Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Division of Oral Epidemiology and Dental Public Health, University of California San Francisco, San Francisco, California, USA.
Eur J Oral Sci. 2022 Oct;130(5):e12889. doi: 10.1111/eos.12889. Epub 2022 Aug 2.
The aim of this study was to evaluate the impact of different patterns of dental caries on oral health-related quality of life (OHRQoL) throughout early childhood. This birth cohort study followed 277 children from southern Brazil for 6 years. Demographic and socioeconomic variables were collected at birth. At age 3 years, children's dental caries experience was quantified by the decayed, missing, or filled teeth (dmft) index. At age 6 years, parents answered the Early Childhood Oral Health Impact Scale (ECOHIS). Poisson regression models were used to estimate associations between caries experience and later OHRQoL, presented as the ratio of ECOHIS scores between the groups. The prevalence of dental caries at 3 years of age was 37.5%. In children with caries, lesions only in anterior teeth, only in posterior teeth, and in both dental segments at age 3 were associated with age 6 ECOHIS scores that were 2.7, 7.8, and 6.2 times higher, respectively, than in children without dental caries experience. OHRQoL was worse among children with higher dmft scores. Dental caries lesions in posterior teeth by age 3 years was strongly predictive of adverse impacts on later OHRQoL, presumably as an indicator of continued disease experience in the intervening years.
本研究旨在评估不同模式的龋齿对整个儿童早期口腔健康相关生活质量（OHRQoL）的影响。这项出生队列研究对来自巴西南部的 277 名儿童进行了 6 年的随访。在出生时收集了人口统计学和社会经济变量。在 3 岁时，通过龋齿、缺失或填充的牙齿（dmft）指数来量化儿童的龋齿经历。在 6 岁时，家长回答了《幼儿口腔健康影响量表》（ECOHIS）。使用泊松回归模型来估计龋齿经历与后期 OHRQoL 之间的关联，以两组之间 ECOHIS 评分的比值表示。3 岁时龋齿的患病率为 37.5%。在有龋齿的儿童中，3 岁时仅在前牙、仅在后牙或在两个牙段均有龋齿的儿童，其 6 岁时的 ECOHIS 评分分别比无龋齿经历的儿童高 2.7、7.8 和 6.2 倍。dmft 评分较高的儿童的 OHRQoL 更差。3 岁时的后牙龋齿病变强烈预示着对后期 OHRQoL 的不利影响，可能是在随后几年持续患病的指标。
