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目的探讨儿童不同程度错颌畸形对口腔生活质量的影响。方法选择2014年3月-2016年2月浙江省人民医院口腔科150例错颌畸形儿童作为观察组,正常颌儿童150例作为对照组,观察组儿童根据正畸治疗需要量牙齿健康部分级别分为观察组1、观察组2、观察组3。比较观察组和对照组儿童健康问卷(The Child Perceptions Questionnair,CPQ)得分情况以及观察组1、观察组2、观察组3中男童和女童CPQ得分情况。结果各组之间CPQ社交、情感和口腔症状得分方面比较,差异均有统计学意义(P<0.05);口腔功能得分比较,差异无统计学意义(P>0.05)。其中观察组1和对照组的社交评分低于观察组2和观察组3(P<0.05);对照组的情感评分低于观察组2和观察组3(P<0.05),对照组的口腔功能评分低于观察组3(P<0.05),对照组的口腔症状评分低于观察组1、观察组2、观察组3(P<0.05)。观察组1和观察组2中,男童CPQ总得分、社交得分、情感得分和口腔功能得分均少于女童组(P<0.05),两组口腔症状得分之间比较,差异无统计学意义(P>0.05)。观察组3中,男童CPQ总得分、社交得分、情感得分、口腔功能得分和口腔症状得分之间比较,差异无统计学意义(P>0.05)。结论错颌畸形对儿童的社交、情感和口腔症状等口腔生活质量有影响,不同程度错颌畸形对女童口腔生活质量的影响大于男童。
Objective To investigate the effect of different degrees of malocclusion on oral quality of life in children. Methods From March 2014 to February 2016, 150 cases of malocclusion in Oral Department of Zhejiang Provincial People’s Hospital were selected as the observation group and 150 cases of normal jaw children as the control group. The children in the observation group were divided into two groups based on orthodontic treatment requirements For observation group 1, observation group 2, observation group 3. The score of the Child Health Questionnaire (CPQ) in the observation group and the control group was compared with that in the observation group 1, the observation group 2, the observation group 3 and the CPQ score of the boys and girls. Results There were significant differences in social, emotional and oral symptom scores among all groups (P <0.05). There was no significant difference in oral functional score between the two groups (P> 0.05). The social scores of observation group 1 and control group were lower than those of observation group 2 and observation group 3 (P <0.05), while those of control group were lower than those of observation group 2 and observation group 3 (P <0.05) The scores of oral symptoms in the control group were lower than those in observation group 1, observation group 2 and observation group 3 (P <0.05). In observation group 1 and observation group 2, boys’ CPQ score, social score, emotional score and oral functional score were all less than those of girls (P <0.05). There was no significant difference between the two groups in oral symptom scores P> 0.05). In observation group 3, there was no significant difference between male and female CPQ score, social score, emotional score, oral functional score and oral symptom scores (P> 0.05). Conclusion Malocular deformity affects the quality of oral life such as social, emotional and oral symptoms in children. Malocclusion affects the quality of oral life more than that of boys.