Martin Michelle, Gowda Sunitha, Foster Page Lyndie, Thomson W Murray
Oral Health Service Te Tai Tokerau, Hospital and Specialist Services, Health New Zealand | Te Whatu Ora, Whangārei, Northland, New Zealand.
Division of Dental Public Health, School of Dentistry, Oregon Health & Science University, Portland, OR, United States.
Front Dent Med. 2024 Nov 22;5:1485419. doi: 10.3389/fdmed.2024.1485419. eCollection 2024.
Amelogenesis Imperfecta (AI) is a hereditary developmental disorder of tooth enamel with few known variants with differing characteristics, depending on where in the amelogenesis process an error has occurred. Polynesian AI (or Poly AI) is prevalent among people of Polynesian descent and is prevalent among New Zealand Māori. While the impact of AI on the quality of life has been reported in some studies, however, the role of Poly AI on oral health-related quality of life (OHRQoL) is not known. This study explores OHRQoL among New Zealand Māori with and without AI.
A cross-sectional study was undertaken, with ethical approval obtained from the New Zealand Health and Disability Ethics Committee. 30 Māori children and adolescents with Poly AI and 60 Māori children and adolescents with no Poly AI as the comparison group matched by age and sex, were randomly selected and recruited participated in the study. OHRQoL was measured using the 19-item COHIP-SF.
Statistically significant differences were observed in the OHRQoL between those with Poly AI and the comparison group. Linear regression analyses controlling for age and deprivation showed significantly poorer OHRQoL among those with Poly AI than in those with no Poly AI.
The study findings highlight poorer OHRQoL among Māori children with Poly AI, emphasizing the need for early detection and management of the condition and the importance of providing appropriate training in diagnosing Poly AI and managing hypersensitivity. Further research among Polynesian populations is needed to understand the impact OHRQoL among those with Poly AI.
牙釉质发育不全(AI)是一种遗传性牙釉质发育障碍,已知的变异很少,其特征因釉质形成过程中错误发生的位置而异。波利尼西亚牙釉质发育不全(或波利尼西亚AI)在波利尼西亚后裔中很普遍,在新西兰毛利人中也很常见。虽然一些研究报告了AI对生活质量的影响,然而,波利尼西亚AI对口腔健康相关生活质量(OHRQoL)的作用尚不清楚。本研究探讨了有无AI的新西兰毛利人的OHRQoL。
进行了一项横断面研究,并获得了新西兰健康与残疾伦理委员会的伦理批准。随机选择30名患有波利尼西亚AI的毛利儿童和青少年以及60名无波利尼西亚AI的毛利儿童和青少年作为对照组,两组按年龄和性别匹配,招募他们参与研究。使用19项儿童口腔健康影响量表简表(COHIP-SF)测量OHRQoL。
在患有波利尼西亚AI的人群和对照组之间,观察到OHRQoL存在统计学上的显著差异。控制年龄和贫困因素的线性回归分析显示,患有波利尼西亚AI的人群的OHRQoL明显比没有波利尼西亚AI的人群差。
研究结果突出了患有波利尼西亚AI的毛利儿童的OHRQoL较差,强调了对该病症进行早期检测和管理的必要性,以及提供诊断波利尼西亚AI和管理牙齿过敏的适当培训的重要性。需要对波利尼西亚人群进行进一步研究,以了解波利尼西亚AI患者的OHRQoL受到的影响。