Department of Pediatric, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
Private practice, Belo Horizonte, MG, Brazil.
Braz Oral Res. 2015;29:46. doi: 10.1590/1807-3107BOR-2015.vol29.0046. Epub 2015 Mar 3.
The aim of this study was to evaluate the association between different types of malocclusion and the impact on quality of life among preschoolers and their families. A cross-sectional study was carried out involving 451 children 3-5 years of age. A clinical exam was performed to evaluate the malocclusions according to criteria proposed by Foster and Hamilton. This examination was conducted by a calibrated dentist. Parents/caregivers answered the Early Childhood Oral Health Impact Scale (ECOHIS) for the assessment of Oral Health-Related Quality of Life (OHRQoL) and the questionnaire on socioeconomic and demographic characteristics. Data analysis involved descriptive statistics, chi-square, Mann-Whitney and hierarchically adjusted Poisson regression. The prevalence of malocclusion was 28.4%. The most frequent conditions were posterior crossbite (20.4%), anterior open bite (9.5%) and increased overjet (8.4%). A significant association was found between anterior open bite and OHRQoL (p < 0.001). The adjusted analysis confirmed the association between anterior open bite and a negative impact on quality of life (PR = 2.55; 95%CI: 1.87 to 3.47; p < 0.001). Anterior open bite was associated with a negative impact on the quality of life of preschoolers.
本研究旨在评估不同类型的错颌畸形与学龄前儿童及其家庭生活质量的影响之间的关系。进行了一项横断面研究,涉及 451 名 3-5 岁的儿童。根据 Foster 和 Hamilton 提出的标准,对错颌畸形进行了临床检查。该检查由经过校准的牙医进行。家长/照顾者回答了儿童口腔健康影响量表(ECOHIS),以评估口腔健康相关生活质量(OHRQoL)和社会经济及人口统计学特征的问卷。数据分析包括描述性统计、卡方检验、Mann-Whitney 和分层调整泊松回归。错颌畸形的患病率为 28.4%。最常见的情况是后牙反颌(20.4%)、前牙开颌(9.5%)和上前牙突出(8.4%)。前牙开颌与 OHRQoL 之间存在显著相关性(p < 0.001)。调整分析证实了前牙开颌与生活质量下降之间的关联(PR = 2.55;95%CI:1.87 至 3.47;p < 0.001)。前牙开颌与学龄前儿童生活质量下降有关。