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安曼地区 12 岁学龄儿童中,治疗和未治疗的创伤性牙外伤对口腔健康相关生活质量的影响。

Impact of treated and untreated traumatic dental injuries on oral health-related quality of life among 12-year-old schoolchildren in Amman.

机构信息

Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.

出版信息

Dent Traumatol. 2019 Jun;35(3):153-162. doi: 10.1111/edt.12466. Epub 2019 Mar 6.

Abstract

BACKGROUND/AIMS: Traumatic dental injuries (TDI) could have negative effects on the physical and psychosocial well-being of children. The aim of this study was to assess the prevalence of TDI and the impact of treated/untreated TDI on the quality of life of children among 12-year-old schoolchildren in Amman.

MATERIALS AND METHODS

A cross-sectional study was conducted with 1652 schoolchildren aged 12 years enrolled in schools in Amman. OHRQol was assessed using the Arabic version of the Child Perceptions Questionnaire (CPQ ). Diagnosis of traumatic dental injury was based on Andreasen's classification. Dental caries and malocclusion were also recorded and analyzed along with social class. Statistical analysis included ANOVA and multiple logistic regression.

RESULTS

The prevalence of TDI was 14.6%. There was a statistically significant impact of untreated TDI on all items of CPQ . When children with treated TDI were compared with those who had not suffered TDI, the only statistically significant impact was difficulty in chewing. Compared to children with treated TDI and those who had not suffered TDI, children with untreated TDI experienced significantly higher impacts related to the overall OHRQol, oral symptoms, the emotional and social well-being domains. Regarding functional limitation domain, children with untreated TDI experienced a significantly higher impact than children who had not suffered TDI, but children with treated TDI still had some limitations.

CONCLUSIONS

The prevalence of TDI was 14.6%. Untreated TDI had a negative impact on OHRQol compared to absence of or treated TDI among 12-year-old schoolchildren in Amman.

摘要

背景/目的:外伤性牙损伤(TDI)可能对儿童的身心健康产生负面影响。本研究的目的是评估安曼 12 岁学龄儿童 TDI 的患病率,以及治疗/未治疗 TDI 对儿童生活质量的影响。

材料和方法

采用横断面研究,对安曼学校 12 岁的 1652 名学龄儿童进行研究。使用阿拉伯语版儿童感知问卷(CPQ)评估口腔健康相关生活质量(OHRQoL)。根据 Andreasen 的分类诊断 TDI。还记录和分析了龋齿和错颌畸形以及社会阶层。统计分析包括方差分析和多因素逻辑回归。

结果

TDI 的患病率为 14.6%。未治疗 TDI 对 CPQ 的所有项目均有统计学显著影响。与未发生 TDI 的儿童相比,患有治疗 TDI 的儿童在咀嚼困难方面仅具有统计学显著影响。与治疗 TDI 的儿童和未发生 TDI 的儿童相比,未治疗 TDI 的儿童在 OHRQoL、口腔症状、情绪和社会幸福感等方面的整体口腔健康相关生活质量方面受到的影响更大。在功能受限方面,未治疗 TDI 的儿童受到的影响明显高于未发生 TDI 的儿童,但治疗 TDI 的儿童仍有一些限制。

结论

TDI 的患病率为 14.6%。与未发生或治疗 TDI 的儿童相比,安曼 12 岁学龄儿童的未治疗 TDI 对 OHRQoL 有负面影响。

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