Oral health status in victims of child abuse: a case-control study
Oral health status in victims of child abuse: a case-control study
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DOI：
10.1111/ipd.12254
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发表时间：
2017-05-01
影响因子：
3.8
通讯作者：
Losso, Estela Maris
中科院分区：
文献类型：
--
作者：
Duda, Joao Gilberto;Biss, Stephanye Pinto;Losso, Estela Maris
背景。很少有研究评估有虐待史的儿童的口腔健康状况。本病例对照研究评估了巴西库里蒂巴受虐待儿童和儿童保护服务受害者的口腔健康状况。122名受虐儿童和240名无虐待史儿童（平均年龄分别为8.56岁和8.24岁）被纳入研究。根据蛀牙、缺牙或补牙指数（dmft指数和dmft指数）由两名校准的检查员评估龋病。记录前牙合和后牙合的存在。数据分析采用双变量和调整的优势比，采用多变量logistic回归模型分析。在病例组中，我们发现DMFT指数较高（P < 0.001），乳牙缺失（P = 0.04）、未治疗的恒牙蛀牙（P < 0.001）、补牙（P < 0.001）和前牙开咬（P = 0.04）的发生率明显较高。虐待儿童恒牙龋的优势比为6.48 (95% CI: 3.52-11.95)，开牙咬的优势比为2.28 （95% CI: 1.04-4.99）。受虐待儿童的口腔健康状况较差，这表明有必要为这一人群制定专门的口腔保健政策。
Background. Few studies have evaluated the oral health status of children with a history of maltreatment.Aim. This case-control study evaluated oral health in children who were victims of abuse and in child protective services in Curitiba, Brazil.Design. One hundred twenty-two children who were victims of abuse and 240 children with no history of abuse (mean ages, 8.56 and 8.24 years, respectively) were included in the study. Dental caries were assessed according to the Decayed, Missing, or Filled Teeth index (dmft index and DMFT index) by two calibrated examiners. The presence of anterior open bite and posterior crossbite was recorded. Data were analyzed using bivariate and adjusted odds ratios using a multivariate logistic regression model analyses.Results. In the case group, we found a higher DMFT index (P < 0.001) and a significantly higher prevalence of missing primary teeth (P = 0.04), untreated decayed permanent teeth (P < 0.001), filled permanent teeth (P < 0.001), and anterior open bite (P = 0.04). Children who were victims of abuse presented an odds ratio of 6.48 (95% CI: 3.52-11.95) for caries in permanent teeth and an odds ratio of 2.28 (95% CI: 1.04-4.99) for open bite.Conclusion. Victims of child abuse had a worse oral health status, demonstrating the need to establish special policies for oral healthcare for this population.