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口腔治疗对自闭症谱系障碍儿童和青少年口腔健康相关生活质量的影响。

Impact of dental treatment on the oral health-related quality of life of children and adolescents with Autism Spectrum Disorder.

机构信息

Department of Dentistry, Federal University of Piauí, Teresina, Piauí, Brazil.

Integrated Center for Special Education, Federal University of Piauí, Teresina, Piauí, Brazil.

出版信息

Spec Care Dentist. 2021 Nov;41(6):658-669. doi: 10.1111/scd.12618. Epub 2021 May 27.

Abstract

AIM

To evaluate the impact of dental treatment on the oral health-related quality of life (OHRQoL) of children and adolescents with Autism Spectrum Disorder (ASD), through the perception of caregivers.

METHODS AND RESULTS

A prospective longitudinal study was conducted on 115 individuals with ASD, 6-14 years of age, recruited from the referral centers for special needs individuals at Teresina, Brazil. A clinical examination was carried out and the OHRQoL was measured using the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) before and 3 months after dental treatment. Data were analyzed using Kolmogorov-Smirnov, Levene, Mann-Whitney, Kruskall-Wallis, and Wilcoxon tests, and the Poison regression with backward method (P < .05). Treatment needs of children with ASD consisted of dental restorations (81.7%), oral prophylaxis (66.1%), endodontic treatment (10.4%), and tooth extractions (10.4%). The baseline P-CPQ total score varied from 1 to 33 (mean score = 13.2 [±6.4]), and at 3 months after treatment it ranged from 0 to 10 (mean score 3.4 [±2.2] (P < .001). The effect magnitude varied between 0.55 and 0.56.

CONCLUSION

According to the perception of the caregivers, dental treatment had a positive impact on the OHRQoL of children and adolescents with ASD.

摘要

目的

通过照顾者的感知,评估口腔治疗对自闭症谱系障碍(ASD)儿童和青少年口腔健康相关生活质量(OHRQoL)的影响。

方法和结果

对来自巴西特蕾西纳特殊需求人士转介中心的 115 名 6-14 岁 ASD 患者进行了一项前瞻性纵向研究。在口腔治疗前后使用巴西版父母/照顾者感知问卷(P-CPQ)进行临床检查和 OHRQoL 测量。使用 Kolmogorov-Smirnov、Levene、Mann-Whitney、Kruskal-Wallis 和 Wilcoxon 检验以及向后法的泊松回归(P<.05)分析数据。ASD 儿童的治疗需求包括牙体修复(81.7%)、口腔预防(66.1%)、牙髓治疗(10.4%)和拔牙(10.4%)。基线 P-CPQ 总分范围为 1-33(平均得分 13.2 [±6.4]),治疗 3 个月后范围为 0-10(平均得分 3.4 [±2.2])(P<.001)。效应大小在 0.55 到 0.56 之间变化。

结论

根据照顾者的感知,口腔治疗对 ASD 儿童和青少年的 OHRQoL 有积极影响。

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