切牙磨牙矿化不全与生活质量：一项针对巴西学龄儿童的基于人群的研究。
Incisor Molar Hypomineralization and Quality of Life: A Population-Based Study with Brazilian Schoolchildren.
作者信息
Freitas Fernandes Liege Helena, Laureano Isla Camila C, Farias Lunna, Andrade Natália M, Soares Forte Franklin Delano, Barros Alencar Catarina Ribeiro, Cavalcanti Alessandro Leite
机构信息
Department of Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.
Department of Clinical and Social Dentistry, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
出版信息
Int J Dent. 2021 Mar 3;2021:6655771. doi: 10.1155/2021/6655771. eCollection 2021.
AIM
To assess the impact of incisor molar hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perception of students and their parents/caregivers.
MATERIALS AND METHODS
This is a cross-sectional population-based study with 463 Brazilian students aged 11-14 years. OHRQoL was measured using the Child Perceptions Questionnaire (B-CPQISF: 16) applied to students and the short version of the Parental-Caregiver Perceptions Questionnaire (B-P-CPQ) applied to parents/caregivers. The diagnosis of MIH followed the European Academy of Paediatric Dentistry criteria modified in 2019. Caries experience (ICDAS II), malocclusion (DAI), and socioeconomic and demographic factors were assessed as confounding factors for impact on OHRQoL. Cluster analysis was carried out to dichotomize the negative impact into greater and lesser impact. The chi-square test and Poisson regression were performed ( < 0.05) to verify associations between quality of life and MIH, adjusted for confounding variables.
RESULTS
The prevalence of MIH was 10.8%. Multivariate regression demonstrated that caries experience was the only oral disease that impacted OHRQoL according to students' self-perception in the functional limitation domain (PR = 1.82; 95% CI = 1.20-2.77) and in the total questionnaire score (PR = 1.59; 95% CI = 1.00-2.51). However, according to the perception of parents/caregivers, in addition to caries experience, which affected OHRQoL in the oral symptoms (PR = 3.57; 95% CI = 1.71-7.414) and emotional well-being domains (PR = 1.71; 95% CI = 1.08-2.69), as well as in the total B-P-CPQ score (PR = 1.67; 95% CI = 1.01-2.76), malocclusion also affected OHRQoL in the social well-being domain (PR = 1.50; 95% CI = 1.07-2.10) and in the total questionnaire score (PR = 1.54; 95% CI = 1.11-2.15).
CONCLUSION
According to students and their parents/caregivers' perception, incisor molar hypomineralization did not influence OHRQoL of the studied sample.
目的
根据学生及其父母/照顾者的认知，评估切牙磨牙矿化不全（MIH）对口腔健康相关生活质量（OHRQoL）的影响。
材料与方法
这是一项基于人群的横断面研究，研究对象为463名年龄在11至14岁的巴西学生。使用适用于学生的儿童认知问卷（B-CPQISF:16）和适用于父母/照顾者的父母-照顾者认知问卷简版（B-P-CPQ）来测量OHRQoL。MIH的诊断遵循2019年修订的欧洲儿童牙科学会标准。龋齿经验（ICDAS II）、错牙合（DAI）以及社会经济和人口统计学因素被评估为影响OHRQoL的混杂因素。进行聚类分析以将负面影响分为影响较大和较小两类。进行卡方检验和泊松回归（<0.05）以验证生活质量与MIH之间的关联，并对混杂变量进行调整。
结果
MIH的患病率为10.8%。多变量回归表明，根据学生在功能受限领域的自我认知（PR = 1.82；95%CI = 1.20 - 2.77）以及问卷总分（PR = 1.59；95%CI = 1.00 - 2.51），龋齿经验是唯一影响OHRQoL的口腔疾病。然而，根据父母/照顾者的认知，除了龋齿经验在口腔症状（PR = 3.57；95%CI = 1.71 - 7.414）和情绪健康领域（PR = 1.71；95%CI = 1.08 - 2.69）以及B-P-CPQ总分（PR = 1.67；95%CI = 1.01 - 2.76）方面影响OHRQoL外，错牙合在社会幸福感领域（PR = 1.50；95%CI = 1.07 - 2.10）和问卷总分（PR = 1.54；95%CI = 1.11 - 2.15）方面也影响OHRQoL。
结论
根据学生及其父母/照顾者的认知，切牙磨牙矿化不全并未影响所研究样本的OHRQoL。
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