Department of Paediatric Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Int J Paediatr Dent. 2021 May;31(3):383-393. doi: 10.1111/ipd.12727. Epub 2020 Oct 22.
Early childhood caries (ECC) is the most common chronic disease in childhood. Measures to reduce the prevalence of ECC cannot be taken without recognizing that oral health is influenced by biopsychosocial factors on individual and community levels.
To evaluate the impact of ECC on OHRQoL and moderation effect of parents' resilience.
Population-based, cross-sectional study with 497 children (4-6 years old) at preschools in Ribeirão das Neves, MG, Brazil. Parents self-completed the Brazilian version of the early childhood oral health impact scale (B-ECOHIS), the Resilience Scale and questionnaires about socioeconomic and oral health behaviour factors. Calibrated dentists conducted examinations for ECC (ICDASepi) and pulp consequences (pufa). Data analysis used multivariate Poisson regression for complex sample (P < .05).
Model#1, adjusted for parents' resilience and socioeconomic factors, revealed that preschoolers with pulp involvement had 2.36 (95% CI: 1.60-3.49) and fistula/abscess had 3.57 (95% CI: 2.23-5.72) more prevalence of negative impact on OHRQoL than preschoolers with ECC without pulp consequences. In Model#2, resilience was removed from the analysis and the strength of associations almost did not change (OHRQoL vs pulp involvement RP = 2.33;95% CI: 1.58-3.43; OHRQoL vs fistula/abscess RP = 3.65;95% CI: 2.22-5.99).
Early childhood caries with pulp consequences had negative impact on OHRQoL of preschoolers and families, and it is not moderated by parents' resilience.
幼儿龋病（ECC）是儿童中最常见的慢性疾病。如果不认识到口腔健康受到个体和社区层面的生物心理社会因素的影响，就无法采取措施降低 ECC 的患病率。
评估 ECC 对 OHRQoL 的影响以及父母韧性的调节作用。
巴西米纳斯吉拉斯州里贝朗普雷图的学前教育机构中进行的基于人群的横断面研究，共纳入 497 名（4-6 岁）儿童。父母使用巴西版幼儿口腔健康影响量表（B-ECOHIS）、韧性量表和关于社会经济和口腔健康行为因素的问卷进行自我报告。校准后的牙医对 ECC（ICDASepi）和牙髓后果（pufa）进行检查。使用复杂样本的多变量泊松回归进行数据分析（P<0.05）。
模型#1 调整了父母的韧性和社会经济因素，结果表明，与没有牙髓后果的 ECC 学龄前儿童相比，有牙髓受累的学龄前儿童在 OHRQoL 方面有 2.36（95%CI：1.60-3.49）倍和瘘管/脓肿 3.57（95%CI：2.23-5.72）倍的负面影响患病率。在模型#2 中，从分析中去除了韧性，关联的强度几乎没有变化（OHRQoL 与牙髓受累的 RP=2.33；95%CI：1.58-3.43；OHRQoL 与瘘管/脓肿的 RP=3.65；95%CI：2.22-5.99）。
有牙髓后果的幼儿龋病对学龄前儿童及其家庭的 OHRQoL 产生负面影响，并且不受父母韧性的调节。
