错颌畸形对 11-14 岁儿童口腔健康相关生活质量的影响。
The impact of malocclusion on the oral health related quality of life of 11-14-year-old children.
机构信息
Faculty of Dentistry, Division of Dental Public Health, Department of Developmental and Preventive Sciences, Kuwait University, Safat-13110, P.O. Box: 24923, Kuwait City, Kuwait.
Division of Oral Epidemiology and Dental Public Health, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA, USA.
出版信息
BMC Pediatr. 2022 Feb 14;22(1):91. doi: 10.1186/s12887-022-03127-2.
BACKGROUND
The relationship between malocclusion and the oral health related quality of life (OHRQoL) of children needs to be explored further as existing literature presents conflicting evidence. This study aims to determine the association between malocclusion and OHRQoL of 11-14-year-old children.
METHODS
This cross-sectional study was conducted among 250 caregiver/child dyads seeking orthodontic consultation at a tertiary care hospital. The OHRQoL was assessed using child perception questionnaire for 11-14-year-old children (CPQ) and the severity of malocclusion was assessed using the Dental Aesthetic Index (DAI). CPQ scores ranged from 0 to 64, with lower scores representing better quality of life. Analysis of variance (ANOVA) was used to assess differences between domain and total CPQ scores.
RESULTS
The mean CPQ score was 19.89 ± 9.8. Mean scores for the oral symptoms, functional limitations, emotional well-being, and social well-being domains were 5.26 ± 3.22, 3.67 ± 3.58, 3.98 ± 3.89 and 2.08 ± 2.98, respectively. Normal or slight malocclusion was seen in 37.6%, definite malocclusion was seen in 22.4%, severe malocclusion in 15.2% and handicapping malocclusion in 24.8% of the subjects. In comparisons by pairs, it was found that children with handicapping malocclusion had significantly (p < 0.05) higher scores for the social well-being domain as compared with children having normal/minor malocclusion, indicating a poorer quality of life.
CONCLUSION
Handicapping malocclusion had a significant negative impact on the social well-being domain of OHRQoL among 11-14-year-old children in this population.
背景
错颌畸形与儿童口腔健康相关生活质量（OHRQoL）之间的关系需要进一步探讨，因为现有文献提供了相互矛盾的证据。本研究旨在确定 11-14 岁儿童错颌畸形与 OHRQoL 之间的关系。
方法
这是一项横断面研究，在一家三级保健医院寻求正畸咨询的 250 对照顾者/儿童进行。使用儿童感知问卷（CPQ）评估 OHRQoL，使用牙审美指数（DAI）评估错颌畸形的严重程度。CPQ 评分范围为 0-64，分数越低表示生活质量越好。使用方差分析（ANOVA）评估各域和总 CPQ 评分之间的差异。
结果
CPQ 的平均得分为 19.89±9.8。口腔症状、功能受限、情绪健康和社会健康域的平均得分为 5.26±3.22、3.67±3.58、3.98±3.89 和 2.08±2.98。正常或轻度错颌畸形占 37.6%，明显错颌畸形占 22.4%，严重错颌畸形占 15.2%，严重错颌畸形占 24.8%。成对比较发现，与正常/轻度错颌畸形的儿童相比，严重错颌畸形的儿童社会健康域的评分明显（p<0.05）更高，表明生活质量更差。
结论
在该人群中，严重错颌畸形对 11-14 岁儿童的 OHRQoL 社会健康域有显著的负面影响。
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