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基于牙科不适问卷的方法在识别自闭症谱系障碍儿童牙齿疼痛所致症状性表现中的作用

Role of Dental Discomfort Questionnaire-Based Approach in Recognition of Symptomatic Expressions Due to Dental Pain in Children with Autism Spectrum Disorders.

作者信息

Penmetsa Chandana, Penmetcha Sarada, Cheruku Sampath Reddy, Mallineni Sreekanth Kumar, Patil Anil Kumar, Namineni Srinivas

机构信息

Department of Pedodontics and Preventive Dentistry, Sri Sai College of Dental Surgery, Hyderabad, Telangana, India.

Department of Pedodontics and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.

出版信息

Contemp Clin Dent. 2019 Jul-Sep;10(3):446-451. doi: 10.4103/ccd.ccd_728_18.

Abstract

AIM

The aim of this study is to investigate whether the Dental Discomfort Questionnaire (DDQ) could help to identify toothaches in children with autism spectrum disorder (ASD).

MATERIALS AND METHODS

This study involved sixty children between the age groups of 6-16 years, attending the day-care schools diagnosed with ASD. Five different groups of children were identified based on the presence of a toothache and/or carious teeth. The DDQ-8 was completed by parents and evaluated by a single examiner. Data were analyzed using descriptive statistics (SPSS version 17), and a correlation was observed between the total DDQ score and the decayed, missing, and filled teeth (dmft-DMFT) score.

RESULTS

Analysis of the data showed that DDQ-8 had a significant correlation with that of DMFT score in a group "with carious teeth but no toothache" ( = 0.497, = 0.019) and group "with carious teeth and a toothache" ( = 0.682 = 0.043). A group "without carious teeth where the parents were not sure whether or not the child had a toothache" had higher mean compared to other groups with DDQ-8 scores.

CONCLUSION

There was a significant difference in the total mean DDQ scores when they were compared with that of the control group. Children with high DDQ-8 often had a high DMFT/dmft score. A significant correlation was found when the total DDQ-8 scores were compared with that of the DMFT score.

摘要

目的

本研究旨在调查牙科不适问卷(DDQ)是否有助于识别自闭症谱系障碍(ASD)儿童的牙痛。

材料与方法

本研究纳入了60名年龄在6至16岁之间、就读于诊断为ASD的日托学校的儿童。根据是否存在牙痛和/或龋齿确定了五组不同的儿童。DDQ - 8由家长完成,并由一名检查人员进行评估。使用描述性统计(SPSS 17版)对数据进行分析,并观察DDQ总分与龋失补牙(dmft - DMFT)分数之间的相关性。

结果

数据分析表明,在“有龋齿但无牙痛”组(r = 0.497,p = 0.019)和“有龋齿且有牙痛”组(r = 0.682,p = 0.043)中,DDQ - 8与DMFT分数具有显著相关性。“无龋齿但家长不确定孩子是否有牙痛”组的DDQ - 8得分均值高于其他组。

结论

与对照组相比,DDQ总分存在显著差异。DDQ - 8得分高的儿童通常DMFT/dmft分数也高。当比较DDQ - 8总分与DMFT分数时,发现存在显著相关性。

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