Angle Orthod. 2020 Jul 1;90(4):564-570. doi: 10.2319/090219-571.1.
To evaluate the impact of anterior occlusal conditions in the mixed dentition on item-level analysis of oral health-related quality of life (OHRQoL).
A population-based cross-sectional study of 787 children aged 8 to 10 years was conducted. The Child Perceptions Questionnaire (CPQ8-10) was used to evaluate OHRQoL, and the analysis of item levels was performed on CPQ8-10 domains. Anterior occlusal characteristics were diagnosed according to the Dental Aesthetic Index criteria. Individual analyses were performed relating the outcome as independent variables. The variables with P < .20 in the individual analyses were tested in multiple logistic regression models, and those with P < .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI).
No associations were found with regard to anterior occlusal characteristics (P < .001) after the variables of the previous determinants were adjusted for multivariate analysis. However, the following variables were significantly associated with negative impact on OHRQoL item levels: sex, in oral symptoms (OR = 1.42; CI, 1.07-1.89) and emotional well-being (OR = 1.34; CI, 1.00-1.79); race, in oral symptoms (OR = 1.48; CI, 1.10-1.98), emotional well-being (OR = 1.54; CI, 1.14-2.06), and social well-being (OR = 1.34; CI, 1.00-1.80); and family income in functional limitation (OR = 1.46; CI, 1.06-2.02), emotional well-being (OR = 1.71; CI, 1.21-2.42), and social well-being (OR = 1.59; CI, 1.14-2.21).
Anterior occlusal conditions did not affect the levels of OHRQoL items.
评估混合牙列中前牙咬合状况对口腔健康相关生活质量(OHRQoL)项目水平的影响。
进行了一项基于人群的 787 名 8 至 10 岁儿童的横断面研究。使用儿童感知问卷(CPQ8-10)评估 OHRQoL,并对 CPQ8-10 各领域进行项目水平分析。根据牙审美指数标准诊断前牙咬合特征。将结果作为自变量进行个体分析。在个体分析中 P<.20 的变量在多变量逻辑回归模型中进行检验,P<.10 的变量保留在模型中。用 95%置信区间(CI)估计调整后的比值比(OR)。
在多变量分析中调整先前决定因素的变量后,前牙咬合特征与 OHRQoL 项目水平无关联(P<.001)。然而,以下变量与 OHRQoL 项目水平的负面影响显著相关:性别,口腔症状(OR=1.42;CI,1.07-1.89)和情绪健康(OR=1.34;CI,1.00-1.79);种族,口腔症状(OR=1.48;CI,1.10-1.98),情绪健康(OR=1.54;CI,1.14-2.06)和社会健康(OR=1.34;CI,1.00-1.80);家庭收入,功能受限(OR=1.46;CI,1.06-2.02),情绪健康(OR=1.71;CI,1.21-2.42)和社会健康(OR=1.59;CI,1.14-2.21)。
前牙咬合状况不会影响 OHRQoL 项目的水平。