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首页> 外文期刊>International journal of dental hygiene >Does traumatic dental injury impact oral health‐related to quality of life of children and adolescents? Systematic review and meta‐analysis
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Does traumatic dental injury impact oral health‐related to quality of life of children and adolescents? Systematic review and meta‐analysis

机译：创伤牙齿损伤是否会影响口腔健康状况与儿童和青少年的生活质量有关？ 系统审查和荟萃分析

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Abstract Objective This systematic review aimed to evaluate the association of traumatic dental injury (TDI) on oral health‐related to quality of life (OHRQoL) in children and adolescents. Methods A focused structured question using Population (P), Exposition (E), Comparisons (C), Outcomes (O) (PECO) was designed: “Does traumatic dental injury impact OHRQoL of children and adolescents?” A broad search according to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) was conducted. Evaluation criteria of methodological quality and risk of bias control were applied to selected articles. A fixed‐effect model was used for the meta‐analysis, and the quality of the evidence was performed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results Nineteen studies were qualified with moderate to high quality, and 11 studies were considered for meta‐analysis. Negative impact on OHRQoL was detected for children in the symptoms domain ( P ?=?.005; IC; ?0.07 [?0.12, ?0.02]) with moderate certainty of evidence quality level (GRADE). For adolescents, the total scale and all domain presented statistical significance ( P ??.05) with moderate certainty of evidence in the areas of functional limitation and social well‐being (GRADE). Conclusions Based on articles with moderate to high quality, the impact of TDI on OHRQoL in children under age 10 was only significant in the symptom domain using Early Childhood Oral Health Impact Scale (ECOHIS). The impact of TDI on OHRQoL in early adolescents aged 11 to 14 was significant in every assessed domain using Child Perception Questionnaire (CPQ11‐14). However, future studies should be done improving the available certainty of evidence considered moderate. (CRD42016035686).
机译：摘要目的这一系统审查旨在评估创伤性牙科损伤（TDI）对儿童和青少年生活质量（OHRQOL）的口腔健康状况的关联。方法采用群体（P），博览会（e），比较（c），结果（o）（o）（o）（o）（o）（peco）的聚焦结构问题：“创伤性牙科伤害影响儿童和青少年？”根据首选报告项目进行了广泛的搜索，用于系统评价和荟萃分析（PRISMA）。选择的制品应用了方法论质量和偏置控制风险的评价标准。固定效果模型用于元分析，使用建议评估，开发和评估（等级）方法进行证据的质量。结果19项研究符合中等至高质量的合格，并考虑了11项研究进行了荟萃分析。对症状域中的儿童检测到对OHRQOL的负面影响（P？= 005; IC; _ 0.07 [？0.12，Δ02]），具有中等确定的证据质量水平（等级）。对于青少年，总规模和所有域呈现统计学意义（P？＆＆ 05），在功能限制和社会福祉（等级）的领域中具有适度确定的证据。基于中度至高品质的文章的结论，TDI对10岁以下儿童的OHRQOL的影响仅使用早期儿童口腔健康冲击量表（ECOHIS）症状结构域中仅显着。 TDI在11至14岁的早期青少年中的影响在每次评估域中的早期青少年在使用儿童看法问卷（CPQ11-14）中的显着性。但是，将来应完成未来的研究，从而改善肯定的证据确定。 （CRD42016035686）。

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