Impact of diseases of the hard tissues of teeth on oral health-related quality of life of schoolchildren in area with a high concentration of fluoride in drinking water.
A García-Pérez, A E González-Aragón Pineda, T Villanueva Gutiérrez, N G Pérez Pérez, J F Gómez-Clavel
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引用次数: 0
Abstract
Objective: To assess the impact of caries, Molar Incisor Hypomineralization (MIH), and fluorosis on the Oral Health-Related Quality of Life (OHRQoL) of schoolchildren aged 8-10 years living in area with different fluoride levels in the drinking water.
Subject and methods: The prevalence of caries and fluorosis were assessed among 663 Mexican schoolchildren using the International Caries Detection and Assessment System (ICDAS II) and the Thylstrup and Fejerskov Index (TFI), respectively. MIH was recorded using the European Academy of Pediatric Dentistry (EAPD) criteria and OHRQoL using the Child Perceptions Questionnaire (CPQ8-10). Poisson regression models were used in data analysis.
Results: Schoolchildren presenting two of the three conditions (cavitated lesions and TFI≥4, cavitated lesions and MIH or TFI≥4 and MIH) experienced worse quality of life than children who did not [RR=4.18; (95% CI 3.83, 4.56)]. Children with all three conditions had worse quality of life than children who did not [RR=5.64; (95% CI 5.13, 6.20)].
Conclusions: Fluorosis, MIH, and caries have a negative impact on the OHRQoL of schoolchildren living in area with a high concentration of fluoride in their drinking water.
目的:探讨不同饮水氟化物水平地区8 ~ 10岁学龄儿童龋病、磨牙门牙低矿化(MIH)和氟中毒对口腔健康相关生活质量(OHRQoL)的影响。研究对象和方法:分别采用国际龋齿检测和评估系统(ICDAS II)和Thylstrup和Fejerskov指数(TFI)对663名墨西哥学龄儿童进行龋齿和氟中毒患病率评估。使用欧洲儿科牙科学会(EAPD)标准记录MIH,使用儿童感知问卷(CPQ8-10)记录OHRQoL。数据分析采用泊松回归模型。结果:出现三种情况中的两种(空化病变和TFI≥4,空化病变和MIH或TFI≥4和MIH)的学童的生活质量比没有出现这种情况的儿童差[RR=4.18;(95% ci 3.83, 4.56)]。有这三种情况的儿童的生活质量比没有的儿童差[RR=5.64;(95% ci 5.13, 6.20)]。结论:氟中毒、MIH和龋齿对生活在饮用水中氟浓度较高地区的学龄儿童的OHRQoL有负面影响。
期刊介绍:
The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society.
The discipline covers a wide range and includes such topics as:
-oral epidemiology-
oral health services research-
preventive dentistry - especially in relation to communities-
oral health education and promotion-
clinical research - with particular emphasis on the care of special groups-
behavioural sciences related to dentistry-
decision theory-
quality of life-
risk analysis-
ethics and oral health economics-
quality assessment.
The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.