%, 0.2%, 8.7% and 2.6% of participants, respectively. Missing teeth was significantly related to CS impacts. Condition-specific impacts were 1.6 times and three to four times more likely to affect children with one decayed tooth and two or more decayed teeth, respectively. Children with gingivitis or calculus in three or more sextants were twice as likely and children with calculus and gingivitis in three or more sextants were 3.5 times more likely to report CS impacts. Based on these findings, these recommendations are proposed: all 12-year-old children should have fewer than two untreated decayed teeth; 60% of 12-year-old children should not have periodontal disease in any form in more than two sextants, and the proportion of 12-year-old children with calculus with gingivitis in three or more sextants should not exceed 5%.
Measures of oral health and goals for oral health in children should include measures of OHRQoL.
本研究旨在评估泰国 12 岁儿童口腔疾病与口腔健康相关生活质量（OHRQoL）之间的关联，以便根据儿童不良 OHRQoL 的风险水平对其进行分类，并应用研究结果提出口腔健康目标建议。
在泰国全国口腔健康调查中，对 1100 名儿童进行了口腔检查和使用儿童口腔影响日常表现量表（Child-OIDP）的 OHRQoL 访谈。根据“强度”对口腔影响的严重程度进行分类。调查了口腔疾病和特定疾病（CS）OHRQoL 影响的关联。
口腔影响普遍存在。大多数为低强度；这些被排除在用于制定目标的分析之外。在中度/高强度的阈值下，分别有 18.5%、0.2%、8.7%和 2.6%的参与者报告了归因于龋齿、无牙区、牙周病和变色的 CS 影响。缺牙与 CS 影响显著相关。每颗龋齿和两颗或更多龋齿的儿童分别有 1.6 倍和三到四倍更有可能出现 CS 影响。患有牙龈炎或三个或更多象限内有牙石的儿童发生 CS 影响的可能性是两倍，患有牙石和牙龈炎且在三个或更多象限内的儿童发生 CS 影响的可能性是 3.5 倍。基于这些发现，提出了以下建议：所有 12 岁儿童未经治疗的龋齿数应少于两颗；60%的 12 岁儿童任何形式的牙周病不应超过两个象限，且有三个或更多象限牙石伴牙龈炎的 12 岁儿童比例不应超过 5%。
儿童口腔健康的测量方法和口腔健康目标应包括 OHRQoL 的测量方法。
