Department of Pediatric Dentistry, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Dent Traumatol. 2024 Oct;40(5):567-572. doi: 10.1111/edt.12957. Epub 2024 Apr 5.
BACKGROUND/AIM: Dental avulsion injury, being one of the traumatic dental injuries, has negative impacts on children's life quality. This study aims to evaluate the Pediatric Oral Health-Related Quality of Life (POQL) scores of children with dental avulsion history from their perspective.
The population of this cross-sectional study comprises 40 patients, aged between 8 and 14, who have a history of dental avulsion, in comparison to 40 other healthy peers. A questionnaire including general questions (such as age, gender, loss of tooth due to dental avulsion, malocclusion) and POQL instrument, with subscales including physical function, social function, emotional function, and role function, were completed by these children. Mann-Whitney U-test is used when comparing the POQL scores.
The social scores (median: 47, interquartile range [IQR]: 17-95) and total score percentages (median: 30, IQR: 14-40) of children with a history of avulsion were higher than those of their healthy peers (p < 0.05). The higher total POQL scores among girls (median: 37, IQR: 31-47) with a history of dental avulsion compared to boys (median: 19, IQR: 8-34) (p = .002) can be attributed to girls achieving higher scores in both social (median: 81, IQR: 39-100) and emotional (median: 35, IQR: 17-47) scores following dental avulsion (p = .02, p = .006). Whether the avulsed tooth is replanted or not, it has not made any visible impact on the POQL scores. However, the loss of replanted teeth over time has created a borderline significant difference in emotional scores (median: 21, IQR: 11-35, p = .055).
Within the limits of our study, avulsion injuries have negative effects on children's emotional, social, and total quality of life. Even though avulsion injuries may be inevitable, to prevent these negative effects, it is vital to provide appropriate psychological support in the treatment of these children.
背景/目的：牙脱位损伤是一种创伤性牙损伤，对儿童的生活质量有负面影响。本研究旨在从儿童的角度评估有牙脱位史的儿童的儿童口腔健康相关生活质量（POQL）评分。
这项横断面研究的人群包括 40 名年龄在 8 至 14 岁之间有牙脱位史的患者，并与 40 名其他健康同龄人进行比较。这些儿童完成了一份包括一般问题（如年龄、性别、牙脱位导致的牙齿缺失、错牙合）和 POQL 工具的问卷，该工具包括生理功能、社会功能、情绪功能和角色功能子量表。使用 Mann-Whitney U 检验比较 POQL 评分。
有牙脱位史的儿童的社会评分（中位数：47，四分位距[IQR]：17-95）和总分百分比（中位数：30，IQR：14-40）高于其健康同龄人（p<0.05）。有牙脱位史的女孩（中位数：37，IQR：31-47）的总 POQL 评分高于男孩（中位数：19，IQR：8-34）（p=0.002），这归因于女孩在社会（中位数：81，IQR：39-100）和情绪（中位数：35，IQR：17-47）评分方面得分更高（p=0.02，p=0.006）。脱位牙是否再植并不影响 POQL 评分。然而，随着时间的推移，再植牙的缺失在情绪评分方面产生了一个边缘显著的差异（中位数：21，IQR：11-35，p=0.055）。
在我们的研究范围内，牙脱位损伤对儿童的情绪、社会和总体生活质量有负面影响。即使牙脱位损伤可能是不可避免的，但为了防止这些负面影响，在治疗这些儿童时提供适当的心理支持至关重要。
