Cook Angela K, Kerins Carolyn A, Heppner Celia E
Pediatric dentist, Suffolk, England.
Department of Pediatric Dentistry, Baylor College of Dentistry, Texas A&M University.
Pediatr Dent. 2016;38(3):218-23.
Children with orofacial clefts experience risks for psychosocial and behavioral problems, making it important to evaluate for negative impacts on health-related quality of life. The purpose of this study was to evaluate health-related quality of life (HRQOL) and surgical history to determine if these measures correlated with caries and/or behavior during dental treatment.
Data for this retrospective study were obtained for children encountered between March 2011 and August 2013. Inclusion criteria were four- to 10-year-olds with a non-syndromic orofacial cleft diagnosis. Parent-reported HRQOL data were obtained for 79 children and child-reported data for a subgroup of 23. Pediatric Quality Of Life Inventory (PedsQL) scores, surgeries, and demographics were collected from craniofacial team medical charts. Decayed, missing, and filled teeth (dmft) and behavior (Frankl) scores were collected from dental records.
Significant correlations were found between total parent-reported sample PedsQL scores and dmft scores, and between the subgroup's PedsQL scores and Frankl scores.
For children with orofacial clefts, higher caries was associated with lower health-related quality of life in the total parent-reported sample. Negative behavior was associated with lower HRQOL in eight- to 10-year-olds, who also more accurately reported psychosocial risks for negative behavior than parents by proxy. Surgeries were not associated with caries or behavior.
患有口面部裂隙的儿童存在心理社会和行为问题风险，因此评估其对健康相关生活质量的负面影响很重要。本研究的目的是评估健康相关生活质量（HRQOL）和手术史，以确定这些指标是否与牙科治疗期间的龋齿和/或行为相关。
本回顾性研究的数据来自2011年3月至2013年8月期间接诊的儿童。纳入标准为4至10岁、非综合征性口面部裂隙诊断的儿童。获得了79名儿童家长报告的HRQOL数据以及23名儿童亚组的自我报告数据。从颅面团队医疗记录中收集儿童生活质量量表（PedsQL）得分、手术情况和人口统计学数据。从牙科记录中收集龋失补牙数（dmft）和行为（弗兰克尔）得分。
在家长报告的总样本PedsQL得分与dmft得分之间，以及亚组的PedsQL得分与弗兰克尔得分之间发现了显著相关性。
对于患有口面部裂隙的儿童，在家长报告的总样本中，较高的龋齿发生率与较低的健康相关生活质量相关。消极行为与8至10岁儿童较低的HRQOL相关，而且这些儿童比家长更能准确报告消极行为的心理社会风险。手术与龋齿或行为无关。
