Ramos-Jorge Joana, Paiva Saul M, Tataounoff Juliana, Pordeus Isabela A, Marques Leandro S, Ramos-Jorge Maria L
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Vale do Rio Verde, Três Corações, Brazil.
Dent Traumatol. 2014 Feb;30(1):27-31. doi: 10.1111/edt.12048. Epub 2013 Apr 25.
BACKGROUND/AIM: The joint evaluation of oral health-related quality of life and traumatic dental injury (TDI) is an important tool for setting priorities in public oral health programs. The purpose of the present study was to compare the impact of treated TDI, untreated TDI, and absence of TDI on the quality of life of schoolchildren aged 11-14 years.
A cross-sectional study was carried out with 668 schoolchildren from the city of Diamantina, Brazil. The clinical examination involved the determination of the presence and type of TDI based on the criteria proposed by O'Brien. Malocclusion was evaluated using the criteria of the Dental Aesthetic Index, and dental caries was diagnosed using the DMFT/dmft index. The impact of TDI on quality of life was assessed using the Child Oral Impact on Daily Performances (Child-OIDP). The outcome was the absence (Child-OIDP = 0) or presence (Child-OIDP ≥ 1) of impact on quality of life.
The prevalence of TDI was 34.3%. Schoolchildren with untreated TDI experienced a greater impact on eating (P = 0.016) and smiling (P < 0.001) in comparison with those without TDI. No significant differences were found in the Child-OIDP score between schoolchildren with treated TDI and those without trauma. The unadjusted and adjusted results of the Poisson regression analysis of the Child-OIDP demonstrated that schoolchildren with untreated TDI were more likely to experience an impact on 'eating and enjoying food', 'smiling and showing teeth', and 'overall score'.
Untreated TDI was associated with a negative impact on the quality of life of schoolchildren, whereas treated TDI and absence of TDI were not associated with impact on quality of life.
背景/目的：联合评估口腔健康相关生活质量与牙外伤（TDI）是确定公共口腔卫生项目重点的重要工具。本研究的目的是比较已治疗的TDI、未治疗的TDI以及无TDI对11至14岁学龄儿童生活质量的影响。
对来自巴西迪亚曼蒂纳市的668名学龄儿童进行了一项横断面研究。临床检查依据奥布赖恩提出的标准确定TDI的存在及类型。使用牙科美学指数标准评估错牙合情况，采用DMFT/dmft指数诊断龋齿。使用儿童口腔日常表现影响量表（Child-OIDP）评估TDI对生活质量的影响。结果是对生活质量有无影响（Child-OIDP = 0为无影响，Child-OIDP≥1为有影响）。
TDI的患病率为34.3%。与无TDI的学龄儿童相比，未治疗TDI的学龄儿童在进食（P = 0.016）和微笑（P < 0.001）方面受到的影响更大。已治疗TDI的学龄儿童与无外伤的学龄儿童在Child-OIDP评分上未发现显著差异。对Child-OIDP进行的泊松回归分析的未调整和调整结果表明，未治疗TDI的学龄儿童在“进食与享受食物”“微笑与露齿”以及“总分”方面更有可能受到影响。
未治疗的TDI与学龄儿童生活质量的负面影响相关，而已治疗的TDI和无TDI与生活质量影响无关。
