土耳其孤儿儿童和青少年中龋齿、口腔卫生及治疗需求对口腔健康相关生活质量影响的评估。

Evaluation of the effect of dental caries, oral hygiene, and treatment need on oral health-related quality of life among Turkish orphan children and adolescents.

作者信息

Akbeyaz Şivet Ecem, Sezer Berkant, Atmaca Neslihan, Hüseynova Narmin, Kargül Betül

机构信息

Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye.

Department of Pediatric Dentistry, School of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.

出版信息

BMC Oral Health. 2025 Jan 24;25(1):134. doi: 10.1186/s12903-025-05492-7.

DOI:10.1186/s12903-025-05492-7

PMID:39856678

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11758722/

Abstract

BACKGROUND

The oral and dental health and related quality of life of orphan children and adolescents-who are considered a vulnerable population-are critical for both individual and public health.

OBJECTIVES

This study aimed to investigate the status of the dental caries, oral hygiene, and dental treatment needs among a group of Turkish male orphan children and adolescents, as well as their impact on oral health-related quality of life.

METHODS

A total of 112 orphan children and adolescents aged between 9 and 17 years living in a residential care facility in Istanbul, Türkiye, were involved in this cross-sectional study. A comprehensive examination was conducted on each individual, encompassing the assessment of dental caries using the decayed, missing, and filled teeth (DMFT/dft) index, oral hygiene using the debris (DI-S), calculus (CI-S), and simplified oral hygiene (OHI-S) indices, and dental treatment need using the treatment need index (TNI). Oral health-related quality of life was evaluated using the validated Turkish version of the Child Oral Health Impact Profile-Short Form (COHIP-SF-19). The relationship between oral health-related quality of life and explanatory variables was evaluated using a multivariable linear regression model.

RESULTS

The mean age of the participants was 12 ± 1.79 years. The mean DMFT score was 4.57 ± 3.42, and the mean OHI-S score was 1.4 ± 0.52. Participants had a mean COHIP-SF-19 score of 57.79 ± 14.11, with 25% requiring at least one tooth to undergo radical treatment. Multivariable linear regression analysis indicated that the DMFT score (p = 0.009) and the need for radical treatment (TNI code 6) (p < 0.001) had a statistically significant impact on oral health-related quality of life among orphan children and adolescents aged 13-17.

CONCLUSIONS

This study underscores that dental caries and the need for radical treatment significantly impact the oral health-related quality of life of orphan children and adolescents.

摘要

背景

孤儿儿童和青少年被视为弱势群体，他们的口腔和牙齿健康以及相关生活质量对个人和公众健康都至关重要。

目的

本研究旨在调查一群土耳其男性孤儿儿童和青少年的龋齿、口腔卫生及牙科治疗需求状况，以及这些因素对口腔健康相关生活质量的影响。

方法

本横断面研究纳入了共112名年龄在9至17岁之间、居住在土耳其伊斯坦布尔一家寄养机构的孤儿儿童和青少年。对每位个体进行了全面检查，包括使用龋失补牙指数（DMFT/dft）评估龋齿情况、使用软垢指数（DI-S）、牙石指数（CI-S）和简化口腔卫生指数（OHI-S）评估口腔卫生状况，以及使用治疗需求指数（TNI）评估牙科治疗需求。使用经过验证的土耳其语版儿童口腔健康影响简表（COHIP-SF-19）评估口腔健康相关生活质量。使用多变量线性回归模型评估口腔健康相关生活质量与解释变量之间的关系。

结果

参与者的平均年龄为12±1.79岁。平均DMFT评分为4.57±3.42，平均OHI-S评分为1.4±0.52。参与者的COHIP-SF-19平均评分为57.79±14.11，其中25%的人至少有一颗牙齿需要进行根治性治疗。多变量线性回归分析表明，DMFT评分（p = 0.009）和根治性治疗需求（TNI代码6）（p < 0.001）对13至17岁孤儿儿童和青少年的口腔健康相关生活质量有统计学显著影响。