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青少年自我报告的口腔健康状况和龋齿规范指数:一项队列研究。

Self-reported oral health and normative indices of dental caries among adolescents: a cohort study.

机构信息

Universidade Federal de Santa Maria - UFSM, Faculty of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil.

IMED, Graduate Program in Dentistry, Passo Fundo, RS, Brazil.

出版信息

Braz Oral Res. 2022 Feb 9;36:e021. doi: 10.1590/1807-3107bor-2022.vol36.0021. eCollection 2022.

Abstract

This study assessed the association between self-reported oral health and the normative indices of dental caries in an adolescent population. This study is based on a 6-year data from a cohort, beginning in 2012, with 1,134 twelve-year-old adolescents. After three phases of data collection, 68% of the samples were followed up. Self-reported oral health was evaluated through the question: "Would you say that the health of your teeth, lips, jaws, and mouth is …?", and answers were categorized as "good" or "poor." Calibrated dentists examined clinical conditions using the decayed, missing, and filled teeth (DMFT) index. Statistical analysis was performed using multilevel logistic regression models, considering the dependence of those observed thrice and adjusted for demographic, socioeconomic, and dental visit variables. Adolescents who evaluated their oral health as poor had higher mean DMFT (OR: 1.35; CI95% 1.22-1.50). When evaluated separately, decayed (OR: 2.43; CI95% 1.83-3.23) and missing (OR: 3.94; CI95% 1.26-12.26) teeth also presented significant results, showing poor self-reported oral health associated with a higher mean. Adolescents' self-perceived oral health was associated with normative dental caries indices, and this association was maintained throughout adolescence.

摘要

本研究评估了青少年人群自我报告的口腔健康状况与龋齿规范指标之间的关系。本研究基于一项始于 2012 年、为期 6 年的队列研究数据,共纳入 1134 名 12 岁青少年。经过三个阶段的数据收集,有 68%的样本得到了随访。通过以下问题评估自我报告的口腔健康状况:“你认为你的牙齿、嘴唇、颌骨和口腔健康状况如何?”,答案分为“良好”或“不佳”。校准后的牙医使用龋失补(DMFT)指数检查临床状况。采用多水平逻辑回归模型进行统计分析,考虑到观察到的三次依赖性,并对人口统计学、社会经济和牙科就诊变量进行了调整。自我报告口腔健康状况不佳的青少年 DMFT 平均值较高(OR:1.35;95%CI95% 1.22-1.50)。分别评估时,龋齿(OR:2.43;95%CI95% 1.83-3.23)和缺失(OR:3.94;95%CI95% 1.26-12.26)牙齿也呈现出显著的结果,表明自我报告的口腔健康不佳与更高的 DMFT 平均值相关。青少年自我感知的口腔健康状况与规范的龋齿指标相关,这种相关性在整个青春期都保持不变。

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