Krisdapong Sudaduang, Prasertsom Piyada, Rattanarangsima Khanit, Sheiham Aubrey
Department of Community Dentistry, Chulalongkorn University, Bangkok, Thailand.
Community Dent Oral Epidemiol. 2014 Aug;42(4):323-32. doi: 10.1111/cdoe.12092. Epub 2014 Jan 16.
To assess perceived needs for dental treatment (PNDT), oral health-related quality of life (OHRQoL) and oral diseases in a Thai school-aged national representative sample. In addition, relationships between PNDT and various aspects of OHRQoL, different levels of oral diseases as well as sociodemographic characteristics were assessed.
Study sample was a subsample of Sixth Thailand National Oral Health Survey. Data were collected on 1063 12-year-olds and 811 15-year-olds through oral examinations, interviews on PNDT and OHRQoL, using Child-Oral Impacts on Daily Performances (Child-OIDP) or Oral Impacts on Daily Performances (OIDP) indices and questionnaires containing questions on sociodemographic information.
Prevalence rates of PNDT were 60.4% in 12-year-olds and 67.6% in 15-year-olds. PNDT were highly associated with OHRQoL with significant odds ratios that increased incrementally by the intensity of oral impacts. Oral impacts on eating, emotional stability and smiling and those attributed specifically to dental caries, periodontal diseases, malocclusion and tooth discolouration were associated with PNDT. The chances of having PNDT increased by number of untreated decayed teeth. Periodontal disease was associated with PNDT only when occurring to a great extent. Boys and children in some regional rural areas were less likely than girls and those living in Bangkok to have PNDT.
Perceived needs for dental treatment were common and highly associated with levels of oral impacts, specifically impacts on eating, emotional stability and smiling performances. PNDT were also related to number of untreated decayed teeth, a great extent of periodontal disease, sex and geographical region.
在泰国学龄儿童全国代表性样本中评估牙科治疗的感知需求（PNDT）、口腔健康相关生活质量（OHRQoL）及口腔疾病。此外，还评估了PNDT与OHRQoL的各个方面、不同程度的口腔疾病以及社会人口学特征之间的关系。
研究样本为泰国第六次全国口腔健康调查的子样本。通过口腔检查、关于PNDT和OHRQoL的访谈，使用儿童日常表现口腔影响指数（Child-OIDP）或日常表现口腔影响指数（OIDP）以及包含社会人口学信息问题的问卷，收集了1063名12岁儿童和811名15岁儿童的数据。
12岁儿童的PNDT患病率为60.4%，15岁儿童为67.6%。PNDT与OHRQoL高度相关，显著优势比随口腔影响强度的增加而递增。对进食、情绪稳定性和微笑的口腔影响以及 specifically to 龋齿、牙周疾病、错牙合畸形和牙齿变色的影响与PNDT相关。未治疗龋齿的数量增加会使出现PNDT的几率增加。牙周疾病仅在严重发生时才与PNDT相关。某些农村地区的男孩和儿童比女孩以及居住在曼谷的儿童患PNDT的可能性更小。
牙科治疗的感知需求很常见，且与口腔影响程度高度相关，特别是对进食、情绪稳定性和微笑表现的影响。PNDT还与未治疗龋齿的数量、严重的牙周疾病、性别和地理区域有关。
