J Oral Facial Pain Headache. 2015 Spring;29(2):168-76. doi: 10.11607/ofph.1414.
To assess reports of dental pain in a school-based sample of children in South Brazil and test its association with socioeconomic, demographic, psychosocial, and clinical variables. Also, the consequences of dental pain on oral health perception and its impact on daily life were investigated.
A two-stage cluster procedure was used to select 1,199 children in 20 public and private schools in Pelotas, Brazil. Children were interviewed to obtain selfreports of dental pain. They were also asked about perception of their oral health and dental fear. Mothers answered a questionnaire on socioeconomic characteristics. A clinical oral examination was conducted to assess dental caries, malocclusion, and dental trauma. Multivariate Poisson regression analysis was used to investigate factors associated with dental pain in the previous 6 months and its effect on oral health perception.
The prevalence of dental pain was 35.7% (95% confidence interval [CI] 33.0-38.5) in the previous 6 months. A higher prevalence of dental pain was observed for children from lower-income families (prevalence ratio [PR] 1.39; 95% CI 1.10-1.76), for girls (PR 1.24; 95% CI 1.06-1.46), for those living in overcrowded houses (PR 1.23; 95% CI 1.01-1.49), for those who reported dental fear (PR 1.19; 95% CI 1.00-1.42), and for those with caries experience (PR 1.57; 95% CI 1.34- 1.84), after adjustments. Dental pain presence influenced oral health perception (PR 2.56; 95% CI 1.55-3.29) and impacted the children's daily life (PR 1.89; 95% CI 1.64-2.17).
A high percentage of schoolchildren suffered from dental pain, which was influenced by demographic, socioeconomic, psychosocial, and clinical characteristics, causing a negative impact on oral health perception.
评估巴西南部一所学校儿童的牙科疼痛报告，并检验其与社会经济、人口统计学、心理社会和临床变量的关系。此外，还研究了牙科疼痛对口腔健康感知的影响及其对日常生活的影响。
采用两阶段聚类程序选择巴西佩洛塔斯的 20 所公立和私立学校的 1199 名儿童。对儿童进行访谈以获取牙科疼痛的自我报告。还询问了他们对口腔健康和牙科恐惧的感知。母亲回答了一份关于社会经济特征的问卷。进行了临床口腔检查，以评估龋齿、错畸形和牙齿外伤。采用多变量泊松回归分析调查与过去 6 个月内牙科疼痛相关的因素及其对口腔健康感知的影响。
过去 6 个月内，牙科疼痛的患病率为 35.7%（95%置信区间[CI] 33.0-38.5）。来自低收入家庭的儿童（患病率比[PR] 1.39；95%CI 1.10-1.76）、女孩（PR 1.24；95%CI 1.06-1.46）、居住在过度拥挤房屋中的儿童（PR 1.23；95%CI 1.01-1.49）、报告有牙科恐惧的儿童（PR 1.19；95%CI 1.00-1.42）和有龋齿经历的儿童（PR 1.57；95%CI 1.34-1.84），调整后牙科疼痛的患病率更高。牙科疼痛的存在影响口腔健康感知（PR 2.56；95%CI 1.55-3.29）并影响儿童的日常生活（PR 1.89；95%CI 1.64-2.17）。
相当比例的学龄儿童患有牙科疼痛，这受到人口统计学、社会经济、心理社会和临床特征的影响，对口腔健康感知产生负面影响。
