Barbosa Neves Érick Tássio, Perazzo Matheus França, Gomes Monalisa Cesarino, Martins Carolina Castro, Paiva Saul Martins, Granville-Garcia Ana Flávia
Postgraduate Program in Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil.
Postgraduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Dent Traumatol. 2017 Dec;33(6):444-450. doi: 10.1111/edt.12366. Epub 2017 Sep 28.
BACKGROUND/AIM: Traumatic dental injuries occur frequently among young children. The aim of this study was to evaluate the impact of traumatic dental injuries on oral health-related quality of life (OHRQoL) in preschool children using the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5).
This study involved 769 five-year-old children enrolled at public and private preschools. Two examiners underwent a training process which involved the determination of interexaminer and intra-examiner agreement (Kappa statistic) for all clinical conditions (K > 0.82). Descriptive statistics were performed, followed by Poisson regression analysis (α = 5%).
The prevalence of the impact of oral problems on OHRQoL was 32.9% and 42.2% according to the parents/caregivers and children, respectively. Based on the children's self-reports, the occurrence of two or more injured teeth (PR = 1.30; 95% CI: 1.04-1.64), toothache (PR = 1.68; 95% CI: 1.35-2.09), and a low level of parent's schooling (PR = 1.54; 95% CI: 1.24-1.91) exerted impacts on OHRQoL. For the reports of parents/caregivers, the occurrence of non-complicated TDI (PR = 0.66; 95% CI: 0.44-0.98), toothache (PR = 8.03; 95% CI: 5.92-10.88), and a low level of parent's schooling (PR = 1.60; 95% CI: 1.17-2.17) remained associated with the final model.
The impact of oral problems on the OHRQoL of the preschool children was high. A greater number of injured teeth, the presence of toothache, and socioeconomic factors were associated with poorer OHRQoL, based on the reports of both the parents/caregivers and the children. The occurrence of non-complicated TDI was a protective factor for OHRQoL.
背景/目的：幼儿中创伤性牙损伤很常见。本研究的目的是使用5岁儿童口腔健康结果量表（SOHO - 5）评估创伤性牙损伤对学龄前儿童口腔健康相关生活质量（OHRQoL）的影响。
本研究纳入了769名在公立和私立幼儿园就读的5岁儿童。两名检查者接受了培训，该培训涉及确定所有临床情况的检查者间和检查者内一致性（Kappa统计量）（K>0.82）。进行了描述性统计，随后进行泊松回归分析（α = 5%）。
根据父母/照顾者和儿童的报告，口腔问题对OHRQoL的影响患病率分别为32.9%和42.2%。根据儿童的自我报告，两颗或更多颗牙齿受伤（PR = 1.30；95%CI：1.04 - 1.64）、牙痛（PR = 1.68；95%CI：1.35 - 2.09）以及父母受教育程度低（PR = 1.54；95%CI：1.24 - 1.91）对OHRQoL有影响。对于父母/照顾者的报告，非复杂性创伤性牙损伤的发生（PR = 0.66；95%CI：0.44 - 0.98）、牙痛（PR = 8.03；95%CI：5.92 - 10.88）以及父母受教育程度低（PR = 1.60；95%CI：1.17 - 2.17）仍与最终模型相关。
口腔问题对学龄前儿童OHRQoL的影响很大。根据父母/照顾者和儿童的报告，更多的牙齿受伤、牙痛的存在以及社会经济因素与较差的OHRQoL相关。非复杂性创伤性牙损伤的发生是OHRQoL的一个保护因素。
