Ramos-Jorge Joana, Alencar Bruna Mota, Pordeus Isabela Almeida, Soares Maria Eliza da Consolação, Marques Leandro Silva, Ramos-Jorge Maria Letícia, Paiva Saul Martins
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Eur J Oral Sci. 2015 Apr;123(2):88-95. doi: 10.1111/eos.12166. Epub 2014 Dec 30.
The aim of this cross-sectional study was to evaluate the impact of dental caries on the quality of life of preschool children and their parents/caretakers, with an emphasis on the type of tooth and stage of progression. A randomly selected sample of preschool children, 3-5 yrs of age, underwent an oral examination for the assessment of dental caries using the International Caries Detection and Assessment System II (ICDAS II) criteria. Parents/caretakers answered two questionnaires, one on the oral health-related quality of life (OHRQoL) of the child [the Early Childhood Oral Health Impact Scale (ECOHIS)], and the other on the socio-economic characteristics of the family. Statistical analyses were performed using the chi-square test, Kruskal-Wallis test, Mann-Whitney U-test, and Poisson regression. A total of 451 preschool children participated in the study. The majority of carious lesions exhibited severe decay (60.6%) and were found in both anterior (incisors/canines) and posterior (molars) teeth. The final Poisson model revealed negative impacts on quality of life from more advanced stages of dental caries, both in incisors/canines and molars. Child's age and household income were also associated with impact on quality of life. Carious lesions in more advanced stages of progression in anterior and posterior teeth were associated with a negative impact on the quality of life of preschool children.
这项横断面研究的目的是评估龋齿对学龄前儿童及其父母/照顾者生活质量的影响，重点关注牙齿类型和进展阶段。随机抽取了3至5岁的学龄前儿童样本，使用国际龋病检测与评估系统II（ICDAS II）标准进行口腔检查以评估龋齿情况。父母/照顾者回答了两份问卷，一份关于儿童的口腔健康相关生活质量（OHRQoL）[幼儿口腔健康影响量表（ECOHIS）]，另一份关于家庭的社会经济特征。使用卡方检验、Kruskal-Wallis检验、Mann-Whitney U检验和泊松回归进行统计分析。共有451名学龄前儿童参与了该研究。大多数龋损表现为严重龋坏（60.6%），且在前牙（切牙/尖牙）和后牙（磨牙）中均有发现。最终的泊松模型显示，龋齿进展到更晚期阶段，无论是在切牙/尖牙还是磨牙中，都会对生活质量产生负面影响。儿童年龄和家庭收入也与生活质量的影响有关。前牙和后牙进展到更晚期阶段的龋损与学龄前儿童的生活质量负面影响相关。
