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牙科治疗对青少年口腔健康相关生活质量的影响。

The effect of dental treatment on oral health-related quality of life in adolescents.

机构信息

Federal University of Santa Maria (UFSM), Rua Cel.Niederauer 917/208, Santa Maria, RS, 97015-121, Brazil.

Integrated Regional University of Alto Uruguai and Missões (URI), Erechim, Rio Grande do Sul (RS), Brazil.

出版信息

Clin Oral Investig. 2018 Jul;22(6):2291-2297. doi: 10.1007/s00784-017-2328-3. Epub 2018 Jan 9.

DOI:10.1007/s00784-017-2328-3
PMID:29318386
Abstract

OBJECTIVES

The objective of the study is to assess the effect of dental treatment on the oral health-related quality of life (OHRQoL) of adolescents from a city in South Brazil.

MATERIALS AND METHODS

This longitudinal study included 129 adolescents aged 10 to 15 years who received dental caries treatment in a university clinic in Santa Maria, Brazil. The OHRQoL was measured using the Brazilian version of the Child Perceptions Questionnaire for children aged 11 to 14 years (CPQ). The questionnaire was administered through face-to-face interviews before treatment and 1 month after its completion. Paired t tests and effect sizes were used to evaluate changes in CPQ scores after completion of treatment.

RESULTS

In total, 43.4% of the study participants received solely restorations, 15.5% received endodontic treatment, and 44.2% underwent tooth extractions. The mean CPQ score before treatment was 15.9 ± 10.3, which decreased to 6.3 ± 6.5 after treatment (P < 0.001). The same pattern was observed in the four domains of CPQ (oral symptoms, functional limitation, emotional well-being, and social well-being). The effect sizes varied from 0.4 to 1.1, with oral symptoms and emotional well-being domains showing the greatest changes.

CONCLUSIONS

Dental treatment resulted in a significant improvement in the OHRQoL of the evaluated adolescents.

CLINICAL RELEVANCE

Providing dental treatment has beneficial effects on the quality of life of adolescents, especially for oral symptoms and emotional well-being.

摘要

目的

本研究旨在评估巴西南部某城市青少年接受牙科治疗对其口腔健康相关生活质量(OHRQoL)的影响。

材料与方法

这是一项纵向研究,共纳入 129 名 10 至 15 岁接受牙科龋齿治疗的青少年,他们均来自巴西圣玛丽亚的一所大学诊所。采用巴西版儿童感知问卷(CPQ)评估 OHRQoL,该问卷适用于 11 至 14 岁的儿童。在治疗前和治疗完成后 1 个月,通过面对面访谈的方式进行问卷调查。采用配对 t 检验和效应量评估治疗完成后 CPQ 评分的变化。

结果

研究参与者中,43.4%仅接受了修复治疗,15.5%接受了根管治疗,44.2%接受了拔牙。治疗前 CPQ 平均得分为 15.9±10.3,治疗后降至 6.3±6.5(P<0.001)。CPQ 的四个领域(口腔症状、功能受限、情绪健康和社交健康)均呈现出相同的模式。效应量范围为 0.4 至 1.1,口腔症状和情绪健康领域的变化最大。

结论

牙科治疗显著改善了评估中青少年的 OHRQoL。

临床意义

提供牙科治疗对青少年的生活质量具有有益影响,尤其是对口腔症状和情绪健康。

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