就学前の子どもの口腔内問題と生活の質：子どもの自己報告と保護者・保育者の認識

Oral problems and quality of life of preschool children: self-reports of children and perception of parents/caregivers.

• Matheus F Perazzo
• Monalisa C Gomes
• Érick T Neves
• Carolina C Martins
• Saul M Paiva
• Edja M M de B Costa
• Ana F Granville-Garcia

抄録

本研究の目的は、未就学児の口腔保健問題と口腔保健関連生活の質（OHRQoL）との関連を、自己申告と保護者の報告の両方に基づいて評価することであった。769 名の未就学児とその保護者を対象とした学校ベースの横断的研究を実施した．OHRQoL は Scale of Oral Health Outcomes for 5-Year-Old Children（SOHO-5）を用いて評価した。複雑なサンプルのロジスティック回帰に基づいて、親／介護者バージョンでは、以下の変数がより低い OHRQoL と関連していることが判明した：歯痛（OR = 6.77；95％ CI：3.95-11.59）、未治療のう蝕の結果（OR = 2.69；95％ CI：1.27-5.70）、および前方開放咬合（OR = 2.01；95％ CI：1.13-3.56）。小児の自己報告版では、以下の変数がより低い OHRQoL と関連していた：歯痛（OR = 3.34；95％ CI: 2.11-5.29）、虫歯性病変（前歯）（OR = 2.20；95％ CI: 1.26-3.84）、外傷性歯科損傷の発生（OR = 1.77；95％ CI: 1.19-2.61）、および前歯開放咬合（OR = 1.95；95％ CI: 1.16-3.29）。我々は，う蝕（またはその後遺症）を有する小児はOHRQoLが低いと結論づけた．外傷性歯科損傷を経験していることおよび不正咬合を有することもまた，より低い OHRQoL と関連していた．

The purpose of this study was to evaluate the association between oral health problems and oral health-related quality of life (OHRQoL) of preschool children according to both self-reports and the reports of parents/caregivers. A school-based, cross-sectional study was conducted with 769 preschool children and their parents/caregivers. The OHRQoL was evaluated using the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Based on logistic regression for complex samples, the following variables were found to be associated with poorer OHRQoL in the parent/caregiver version: toothache (OR = 6.77; 95% CI: 3.95-11.59); consequences of untreated dental caries (OR = 2.69; 95% CI: 1.27-5.70); and anterior open bite (OR = 2.01; 95% CI: 1.13-3.56). The following variables were associated with poorer OHRQoL in the child self-report version: toothache (OR = 3.34; 95% CI: 2.11-5.29); cavitated lesions (anterior teeth) (OR = 2.20; 95% CI: 1.26-3.84); occurrence of traumatic dental injury (OR = 1.77; 95% CI: 1.19-2.61); and anterior open bite (OR = 1.95; 95% CI: 1.16-3.29). We conclude that children with dental caries (or its sequelae) had poorer OHRQoL. Having experienced a traumatic dental injury and having a malocclusion were also associated with a poorer OHRQoL.

© 2017 Eur J Oral Sci.