Department of Pediatric Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Caries Res. 2013;47(3):211-8. doi: 10.1159/000345534. Epub 2012 Dec 13.
The aim of the present population study was to evaluate the impact of early childhood caries (ECC) on the oral health-related quality of life (OHRQoL) of preschool children and their parents/caregivers. A random sample of 638 children (aged 2-5 years) underwent a clinical oral examination to assess ECC, and their parents were invited to answer two questionnaires: one on the OHRQoL of the child, the Early Childhood Oral Health Impact Scale, and another on the characteristics and sociodemographic conditions of the child. Descriptive analysis, χ(2) test, Mann-Whitney test, Kruskal-Wallis test, and hierarchically adjusted Poisson regression models were used. The prevalence of ECC was 52.2%. The number of teeth with decay ranged from 1 (n = 42; 6.6%) to 20 (n = 5; 0.8%), averaging 2.86 (SD = 4.04). There was a significant difference between the severity of ECC and OHRQoL in terms of the impact on both child and family (p < 0.001). An increase in the severity of ECC resulted in an increased negative impact on the quality of life of the child (rate ratio, RR = 5.32; 95% confidence interval, CI: 3.67-7.71). Greater age of the mother had a positive impact on the OHRQoL of preschool children (RR = 0.72; 95% CI: 0.54-0.97). Increased age resulted in an increased negative impact on the quality of life of the child (RR = 2.97; 95% CI: 1.61-5.47). ECC has a negative impact on the OHRQoL of children aged 2-5 years and their parents. Mothers aged 30 or older reported better OHRQoL, independent of the presence of ECC and the age of the child.
本研究旨在评估幼儿龋病（ECC）对学龄前儿童及其父母/照顾者口腔健康相关生活质量（OHRQoL）的影响。通过随机抽样，对 638 名（年龄 2-5 岁）儿童进行了临床口腔检查以评估 ECC，并邀请其父母回答了两个问卷：一个是儿童的 OHRQoL 问卷，即幼儿口腔健康影响量表，另一个是儿童特征和社会人口状况问卷。采用描述性分析、卡方检验、Mann-Whitney 检验、Kruskal-Wallis 检验和分层调整泊松回归模型。ECC 的患病率为 52.2%。患龋牙数从 1 颗（n=42；6.6%）到 20 颗（n=5；0.8%）不等，平均为 2.86（SD=4.04）。ECC 的严重程度与儿童和家庭的 OHRQoL 影响之间存在显著差异（p<0.001）。ECC 严重程度的增加导致儿童生活质量的负面影响增加（率比 RR=5.32；95%置信区间 CI：3.67-7.71）。母亲年龄较大对学龄前儿童的 OHRQoL 有积极影响（RR=0.72；95% CI：0.54-0.97）。年龄的增加导致儿童生活质量的负面影响增加（RR=2.97；95% CI：1.61-5.47）。ECC 对 2-5 岁儿童及其父母的 OHRQoL 有负面影响。年龄在 30 岁或以上的母亲，无论是否存在 ECC 和儿童年龄，报告的 OHRQoL 更好。
