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常规牙科就诊对儿童口腔健康相关生活质量的影响:一项队列研究。

Effect of routine dental attendance on child oral health-related quality of life: A cohort study.

机构信息

Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil.

Departament of Pediatric Dentistry, Integrated Regional University of Alto Uruguai and Missões, Erechim, Brazil.

出版信息

Int J Paediatr Dent. 2020 Jul;30(4):459-467. doi: 10.1111/ipd.12625. Epub 2020 Feb 25.

Abstract

BACKGROUND

There is an improvement in oral health status among people who receive preventive dental care during their lifetime, highlighting the possible effect in resolving oral health problems and consequently oral health-related quality of life (OHRQoL).

AIM

Assessed the effect of routine dental attendance on child OHRQoL.

DESIGN

This cohort study used baseline data from 639 preschoolers from 2010. After 7 years, 449 children were re-examined (70.3%). Mothers of the children completed a questionnaire collecting data on the pattern of use of dental services. Children were classified as adhering to long-term routine dental attendance according to their pattern of use (routine vs curative) in the baseline and in follow-up. The child OHRQoL was assessed through the Child Perception Questionnaire (CPQ8-10). The association between routine dental attendance and child OHRQoL was assessed using multilevel Poisson regression models.

RESULTS

The proportion of participants who reported the worst CPQ8-10 scores were higher among those who, at some point in their life, experienced a curative dental attendance. Also, the mean CPQ8-10 was two times higher for non-routine dental attendance.

CONCLUSION

The findings showed that there is an impact of long-term routine attendance on child OHRQoL. This is important for tackling oral health iniquities.

摘要

背景

在一生中接受预防性牙科保健的人群中,口腔健康状况有所改善,这突出了在解决口腔健康问题进而提高口腔健康相关生活质量(OHRQoL)方面的可能效果。

目的

评估常规牙科就诊对儿童 OHRQoL 的影响。

设计

本队列研究使用了 2010 年 639 名学龄前儿童的基线数据。7 年后,对 449 名儿童进行了重新检查(70.3%)。儿童的母亲完成了一份调查问卷,收集了有关牙科服务使用模式的数据。根据儿童在基线和随访期间的使用模式(常规 vs 治疗),将儿童分为长期常规牙科就诊者。通过儿童感知问卷(CPQ8-10)评估儿童 OHRQoL。使用多级泊松回归模型评估常规牙科就诊与儿童 OHRQoL 之间的关联。

结果

在一生中经历过治疗性牙科就诊的参与者中,报告 CPQ8-10 得分最差的参与者比例较高。此外,非常规牙科就诊的 CPQ8-10 平均值高出两倍。

结论

研究结果表明,长期常规就诊对儿童 OHRQoL 有影响。这对于解决口腔健康不公平问题很重要。

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