Sakaryali D, Bani M, Cinar C, Alacam A
Department of Pediatric Dentistry, Faculty of Dentistry, Baskent University, Bahcelievler-Cankaya, Ankara, Turkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Emek-Cankaya, Ankara, Turkey.
Niger J Clin Pract. 2019 Jun;22(6):817-823. doi: 10.4103/njcp.njcp_581_18.
The aim of this study was to assess the impact of the presence of early childhood caries (ECC), traumatic dental injury (TDI), and malocclusion, as well as severe conditions, on the oral health-related quality of life (OHRQoL) of preschool children and families.
A cross-sectional survey was conducted in children aged 1 to 6 years old, who attended to the Department of Paediatric Dentistry, Gazi University. The questionnaires were adapted to Turkish, and OHRQoL was measured using the Turkish version of Early Childhood Oral Health Impact Scale (T-ECOHIS). Children were classified into four main groups, two subgroups in each group based on their severity conditions-Group 1: ECC group; Group 2: TDI group; Group 3: Malocclusion group; Group 4: Control group. Parents answered the questions about sociodemographic conditions and T-ECOHIS. The Kolmogorov-Smirnov test was used for non-normal distribution and Kruskal-Wallis and Mann-Whitney tests were used to compare T-ECOHIS score regarding ECC, TDI, and malocclusion.
Both simple and severe conditions of TDI showed a negative impact on the family and child based on T-ECOHIS scores (P < 0.05). The severe condition of ECC and malocclusion showed significantly negative impact on family (P > 0.05) but not on child (P > 0.0.5).
The presence of ECC, TDI, and malocclusion has a negative effect on OHRQoL of Turkish preschool children and specially their families. So, public health programs should be carried out about oral health for raising parents' and children's awareness and increasing OHRQoL.
本研究旨在评估幼儿龋齿(ECC)、牙外伤(TDI)、错颌畸形以及严重情况对学龄前儿童及其家庭口腔健康相关生活质量(OHRQoL)的影响。
对加齐大学儿科牙科就诊的1至6岁儿童进行横断面调查。问卷采用土耳其语版本,使用土耳其版幼儿口腔健康影响量表(T-ECOHIS)测量OHRQoL。根据严重程度将儿童分为四个主要组,每组两个亚组——第1组:ECC组;第2组:TDI组;第3组:错颌畸形组;第4组:对照组。家长回答有关社会人口统计学状况和T-ECOHIS的问题。采用柯尔莫哥洛夫-斯米尔诺夫检验分析非正态分布,采用克鲁斯卡尔-沃利斯检验和曼-惠特尼检验比较ECC、TDI和错颌畸形的T-ECOHIS得分。
基于T-ECOHIS得分,TDI的单纯和严重情况均对家庭和儿童产生负面影响(P<0.05)。ECC和错颌畸形的严重情况对家庭有显著负面影响(P>0.05),但对儿童无显著影响(P>0.05)。
ECC、TDI和错颌畸形的存在对土耳其学龄前儿童尤其是其家庭的OHRQoL有负面影响。因此,应开展有关口腔健康的公共卫生项目,以提高家长和儿童的意识并提高OHRQoL。