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巴西学龄儿童的口腔治疗对其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 Brazilian schoolchildren.

机构信息

Universidade Federal de Goiás - UFG, Department of Stomatologic Sciences, Goiânia, GO, Brazil.

Universidade de Brasília - UnB, School of Health Sciences, Department of Dentistry, Brasilia, DF, Brazil.

出版信息

Braz Oral Res. 2021 Dec 6;35:e125. doi: 10.1590/1807-3107bor-2021.vol35.0125. eCollection 2021.

Abstract

This before-after experimental study evaluated the impact of dental treatment on the oral health-related quality of life (OHRQoL) in children aged 6-8 years from Paranoá, DF, considering the presence or absence of cavitated dentin carious lesions pre- and post-treatment. The responsiveness and sensitivity of the questionnaires were also investigated. Caries was detected by using the Caries Assessment Spectrum and Treatment (CAST) instrument, while the impact of oral health on the children's health-related quality of life was assessed using the Brazilian version of the Child Perceptions Questionnaire (CPQ8-10), which was completed by the children and the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS), which was completed by their parents. Sociodemographic characteristics were also assessed. After the examinations, the children were categorized into two groups according to the presence (treatment/n = 34) or absence (control/n = 34) of cavitated dentin carious lesions. Restorative/curative care was provided to the treatment group, while the control group received preventive measures. OHRQoL was assessed at baseline and at four weeks post-treatment. No significant sociodemographic differences were observed between the groups. In the treatment group, the children and their families reported a greater impact of oral health on their OHRQoL in both questionnaires (p < 0.05). However, there was a significant reduction in the impact of oral health, with differences between the pre-treatment and post-treatment phases (p = 0.001). Good sensitivity and responsiveness were observed for both questionnaires. Dental treatment was found to reduce the negative impact of dental caries on OHRQoL in 6-8-year-old children, which was detected by both questionnaires (B-ECOHIS and CPQ8-10).

摘要

本前后对照实验研究评估了 6-8 岁儿童在接受牙科治疗前后,有无窝沟状牙本质龋损对口腔健康相关生活质量(OHRQoL)的影响,并对问卷的反应度和灵敏度进行了调查。龋病采用龋病评估谱和治疗(CAST)工具进行检测,儿童的口腔健康对其健康相关生活质量的影响则采用巴西版儿童感知问卷(CPQ8-10)进行评估,该问卷由儿童填写,巴西版幼儿口腔健康影响量表(B-ECOHIS)则由其父母填写。同时,还评估了社会人口学特征。检查后,根据有无窝沟状牙本质龋损(治疗组,n=34;对照组,n=34)将儿童分为两组。治疗组接受修复/治疗性护理,对照组则接受预防性措施。基线和治疗后 4 周时评估 OHRQoL。两组间未观察到显著的社会人口学差异。在治疗组,儿童及其家属报告称,口腔健康对 OHRQoL 的影响在两个问卷中均更大(p<0.05)。然而,口腔健康的影响显著降低,治疗前后阶段存在差异(p=0.001)。两个问卷均表现出良好的灵敏度和反应度。研究发现,牙科治疗可降低 6-8 岁儿童龋齿对 OHRQoL 的负面影响,这在两个问卷(B-ECOHIS 和 CPQ8-10)中均有体现。

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