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The Association between Early Dental Visits, Dental Outcomes, and Oral Health-Related Quality of Life in West Virginia Children.

机译：西弗吉尼亚州儿童的早期牙科就诊，牙科结局与口腔健康相关的生活质量之间的关联。

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Background and objectives: Early dental visits provide the opportunity to reduce the prevalence of early childhood caries through risk assessment, counseling, and provision of specific preventive measures. Despite the American Academy of Pediatric Dentistry's recommendation that the first dental visit should occur by 1 year of age, many children are not receiving care until much later. Evidence that early dental visits improve dental outcomes is vital to educate parents and health care providers. Hence, this study examined the association between a child's age at the first dental visit and dental outcomes, parents' awareness of the recommendation for the first dental visit, and perceived barriers to dental care. A secondary aim examined pediatric dentists' perceived barriers to children's early dental care in West Virginia.;Methods: A cross-sectional survey was used to collect data from parents of children ≤ 6 years of age, and under the care of a pediatric dentist. Pearson correlation was used to examine the association between age at first dental visit and age at caries onset. Chi-square analyses were used to test the association between (1) age at first dental visit and history of caries, (2) age at first dental visit and history of an adverse dental outcome, and (3) reason for the first dental visit and history of an adverse dental outcome. A binary logistic regression model was used to evaluate the extent to which age at the first dental visit explained caries history. For the qualitative study component, pediatric dentists responded to questions regarding barriers to the establishment of a dental home for West Virginia children.;Results: A significant association was noted between a child's age at the first dental visit and age at caries onset, r (29) = 0.65, p <.0001 [95% CI=0.39, 0.82]. No significant association was noted between age at the first dental visit and history of caries, or between age at first visit and history of adverse outcome (p >.05). However, children whose first visit was for a problem with the teeth or mouth were significantly more likely to have had an adverse outcome, chi2 (1, n = 160) = 7.60, p = .0058. The adjusted odds ratio for age at first dental visit in the logistic regression model predicting caries history was 1.10, [95% CI= 1.04, 1.17], p =.0013. Pediatric dentists perceived the limited dental workforce in West Virginia to be the greatest barrier to early dental visits for children.;Conclusions: This pilot study demonstrates that parent reported dental outcomes may be useful in studies evaluating the association between early dental visits and dental outcomes. There remains a need to educate parents about the recommended first dental visit by age 1 year.
机译：背景和目标：通过风险评估，咨询和提供具体的预防措施，早期的牙科就诊提供了减少幼儿龋齿患病率的机会。尽管美国儿科牙科学院建议在1岁时进行第一次牙科就诊，但许多孩子直到很晚才得到护理。早期就诊可以改善牙科效果的证据对于教育父母和医疗保健提供者至关重要。因此，本研究检查了初次就诊时孩子的年龄与牙齿结局，父母对初次就诊的建议的认识以及对牙科保健的认知障碍之间的关联。次要目标是检查西弗吉尼亚州儿科牙医对儿童早期牙科保健的认知障碍。方法：采用横断面调查收集≤6岁儿童父母的数据，并接受儿科牙医的护理。皮尔森相关性用于检查初次就诊年龄与龋齿发病年龄之间的关系。卡方分析用于检验（1）第一次牙科访视的年龄和龋病史，（2）第一次牙科访视的年龄和不良牙齿结局史，以及（3）第一次牙科访视的原因之间的关联。以及不良牙齿结局的病史。二元逻辑回归模型用于评估第一次牙科访视时年龄解释龋病史的程度。对于定性研究，儿科牙医回答了有关为西弗吉尼亚州儿童建立牙科院的障碍的问题。;结果：注意到儿童的首次牙科访问年龄与龋齿发病年龄r（ 29）＝ 0.65，p ＜.0001 [95％CI ＝ 0.39，0.82]。初次就诊的年龄与龋病史之间，初次就诊的年龄与不良结局史之间没有显着相关性（p> .05）。但是，初次就诊时遇到牙齿或口腔问题的儿童发生不良结局的可能性更高，chi2（1，n = 160）= 7.60，p = .0058。在预测龋齿病史的逻辑回归模型中，首次就诊时的年龄调整后的优势比为1.10，[95％CI = 1.04，1.17]，p = .0013。儿科牙医认为西弗吉尼亚州的牙科劳动力有限是儿童早期就诊的最大障碍。结论：这项初步研究表明，父母报告的牙科结局可能对评估早期牙科就诊与牙科结局之间的关系有用。仍然需要对父母进行有关建议的1岁以下首次牙科就诊的教育。

著录项

  • 作者

    Momen, Jennifer.;

  • 作者单位

    West Virginia University.;

  • 授予单位 West Virginia University.;
  • 学科 Public health.;Dentistry.
  • 学位 M.S.
  • 年度 2016
  • 页码 44 p.
  • 总页数 44
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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