García-Pérez A, González-Aragón Pineda A E, Villanueva Gutiérrez T, Pérez Pérez N G, Gómez-Clavel J F
Laboratory of Public Health Research, Faculty of Higher Studies (FES), Iztacala, National Autonomous University of Mexico, Mexico.
Health Care Department, Metropolitan Autonomous University-Xochimilco, Mexico.
Community Dent Health. 2022 Nov 30;39(4):240-246. doi: 10.1922/CDH_00078Garcia-Perez07.
To assess the impact of caries, Molar Incisor Hypomineralization (MIH), and fluorosis on the Oral Health-Related Quality of Life (OHRQoL) of schoolchildren aged 8-10 years living in area with different fluoride levels in the drinking water.
The prevalence of caries and fluorosis were assessed among 663 Mexican schoolchildren using the International Caries Detection and Assessment System (ICDAS II) and the Thylstrup and Fejerskov Index (TFI), respectively. MIH was recorded using the European Academy of Pediatric Dentistry (EAPD) criteria and OHRQoL using the Child Perceptions Questionnaire (CPQ8-10). Poisson regression models were used in data analysis.
Schoolchildren presenting two of the three conditions (cavitated lesions and TFI≥4, cavitated lesions and MIH or TFI≥4 and MIH) experienced worse quality of life than children who did not [RR=4.18; (95% CI 3.83, 4.56)]. Children with all three conditions had worse quality of life than children who did not [RR=5.64; (95% CI 5.13, 6.20)].
Fluorosis, MIH, and caries have a negative impact on the OHRQoL of schoolchildren living in area with a high concentration of fluoride in their drinking water.
评估龋齿、磨牙切牙矿化不全（MIH）和氟斑牙对生活在饮用水氟含量不同地区的8 - 10岁学龄儿童口腔健康相关生活质量（OHRQoL）的影响。
分别使用国际龋病检测与评估系统（ICDAS II）和蒂尔斯楚普和费耶斯科夫指数（TFI）对663名墨西哥学龄儿童的龋齿和氟斑牙患病率进行评估。使用欧洲儿童牙科学会（EAPD）标准记录MIH情况，使用儿童感知问卷（CPQ8 - 10）评估OHRQoL。数据分析采用泊松回归模型。
出现三种情况中的两种（龋损且TFI≥4、龋损且MIH或TFI≥4且MIH）的学龄儿童的生活质量比未出现这些情况的儿童更差[相对风险（RR）=4.18；（95%置信区间3.83，4.56）]。出现所有三种情况的儿童的生活质量比未出现这些情况的儿童更差[RR = 5.64；（95%置信区间5.13，6.20）]。
氟斑牙、MIH和龋齿对生活在饮用水氟含量高的地区的学龄儿童的OHRQoL有负面影响。
