Dr. Martins, PhD student, Department of Pediatric Dentistry, School of Dentistry, at the Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Dr. Bittencourt, PhD student, Department of Pediatric Dentistry, School of Dentistry, at the Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Pediatr Dent. 2021 Mar 15;43(2):116-122.
To evaluate the association between parental oral health literacy (OHL) and untreated early childhood caries and its clinical consequences in children. Population-based, cross-sectional study was conducted with 449 parent-preschooler dyads (four-to-six-year-olds) in Ribeirão das Neves, Minas Gerais, Brazil. Parents answered a socioeconomic questionnaire and the Brazilian version of the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (BOHLAT-P), which measures parental OHL in pediatric dentistry. Preschoolers were examined by two calibrated dentists for the diagnosis of caries (ICDASepi-merged) and its clinical consequences: visible pulp; oral mucosa ulceration due to root fragments; fistula; and abscess (pufa). Data were submitted to univariable and multivariable logistic regression analyses (<0.05). A multivariable model that adjusted for socioeconomic status showed that parental OHL was not associated with untreated dental caries (=0.618). Parents with lower OHL had a greater odds of having children with at least one clinical consequence of untreated dental caries (odds ratio equals 0.94; 95 percent confidence interval equals 0.89 to 0.98) than parents with higher OHL. Low parental OHL appears to impact the occurrence of at least one clinical consequence of untreated dental caries in children but not in the simple presence of untreated dental caries.
为了评估父母口腔健康素养（OHL）与未治疗的幼儿龋及其在儿童中的临床后果之间的关联。本研究采用巴西米纳斯吉拉斯州里贝朗普雷图的基于人群的横断面研究，共纳入了 449 对父母-学龄前儿童（4 至 6 岁）。父母回答了一个社会经济状况问卷和巴西版的儿童牙科香港口腔健康素养评估任务（BOHLAT-P），该任务衡量了父母在儿童牙科中的口腔健康素养。两名经过校准的牙医对学龄前儿童进行了检查，以诊断龋病（ICDASepi-merged）及其临床后果：可见牙髓；根碎片引起的口腔黏膜溃疡；瘘管；脓肿（pufa）。数据进行了单变量和多变量逻辑回归分析（<0.05）。调整社会经济状况的多变量模型显示，父母的口腔健康素养与未经治疗的龋齿无关（=0.618）。OHL 较低的父母比 OHL 较高的父母更有可能让孩子出现至少一种未经治疗的龋齿的临床后果（比值比等于 0.94；95%置信区间等于 0.89 至 0.98）。低父母口腔健康素养似乎会影响儿童中至少一种未经治疗的龋齿的临床后果的发生，但不会影响未经治疗的龋齿的单纯存在。
