龋齿导致的牙痛对儿童口腔健康相关生活质量的影响。
The Impact of Dental Pain due to Caries in the Oral Health-Related Quality of Life of Children.
机构信息
Dr. Gomes is a professor, Department of Pediatric Dentistry, School of Medical Sciences, UniFACISA, Campina Grande, Paraiba, Brazil.
Dr. Perazzo is a Department of Pediatric Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
出版信息
J Dent Child (Chic). 2021 May 15;88(2):80-85.
To determine the extent to which history of dental pain explains the impact of dental caries on oral health-related quality of life (OHRQoL) among pre-schoolers.
A population-based study was conducted with a random sample of 769 five-year-old children. Preschoolers self-completed the Brazilian version of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5), and caregivers completed a questionnaire addressing sociodemographic characteristics. Children had a dental/oral examination done by dentists. The effect of cavitated caries lesions on OHRQoL explained by pain was estimated by the percentage variation of the prevalence ratio (PR) for the impact of cavitated lesions on OHRQoL (PRc), and this measure was adjusted by dental pain (PRct). PR was determined through multiple Poisson regression ( <0.05).
The prevalence of cavitated lesions was 58.8 percent; among this cohort, 23.8 percent reported dental pain. The PRc was 1.063 and PRct was 1.039. Thirty-eight percent of the impact of dental caries on OHRQoL was due to dental pain.
History of dental pain explains 38 percent of the impact of dental caries on the OHRQoL of preschoolers.
目的
确定龋齿对学龄前儿童口腔健康相关生活质量（OHRQoL）的影响中，牙痛史的解释程度。
方法：采用随机整群抽样方法，对 769 名 5 岁儿童进行了一项基于人群的研究。儿童自我完成了巴西版《5 岁儿童口腔健康结局量表》（SOHO-5），照顾者完成了一份关于社会人口特征的问卷。儿童由牙医进行口腔检查。通过龋齿病变对 OHRQoL 的影响来估计疼痛对龋齿病变对 OHRQoL 的影响（PRc）的解释程度，通过疼痛调整（PRct）调整该比例。采用多泊松回归（ <0.05）确定 PR。
结果：龋齿病变的患病率为 58.8%；在这一队列中，23.8%的儿童报告有牙痛。PRc 为 1.063，PRct 为 1.039。龋齿对 OHRQoL 的影响有 38%归因于牙痛。
结论：牙痛史解释了龋齿对学龄前儿童 OHRQoL 影响的 38%。
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