Impact of Pulp Necrosis on Oral Health-Related Quality of Life of Children with Early Childhood Caries.

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-01-15

Natálla Gonçalves Nogueira, Marina de Deus Moura Lima, Joyce Samandra Silva Moura, Cacilda Castelo Branco Lima, Marcoeli Silva de Moura, Marcus Victor Vaz Soares Castro, Lucia de Fátima Almeida de Deus Moura

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引用次数: 0

Abstract

Purpose: To assess the impact of pulp necrosis on the oral health-related quality of life (OHRQoL) of children with early childhood caries and their caregivers.
Methods: A cross-sectional study was performed with a consecutive sample of children who were divided into three groups: (1) caries-free children; (2) with untreated carious lesions and without pulp necrosis; and (3) with untreated carious lesions and at least one tooth with pulp necrosis. Data were collected using a sociodemographic questionnaire, the Early Childhood Oral Health Impact Scale (ECOHIS) and a dental clinical examination using the International Caries Detection and Assessment System index. Descriptive statistics, Kruskal-Wallis tests, Mann-Whitney tests and Poisson regression were performed (P <0.05).
Results: A total of 532 children and their legal guardians participated in the study. Children with pulp necrosis had a greater negative impact on the OHRQoL versus those with untreated carious lesions without pulp necrosis (ratio of unadjusted and adjusted rates [RR] = 1.59; 95 percent confidence interval [95% CI] = 1.36 to 1.86; P <0.001), as measured by the total ECOHIS score. in Group 3, four- and five-year-old children had a greater negative impact on the OHRQoL than two- and three-year-old peers (RR = 1.36; 95% CI = 1.08 to 1.72; P <0,001).
Conclusion: The presence of pulp necrosis increased the negative impact on OHRQoL of children with untreated carious lesions and their guardians.

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牙髓坏死对早期儿童龋齿口腔健康相关生活质量的影响

目的:探讨牙髓坏死对早期儿童龋齿及其护理者口腔健康相关生活质量的影响。方法:采用横断面研究方法，将连续的儿童样本分为三组:(1)无龋儿童;(2)有未经治疗的龋齿病变，无牙髓坏死;(3)有未经治疗的龋齿及至少一颗牙髓坏死。使用社会人口调查问卷、儿童早期口腔健康影响量表(ECOHIS)和使用国际龋齿检测和评估系统指数进行牙科临床检查收集数据。采用描述性统计、Kruskal-Wallis检验、Mann-Whitney检验和泊松回归分析(P)。结果:共有532名儿童及其法定监护人参与本研究。牙髓坏死患儿对OHRQoL的负面影响大于未经治疗的牙髓坏死患儿(未调整率与调整率之比[RR] = 1.59;95%置信区间[95% CI] = 1.36 ~ 1.86;结论:牙髓坏死的存在增加了未经治疗的儿童及其监护人的OHRQoL的负面影响。

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来源期刊

JOURNAL OF DENTISTRY FOR CHILDREN DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.