Department of Paediatric Dentistry, Dental School, San Martin de Porres University, Lima, Peru.
Department of Oral Function and Prosthetic Dentistry, College of Oral Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.
Int J Paediatr Dent. 2020 Jan;30(1):57-65. doi: 10.1111/ipd.12582. Epub 2019 Oct 31.
Untreated dental caries negatively impacts children and their families; the implication of which is best measured through assessing quality of life. Information related to Oral Health-Related Quality of Life (OHRQoL) in Peruvian pre-school children is scarce.
To investigate the relationship between dental caries and the OHRQoL of 3-year-old children.
Randomly selected government pre-schools (n = 17), situated in three low socio-economic status districts in Lima, participated. The OHRQoL data were obtained using the Peruvian (P) ECOHIS questionnaire. Clinical examinations using the Caries Assessment Spectrum and Treatment (CAST) instrument were performed on 308 children. From which, 213 parents returned the P-ECOHIS form. ANOVA, Tamhane, and Tukey methods were used to analyse the data.
The mean age of the children was 3.04 years. The two highest mean P-ECOHIS scores in the child section were 'child symptoms' and 'child psychology' while 'parent distress' scored highest in the parent section. The prevalence of dental caries was 64.3% (CAST scores 4-7). Including CASTcode 3 (enamel carious lesion), the dental caries prevalence was 93.4%. The mean P-ECOHIS scores for 'child symptoms', 'child functions', 'child impact', 'parent distress', and 'the sample' were statistically significantly higher for children with MaxCASTcodes 5 and 6 (dentine and pulpally involved cavities, respectively) than for those with MaxCASTcode 3.
The presence of cavitated teeth with and without pulpal involvement impacts negatively on the OHRQoL of 3-year-old children.
未经治疗的龋齿会对儿童及其家庭产生负面影响；通过评估生活质量，可以最好地衡量其影响。有关秘鲁学龄前儿童口腔健康相关生活质量（OHRQoL）的信息很少。
调查龋齿与 3 岁儿童 OHRQoL 之间的关系。
随机选择位于利马三个社会经济地位较低地区的政府学前班（n=17）参与。使用秘鲁（P）ECOHIS 问卷获得 OHRQoL 数据。对 308 名儿童进行了使用龋齿评估谱和治疗（CAST）仪器的临床检查。其中，213 名家长返回了 P-ECOHIS 表格。使用 ANOVA、Tamhane 和 Tukey 方法分析数据。
儿童的平均年龄为 3.04 岁。儿童部分中得分最高的两个平均 P-ECOHIS 分数是“儿童症状”和“儿童心理”，而家长部分中得分最高的是“家长痛苦”。龋齿的患病率为 64.3%（CAST 评分 4-7）。包括 CASTcode 3（釉质龋损），龋齿患病率为 93.4%。在“儿童症状”、“儿童功能”、“儿童影响”、“家长痛苦”和“样本”方面，P-ECOHIS 得分均值在 MaxCASTcode 5 和 6（分别为涉及牙本质和牙髓的腔）的儿童中显著高于 MaxCASTcode 3 的儿童。
有和没有牙髓受累的龋洞牙齿的存在对 3 岁儿童的 OHRQoL 产生负面影响。
