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学龄儿童口腔健康相关生活质量与非创伤性修复治疗之间的关联:一项探索性研究。

Association between oral health-related quality of life and atraumatic restorative treatment in school children: an exploratory study.

作者信息

Paula J S, Tôrres L H N, Ambrosano G M B, Mialhe F L

机构信息

Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba, SP, Brazil.

出版信息

Indian J Dent Res. 2012 Nov-Dec;23(6):738-41. doi: 10.4103/0970-9290.111249.

Abstract

BACKGROUND

The present study's objectives were to compare the perceptions of oral health-related quality of life (OHRQoL) among school children presents dental caries with that of caries-free school children, and to evaluate the subjective impact of atraumatic restorative treatment (ART) on the OHRQoL of school children.

DESIGN

Exploratory study.

SETTING

Public school in Piracicaba, Brazil.

MATERIALS AND METHODS

The sample was composed of 30 children in the age-group of 8-10 years. The children were divided into two groups: one with caries and other without caries. The information related to OHRQoL was obtained through the administration of the Child Perceptions Questionnaires (CPQ 8-10 ). To evaluate the impact of ART on the school children's OHRQoL, the CPQ 8-10 was re-administered 4 weeks after the initial treatment. For statistical analysis we used the nonparametric Wilcoxon test for two dependent variables (test and re-test groups) and the nonparametric Mann-Whitney test for independent variables (test and control groups).

RESULTS

It was observed that children with dental caries reported larger impact of oral health conditions on the quality of life when compared with the caries-free group, especially in the emotional and social well-being domains ( P ≤.05). After the school children who presented with dental caries received ART, there was improvement in the median scores of CPQ 8-10 in all of the domains, but particularly in the functional limitation domain ( P ≤.05).

CONCLUSION

Dental caries exerts a strong influence on the OHRQoL of children. ART was shown to be a simple and painless caries management approach that could improve the OHRQoL of school children.

摘要

背景

本研究的目的是比较患龋学龄儿童与无龋学龄儿童对口腔健康相关生活质量(OHRQoL)的认知,并评估非创伤性修复治疗(ART)对学龄儿童OHRQoL的主观影响。

设计

探索性研究。

地点

巴西皮拉西卡巴的公立学校。

材料与方法

样本由30名8 - 10岁的儿童组成。儿童被分为两组:一组有龋齿,另一组无龋齿。通过发放儿童感知问卷(CPQ 8 - 10)获取与OHRQoL相关的信息。为评估ART对学龄儿童OHRQoL的影响,在初始治疗4周后再次发放CPQ 8 - 10。统计分析中,对于两个相关变量(测试组和复测组)使用非参数威尔科克森检验,对于独立变量(测试组和对照组)使用非参数曼 - 惠特尼检验。

结果

观察到与无龋组相比,患龋儿童报告口腔健康状况对生活质量的影响更大,尤其是在情感和社会幸福感领域(P≤0.05)。患龋学龄儿童接受ART治疗后,CPQ 8 - 10所有领域的中位数得分均有改善,特别是在功能受限领域(P≤0.05)。

结论

龋齿对儿童的OHRQoL有很大影响。ART被证明是一种简单且无痛的龋病管理方法,可改善学龄儿童的OHRQoL。

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