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八到十岁巴西学龄儿童自述牙痛的患病率及其相关因素。

Prevalence of self-reported dental pain and associated factors among eight- to ten-year-old Brazilian schoolchildren.

机构信息

Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

PLoS One. 2019 Apr 8;14(4):e0214990. doi: 10.1371/journal.pone.0214990. eCollection 2019.

Abstract

AIM

To assess the prevalence of self-reported dental pain and its association with sociodemographic, clinical and behavioral/psychosocial indicators among 8- to 10-year-old Brazilian schoolchildren.

DESIGN

A cross-sectional study was carried out with 1,589 eight- to ten-year-old children randomly selected from public schools of Florianopolis, Brazil. Self-reports of dental pain were collected through a single question as follows: "In the last month, how many times have you had pain in your teeth?" Caries experience was determined by the DMFT/dmft index and its clinical consequences by the PUFA/pufa index. Dental trauma, dental fluorosis and molar-incisor hypomineralization were assessed through the Andreasen, Dean and European Academy of Pediatric Dentistry classifications, respectively. Clinical signs of dental erosion were also observed. Sociodemographic indicators were obtained through a questionnaire answered by the children's caregivers. Information about behavioral/psychosocial indicators was collected through questions from the Brazilian version of the Child Perception Questionnaire 8-10 years (CPQ8-10). Descriptive analysis, chi-square test, and hierarchically adjusted Poisson regression models were performed.

RESULTS

819 children (51.5%) reported episodes of dental pain in the last month prior to the study, whereas 55.6% (n = 509) were girls. The presence of dental pain was significantly associated with sex, trouble sleeping, difficulty eating, school absenteeism, difficulty with paying attention in class, difficulty doing homework, staying away from recreational activities, caries experience, PUFA/pufa index and ulceration (p<0.05).

CONCLUSION

The prevalence of self-reported dental pain in 8- to 10- year-old Brazilian schoolchildren was high and was associated with sociodemographic, clinical and behavioral/psychosocial indicators.

摘要

目的

评估 8 至 10 岁巴西学龄儿童自述牙痛的患病率及其与社会人口学、临床和行为/心理社会指标的关系。

设计

这项横断面研究在巴西弗洛里亚诺波利斯的公立学校中随机抽取了 1589 名 8 至 10 岁的儿童。通过以下单一问题收集自述牙痛情况:“在过去一个月中,您的牙齿有多少次疼痛?”通过 DMFT/dmft 指数确定龋齿经历,通过 PUFA/pufa 指数确定其临床后果。通过 Andreasen、Dean 和欧洲儿科学会的分类评估牙齿外伤、氟斑牙和磨牙-切牙矿化不全。还观察了牙齿侵蚀的临床征象。通过儿童照顾者回答的问卷获得社会人口学指标。通过巴西版儿童感知问卷 8-10 岁(CPQ8-10)的问题收集行为/心理社会指标信息。进行描述性分析、卡方检验和分层调整泊松回归模型。

结果

在研究前的过去一个月中,819 名儿童(51.5%)报告有牙痛发作,其中 55.6%(n=509)为女孩。存在牙痛与性别、睡眠困难、进食困难、缺课、在课堂上注意力集中困难、做作业困难、远离娱乐活动、龋齿经历、PUFA/pufa 指数和溃疡有关(p<0.05)。

结论

8 至 10 岁巴西学龄儿童自述牙痛的患病率较高,与社会人口学、临床和行为/心理社会指标有关。

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