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未治疗的龋齿对有特殊医疗需求儿童口腔健康相关生活质量的影响。

Impact of untreated dental caries on oral health-related quality of life of children with special health care needs.

机构信息

Universidade Federal Fluminense - UFF, School of Dentistry, Department of Pediatric Dentistry, Niterói, RJ, Brazil.

出版信息

Braz Oral Res. 2019 Mar 18;32:e117. doi: 10.1590/1807-3107BOR-2018.vol32.0117.

Abstract

The oral health status of children with special health care needs (SHCN) can affect their quality of life wich domains of the Brazilian version of the Early Childohood Oral Health Impact Scale (B-ECOHIS). A cross-sectional study was conducted in children with SHCN (aged 1 to 9 years), who underwent an oral examination for the assessment of dental caries severity. Parents/caregivers answered two questionnaires, one on oral health-related quality of life (OHRQoL) - B-ECOHIS, and one on socioeconomic characteristics. Statistical analyses were performed using the Kolmogorov-Smirnov test, Mann-Whitney U-test, Poisson regression, Point-biserial correlation coefficient, and Cronbach's alpha. A total of 128 children participated in the study and OHRQoL was affected in 68.75% of them. The function domain in the Child Impact Section (CIS) had a higher mean value. Caries severity was associated with worse quality of life (p=0.001). Severe dental caries was associated with a negative impact on the OHRQoL of disabled children and of their families. The impact of untreated dental caries and severity of dental caries was associated with the CIS domains (except for the self-image/social interaction domain).

摘要

患有特殊健康需求儿童的口腔健康状况会影响他们的生活质量,本研究旨在使用巴西版婴幼儿口腔健康影响量表(B-ECOHIS)评估这些儿童的口腔健康相关生活质量(OHRQoL)。这是一项横断面研究,研究对象为 1 至 9 岁的特殊健康需求儿童,对他们进行口腔检查以评估龋齿严重程度。家长/照顾者回答了两个问卷,一个是关于口腔健康相关生活质量(OHRQoL)的 B-ECOHIS 问卷,另一个是关于社会经济特征的问卷。使用 Kolmogorov-Smirnov 检验、Mann-Whitney U 检验、泊松回归、点二项相关系数和 Cronbach's alpha 进行统计分析。共有 128 名儿童参与了这项研究,其中 68.75%的儿童的 OHRQoL 受到影响。儿童影响部分(CIS)的功能域具有更高的平均值。龋齿严重程度与较差的生活质量相关(p=0.001)。严重的龋齿与残疾儿童及其家庭的 OHRQoL 受到负面影响相关。未治疗的龋齿和龋齿严重程度与 CIS 领域相关(除自我形象/社会互动领域外)。

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