Abanto Jenny, Tsakos Georgios, Paiva Saul Martins, Carvalho Thiago S, Raggio Daniela P, Bönecker Marcelo
Department of Pediatric Dentistry and Orthodontics Department, Dental School, University of São Paulo-USP, São Paulo, Brazil.
Community Dent Oral Epidemiol. 2014 Oct;42(5):385-94. doi: 10.1111/cdoe.12099. Epub 2014 Jan 25.
To assess the impact of dental caries and traumatic dental injuries (TDI) on the oral health-related quality of life (OHRQoL) of 5- to 6-year-olds according to both self- and parental reports.
A total of 335 pairs of parents and children who sought dental screening at the Dental School, University of São Paulo, completed the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5), which consists of a child self-report and a parental proxy-report version. Three calibrated examiners assessed the experience of caries according to primary teeth that were decayed, indicated for extraction due to caries, or filled (def-t). TDI were classified into uncomplicated and complicated injuries. Poisson regression models were used to associate the different clinical and sociodemographic factors to the outcome.
Overall, 74.6% of children reported an oral impact, and the corresponding estimate for parental reports was 70.5%. The mean (standard deviation) SOHO-5 scores in child self-report and parental versions were 3.32(3.22) and 5.18(6.28), respectively. In both versions, caries was associated with worse children's OHRQoL, for the total score and all SOHO-5 items (P < 0.001). In contrast, TDI did not have a negative impact on children's OHRQoL, with the exception of two items of the parental version and one item of the child self-report version. In the final multivariate adjusted models, there was a gradient in the association between caries experience and child's OHRQoL with worse SOHO-5 score at each consecutive level with more severe caries experience, for both child and parental perceptions [RR (CI 95%) = 6.37 (4.71, 8.62) and 10.81 (7.65, 15.27)], respectively. A greater family income had a positive impact on the children's OHRQoL for child and parental versions [RR (CI 95%) = 0.68 (0.49, 0.94) and 0.70 (0.54, 0.90)], respectively.
Dental caries, but not TDI, is associated with worse OHRQoL of 5- to 6-year-old children in terms of perceptions of both children and their parents. Families with higher income report better OHRQoL at this age, independent of the presence of oral diseases.
根据儿童自我报告和家长报告，评估龋齿和牙外伤（TDI）对5至6岁儿童口腔健康相关生活质量（OHRQoL）的影响。
共有335对在圣保罗大学牙科学院寻求牙科筛查的家长和儿童完成了5岁儿童口腔健康结果量表（SOHO - 5），该量表包括儿童自我报告版和家长代理报告版。三名经过校准的检查人员根据乳牙的龋坏情况、因龋齿需拔除或已充填情况（def - t）评估龋齿经历。牙外伤分为简单伤和复杂伤。采用泊松回归模型将不同的临床和社会人口学因素与结果相关联。
总体而言，74.6%的儿童报告有口腔影响，家长报告的相应估计值为70.5%。儿童自我报告版和家长版的SOHO - 5平均（标准差）得分分别为3.32（3.22）和5.18（6.28）。在两个版本中，龋齿与儿童较差的OHRQoL相关，涉及总分和所有SOHO - 5项目（P < 0.001）。相比之下，除家长版的两个项目和儿童自我报告版的一个项目外，牙外伤对儿童的OHRQoL没有负面影响。在最终的多变量调整模型中，对于儿童和家长的认知，龋齿经历与儿童的OHRQoL之间存在梯度关联，随着龋齿经历越严重，在每个连续水平上SOHO - 5得分越差，儿童和家长认知的相对风险（RR）（95%置信区间）分别为6.37（4.71，8.62）和10.81（7.65，15.27）。较高的家庭收入对儿童版和家长版的儿童OHRQoL有积极影响，RR（95%置信区间）分别为0.68（0.49，0.94）和0.70（0.54，0.90）。
就儿童及其家长的认知而言，龋齿而非牙外伤与5至6岁儿童较差的OHRQoL相关。收入较高的家庭在这个年龄段报告的OHRQoL更好，与口腔疾病的存在无关。
