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口腔健康结果:评估学龄前儿童龋齿的临床和社会牙科指标之间的关联

Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children.

作者信息

Antunes Lívia Azeredo Alves, Ornellas Giulia, Fraga Renato Silva, Antunes Leonardo Santos

机构信息

Faculdade de Odontologia, Universidade Federal Fluminense. R. Doutor Silvio Henrique Braune 22, Centro. 28625-650 Nova Friburgo RJ Brazil.

出版信息

Cien Saude Colet. 2018 Feb;23(2):491-500. doi: 10.1590/1413-81232018232.21022015.

DOI:10.1590/1413-81232018232.21022015
PMID:29412407
Abstract

Dental caries is a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. Two professionals evaluated dental caries using WHO (2013) criteria and classified subjects according to early childhood caries (ECC) severity. Parents/care- givers answered a characterization questionnaire and self-reported socio-dental indicator (B-ECO-HIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL. The one way ANOVA test showed that the impact on OHRQoL (ECOHIS scores) was associated with ECC. The outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. Clinical and socio-dental indicators should be evaluated together.

摘要

龋齿是一个影响与生活质量相关的口腔健康(OHRQoL)的公共卫生问题。本研究旨在通过关联临床和社会牙科指标来评估儿童龋齿的结果。对巴西东南部一个城市的公立日托中心中2至6岁的儿童进行了一项横断面研究。经过样本计算,根据入选标准随机选择了446名儿童。两名专业人员使用世界卫生组织(2013年)的标准评估龋齿,并根据幼儿龋齿(ECC)严重程度对受试者进行分类。父母/照顾者回答了一份特征调查问卷并自我报告了社会牙科指标(B-ECO-HIS)。龋齿患病率为33.7%。ECC严重程度高的儿童对OHRQoL产生影响的几率高出5倍。单因素方差分析表明,对OHRQoL的影响(ECOHIS评分)与ECC相关。口腔健康中的龋齿结果作为临床指标呈现出高患病率,作为社会牙科指标对OHRQoL产生高影响。临床和社会牙科指标应一起评估。

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