探讨 12-14 岁学龄儿童口腔健康措施与口腔健康受损日常行为表现之间的关联。
Exploring associations between oral health measures and oral health-impacted daily performances in 12-14-year-old schoolchildren.
机构信息
Dental Public Health, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jizan, 45142, Saudi Arabia.
Department of Pediatric Dentistry, Jazan Specialized Dental Centre, Ministry of Health, Jazan, Saudi Arabia.
出版信息
BMC Oral Health. 2022 Jul 23;22(1):304. doi: 10.1186/s12903-022-02341-9.
BACKGROUND
Oral health-related quality of life, a prominent topic in dentistry, has been studied extensively. However, the comparison between various self-perceived and clinical oral health measures still needs to be explored. The purpose of the current study is; first, to report the self-perceived and clinically examined oral health measures that are associated with the oral impacts on daily performances. Second, to identify the oral health measure that best predicts greater oral impact scores. Third, to investigate the difference in findings related to the disease experience measures and the treatment measures.
METHODS
A cross-sectional study was carried out on children aged 12-14 years. The prevalence, frequency, and oral impact scores of each daily performance were calculated. Thirteen self-perceived OH conditions were assessed. Clinically examined oral health measures included gingival health, oral hygiene status, DMFT, DT, MT, and FT scores and, one or more decay (1 + D), missing (1 + M) and filled (1 + F) teeth. Simple linear and multiple linear regressions were carried out to report the associations.
RESULTS
At least one oral health impacted daily performance was reported by 40% of the total sample of schoolchildren (N = 700). Based on the magnitude and precision of adjusted regression coefficients (RC), decay severity (DT) was identified as a better predictor of a greater oral impact score with regression coefficient values ranging between 0.3 (social contact) and 2.4 (1 + performance). Contrariwise, MT and FT components of DMFT were associated with lower oral impact scores. The self-perceived measures were also associated with oral impact scores and presented similar findings to that of the clinical oral health measures.
CONCLUSIONS
Untreated decay significantly impacted daily performances, especially eating, sleeping, studying, and social contact. The findings are of importance to public health practitioners for reporting, treating, and preventing oral health problems in children, and eventually contributing to better oral health-related quality of life.
背景
口腔健康相关生活质量是口腔医学领域的一个重要课题，已得到广泛研究。然而，各种自我感知和临床口腔健康测量之间的比较仍需探讨。本研究的目的是：首先，报告与日常活动中的口腔影响相关的自我感知和临床检查的口腔健康测量；其次，确定最佳预测更大口腔影响评分的口腔健康测量；第三，调查与疾病经历测量和治疗措施相关的发现之间的差异。
方法
对 12-14 岁的儿童进行横断面研究。计算了每种日常活动的患病率、频率和口腔影响评分。评估了 13 种自我感知的口腔健康状况。临床检查的口腔健康测量包括牙龈健康、口腔卫生状况、DMFT、DT、MT 和 FT 评分以及一个或多个龋齿（1+D）、缺失（1+M）和填充（1+F）牙齿。进行简单线性和多元线性回归以报告相关性。
结果
总样本中（N=700）有 40%的学龄儿童报告至少有一种口腔健康影响日常活动。基于调整后的回归系数（RC）的大小和精度，龋齿严重程度（DT）被确定为更好的预测更大口腔影响评分的指标，回归系数值在 0.3（社会接触）到 2.4（1+表现）之间。相反，DMFT 的 MT 和 FT 成分与较低的口腔影响评分相关。自我感知的测量也与口腔影响评分相关，并呈现出与临床口腔健康测量相似的结果。
结论
未经治疗的龋齿显著影响日常活动，尤其是饮食、睡眠、学习和社会接触。这些发现对公共卫生从业者具有重要意义，有助于报告、治疗和预防儿童口腔健康问题，最终提高口腔健康相关生活质量。
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