低矿化第二恒磨牙对学龄前儿童口腔健康相关生活质量的影响——一种层次分析法。

Impact of hypomineralised second primary molar on preschoolers' oral health-related quality of life-A hierarchical approach.

机构信息

Postgraduate Program in Dentistry, Federal University of Piaui, Teresina, Brazil.

Department of Children and Adolescents Oral Health, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.

出版信息

Int J Paediatr Dent. 2022 Mar;32(2):194-203. doi: 10.1111/ipd.12844. Epub 2021 Jun 15.

DOI:10.1111/ipd.12844

PMID:34062035

Abstract

BACKGROUND

Hypomineralised second primary molar (HSPM) is a developmental enamel defect associated with dental caries.

AIM

To evaluate the impact of HSPM on oral health-related quality of life (OHRQoL) in preschoolers through hierarchical analysis.

DESIGN

This population-based cross-sectional study assessed 834 5-year-old preschoolers, in Teresina, Piauí, Brazil, using sociodemographic questionnaires and Early Childhood Oral Health Impact Scale (ECOHIS). Dental examination was performed by two calibrated examiners (κ ≥ 0.80) for the diagnosis of HSPM (EAPD), dental caries (dmft and pufa indices), and malocclusion (Foster and Hamilton criteria). Analysis of the determinants of OHRQoL was stratified at three levels (P < .05).

RESULTS

Severe HSPM was associated with OHRQoL in bivariate analysis (P < .05). In adjusted final multivariate analysis (model 1), the presence of dental caries with or without clinical consequences was associated with worse OHRQoL (P < .05). In model 2, after the removal of dental caries, preschoolers with severe HSPM had greater probability of having a negative impact on OHRQoL in the child impact section (RR = 2.14; 95% CI = 1.26-3.65), family impact section (RR = 1.99; 95% CI = 1.16-3.42), and total score (RR = 2.09; 95% CI = 1.25-3.49) of the ECOHIS.

CONCLUSION

Severe HSPM had a negative impact on the OHRQoL of preschoolers and their families, but the presence of dental caries neutralised this impact.

摘要

背景

发育性低矿化第二恒磨牙（HSPM）是一种与龋齿相关的牙釉质发育缺陷。

目的

通过层次分析评估 HSPM 对学龄前儿童口腔健康相关生活质量（OHRQoL）的影响。

设计

本基于人群的横断面研究评估了巴西皮奥伊州特雷西纳的 834 名 5 岁学龄前儿童，使用社会人口统计学问卷和儿童早期口腔健康影响量表（ECOHIS）。两名经过校准的检查者（κ≥0.80）进行了牙科检查，以诊断 HSPM（EAPD）、龋齿（dmft 和 pufa 指数）和错畸形（Foster 和 Hamilton 标准）。OHRQoL 决定因素的分析分为三个层次（P<.05）。

结果

在单变量分析中，严重 HSPM 与 OHRQoL 相关（P<.05）。在调整后的最终多变量分析（模型 1）中，存在有或无临床后果的龋齿与 OHRQoL 较差相关（P<.05）。在模型 2 中，在去除龋齿后，严重 HSPM 的学龄前儿童在儿童影响部分（RR=2.14；95%CI=1.26-3.65）、家庭影响部分（RR=1.99；95%CI=1.16-3.42）和 ECOHIS 的总评分（RR=2.09；95%CI=1.25-3.49）上更有可能对 OHRQoL 产生负面影响。