Faculdade São Leopoldo Mandic, Campinas, SP, Brazil.
UNICEUMA, São Luís, MA, Brazil.
Eur Arch Paediatr Dent. 2021 Apr;22(2):273-282. doi: 10.1007/s40368-020-00556-4. Epub 2020 Aug 30.
To evaluate the perception of parents and children and the impact of molar and incisor hypomineralization (MIH) on the oral health-related quality of life (OHRQoL).
A cross-sectional study was conducted with a group of 253 children aged 6-12 years presenting MIH and their parents or guardians who initially answered an interview containing socioeconomic and demographic questions as well as the Parental-Caregiver's Perceptions Questionnaire (P-CPQ). The children answered the Child Perceptions Questionnaire (CPQ8-10) and Child Perceptions Questionnaire (CPQ11-14) and the clinical evaluation of MIH was performed. Poisson regression with robust variance was used in the data analysis.
The parent's perception showed that the impact felt by the children regarding caries leads to a higher oral symptom impact, functional limitation, emotional well-being and total PCPQ score domains, as well. For children with severe MIH, a higher prevalence of impact was felt regarding the functional limitation and emotional well-being. For CPQ8-10, the oral symptoms domain presented the highest mean score, while CPQ11-14 showed the functional limitations domain and P-CPQ the emotional well-being domain.
Considering the perception of parents or guardians, it was concluded that MIH promotes a negative impact on the OHRQoL. MIH had no significant impact on OHRQoL according to children's perceptions.
评估家长和儿童的看法以及磨牙和切牙釉质发育不全（MIH）对口腔健康相关生活质量（OHRQoL）的影响。
进行了一项横断面研究，共纳入 253 名 6-12 岁患有 MIH 的儿童及其家长或监护人，他们最初回答了一份包含社会经济和人口统计学问题以及家长感知问卷（P-CPQ）的访谈。孩子们回答了儿童感知问卷（CPQ8-10）和儿童感知问卷（CPQ11-14），并进行了 MIH 的临床评估。数据分析采用了稳健方差的泊松回归。
家长的看法表明，儿童对龋齿的感知会导致更高的口腔症状影响、功能限制、情绪健康和总 PCPQ 评分领域。对于患有严重 MIH 的儿童，在功能限制和情绪健康方面，感受到的影响更为普遍。对于 CPQ8-10，口腔症状领域的平均得分最高，而 CPQ11-14 则显示出功能限制领域，P-CPQ 则显示出情绪健康领域。
考虑到家长或监护人的看法，可以得出结论，MIH 对 OHRQoL 产生负面影响。根据儿童的感知，MIH 对 OHRQoL 没有显著影响。
