Department of Paediatric Dentistry, Faculty of Dentistry, Mersin University, Mersin, Turkey.
Faculty of Medicine, Department of Pediatrics, Mersin University, Mersin, Turkey.
J Paediatr Child Health. 2023 Nov;59(11):1230-1237. doi: 10.1111/jpc.16486. Epub 2023 Sep 5.
The aim of this study is to evaluate the relationship of video game playing with oral/dental health and harmful oral habits in school-age children.
The daily video gamer (n = 77) and occasional video gamer (n = 77) children between 6 and 12 years old were included in the study. A questionnaire inquiring socio-demographic characteristics, video gaming and abnormal oral habits of the children was filled by parents. The children were examined intraorally and decayed-missing-filled tooth, the International Caries Detection and the Assessment-II System scores, dental plaque and gingival indices were recorded.
Of the children; 42.9% daily video gamers played video games for between 1 and 2 h and 57.1% played for ≥2 h while all of the occasional video gamers spent for between 1 and 2 h on video game per day. The daily video gamer and occasional video gamer children were not different in terms of socio-demographic characteristics, frequency of having daily tooth brushing habit, using children's toothpaste and having regular dental checkup (P > 0.05). No statistically significant difference was present between the groups in terms of frequencies of abnormal oral habits and having at least one abnormal oral habit (P > 0.05). Severe gingivitis and advanced caries lesions were more common in daily video gamer group (14.2% vs. 3.9%, P = 0.025 and 90.9% vs. 70.9%, P = 0.026, respectively). Daily video gaming time was weakly correlated with plaque index (r = 0.26, n = 77, P = 0.024). Daily video gaming for ≥2 h increased the risk for severe gingivitis (odds (95% confidence interval) = 4.53 (1.07-19.23), P = 0.041) while daily video gaming for between 1 and 2 h decreased the risk for having abnormal oral habit (odds (95% confidence interval) = 0.39 (0.16-0.93), P = 0.034).
In school age, daily video gaming may worsen oral and dental health compared with occasional video gaming. Particularly, an excessive video gaming time seems to be associated with poor oral health in school children.
本研究旨在评估学龄儿童玩电子游戏与口腔/牙齿健康和不良口腔习惯的关系。
本研究纳入了 6 至 12 岁的每日电子游戏玩家（n=77）和偶尔电子游戏玩家（n=77）。由家长填写一份询问儿童社会人口统计学特征、电子游戏和异常口腔习惯的问卷。对儿童进行口腔内检查，并记录龋齿、缺失和补牙（decayed-missing-filled tooth，dmft）、国际龋病检测和评估系统（International Caries Detection and the Assessment-II System，ICDAS-II）评分、牙菌斑和牙龈指数。
在这些儿童中，42.9%的每日电子游戏玩家每天玩电子游戏 1 至 2 小时，57.1%的玩家每天玩游戏时间≥2 小时，而所有偶尔电子游戏玩家每天玩游戏时间都在 1 至 2 小时之间。在社会人口统计学特征、每日刷牙习惯、使用儿童牙膏和定期看牙医方面，每日电子游戏玩家和偶尔电子游戏玩家之间没有差异（P>0.05）。两组在异常口腔习惯的频率和至少有一种异常口腔习惯方面没有统计学差异（P>0.05）。重度牙龈炎和严重龋齿在每日电子游戏玩家组中更为常见（14.2%比 3.9%，P=0.025 和 90.9%比 70.9%，P=0.026）。每日电子游戏时间与牙菌斑指数呈弱相关（r=0.26，n=77，P=0.024）。每天玩电子游戏时间≥2 小时会增加重度牙龈炎的风险（比值比（95%置信区间）=4.53（1.07-19.23），P=0.041），而每天玩电子游戏 1 至 2 小时会降低儿童出现异常口腔习惯的风险（比值比（95%置信区间）=0.39（0.16-0.93），P=0.034）。
在学龄儿童中，与偶尔玩电子游戏相比，每天玩电子游戏可能会导致口腔和牙齿健康状况恶化。特别是，过度玩电子游戏时间似乎与儿童口腔健康不良有关。
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