Ramos-Jorge J, Sá-Pinto A C, Almeida Pordeus I, Martins Paiva S, Castro Martins C, Ramos-Jorge M L
Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Diamantina, MG, 39100-000, Brazil.
Eur Arch Paediatr Dent. 2017 Apr;18(2):83-89. doi: 10.1007/s40368-017-0271-2. Epub 2017 Feb 24.
To determine the effect of different types of dental trauma on oral health-related quality of life (OHRQoL) among pre-school children.
Four hundred fifty-nine Brazilian pre-schoolers aged 3-5 years were submitted to an oral examination in the school environment for the evaluation of dental trauma using the criteria proposed by Andreasen et al. (2007). Parents answered a questionnaire on the OHRQoL of the children using the Early Childhood Oral Health Impact Scale (ECOHIS) and another one on socio-demographic characteristics of the children and their families. The questionnaires were sent to the parents to be answered at home. Descriptive statistics, Mann-Whitney test and Poisson regression were used for statistical analysis.
Children with dark discolouration and enamel-dentine fracture without pulp exposure had higher mean ECOHIS scores than those without these alterations. The multivariate regression analysis demonstrated that pre-school children with dark discolouration (PR 1.79; 95% CI 1.24-2.58) and enamel-dentine fracture without pulp exposure (PR 1.89; 95% CI 1.22-2.92) had a higher impact on quality of life than those without these alterations.
Dark discolouration and enamel-dentine fracture without pulp exposure were associated with a negative impact on the life of pre-schoolers.
确定不同类型的牙齿外伤对学龄前儿童口腔健康相关生活质量（OHRQoL）的影响。
459名年龄在3至5岁的巴西学龄前儿童在学校环境中接受口腔检查，使用Andreasen等人（2007年）提出的标准评估牙齿外伤情况。家长使用幼儿口腔健康影响量表（ECOHIS）回答有关儿童OHRQoL的问卷，以及另一份关于儿童及其家庭社会人口学特征的问卷。问卷发送给家长，让他们在家中回答。采用描述性统计、Mann-Whitney检验和泊松回归进行统计分析。
牙齿有深色变色且牙釉质-牙本质骨折但未露髓的儿童，其ECOHIS平均得分高于无这些改变的儿童。多因素回归分析表明，牙齿有深色变色（PR 1.79；95%CI 1.24-2.58）和牙釉质-牙本质骨折但未露髓（PR 1.89；95%CI 1.22-2.92）的学龄前儿童对生活质量的影响高于无这些改变的儿童。
牙齿深色变色和牙釉质-牙本质骨折但未露髓与对学龄前儿童生活的负面影响相关。
