Fernandes Izabella Barbosa, Reis-Sá PatrIcia, Gomes Rafaela Lopes, Costa Luciane Rezende, Ramos-Jorge Joana, Ramos-Jorge Maria LetIcia
Department of Pediatric Dentistry, School of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Department of Pediatric Dentistry, School of Dentistry, Federal University of Minas Gerais, Goiânia, Brazil.
J Indian Soc Pedod Prev Dent. 2018 Jul-Sep;36(3):250-256. doi: 10.4103/JISPPD.JISPPD_167_17.
Dental pain is one of the most common symptoms of untreated oral problems and exerts a strong impact on the well-being of children.
The aim of this study was to evaluate the associated factors with dental pain in children aged 1-3 years using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B).
A cross-sectional study was conducted in the city of Diamantina, Brazil. A total of 318 randomly selected children were submitted to an oral clinical examination for the evaluation of tooth injuries and dental caries (International Caries Detection and Assessment System, [ICDAS]). The caregivers of the children were asked to answer the DDQ-B as well as a questionnaire addressing demographic and socioeconomic aspects of the family. Statistical analysis was performed and involved the description of frequencies as well as Poisson hierarchical regression analysis.
Dental pain was associated with a household income less than the Brazilian minimum monthly wage (Prevalence ratios [PRs] = 1.33, 95% confidence interval [CI]: 1.07-1.66, P = 0.011) and dental caries in dentin - ICDAS codes 5 and 6 (PR = 1.48, 95% CI: 1.13-1.94, P = 0.004).
Greater frequencies of dental pain were found in 1-3-year-old children from families with a low monthly income and dental caries with visible dentin with or without pulp involvement.
牙痛是未治疗的口腔问题最常见的症状之一，对儿童的健康有很大影响。
本研究旨在使用巴西版的牙科不适问卷（DDQ-B）评估1至3岁儿童牙痛的相关因素。
在巴西迪亚曼蒂纳市进行了一项横断面研究。总共318名随机选择的儿童接受了口腔临床检查，以评估牙齿损伤和龋齿情况（国际龋齿检测和评估系统，[ICDAS]）。要求儿童的照顾者回答DDQ-B以及一份关于家庭人口统计学和社会经济方面的问卷。进行了统计分析，包括频率描述以及泊松分层回归分析。
牙痛与家庭收入低于巴西月最低工资标准相关（患病率比[PRs]=1.33，95%置信区间[CI]：1.07-1.66，P=0.011），以及牙本质龋齿-ICDAS编码5和6相关（PR=1.48，95%CI：1.13-1.94，P=0.004）。
在月收入低的家庭中，1至3岁患有可见牙本质龋齿（无论有无牙髓受累）的儿童牙痛发生率更高。
