Kupietzky Ari, Waggoner William F
Department of Pediatric Dentistry, Hebrew University-Hadassah, Faculty of Dental Medicine, Jerusalem, Israel.
Pediatr Dent. 2004 Jul-Aug;26(4):337-40.
The purpose of this study was to evaluate the parental satisfaction of bonded resin composite strip crowns for the treatment of maxillary anterior primary incisors and compare their satisfaction with the clinical evaluation and success of the crowns.
This was a retrospective, clinical study of patients who had strip crowns (SC) placed on maxillary primary incisors, returned for at least 1 recall examination, and whose parents gave consent for them to participate in the study. Color photographs were used for evaluation by 2 independent pediatric dentists. Parental satisfaction regarding the esthetics of the crowns was evaluated by a questionnaire.
One hundred and twelve restorations placed in 40 children were evaluated. The evaluations were performed after the crowns had been in place for an average of 18 months (range=6-25 months). Overall parental satisfaction with the treatment was excellent; however, satisfaction with regard to color received the lowest rating. No significant differences were found between dentist and parent evaluations of color, size, and overall appearance (Fisher exact test; P=.194,.776,.291, respectively). Parents rated their overall satisfaction as being positive regardless of their poor ratings of color, size, or overall appearance. However, a significant relationship was found between durability and overall satisfaction (P=.046). Parents who gave poor ratings to durability also rated their overall satisfaction as being poor.
Parental satisfaction with bonded resin composite SCs for the treatment of primary incisors with large or multi-surface caries was excellent. Parents' dissatisfaction was most often related to color of the restorations. However, this did not affect their overall satisfaction with the crowns. The durability of restorations negatively affected the rating of overall satisfaction with the crown. Durability seems to be of more concern than excellent color match to this group of parents.
本研究旨在评估粘结树脂复合带环冠修复上颌乳前牙的家长满意度，并将其满意度与冠修复的临床评估及成功率进行比较。
这是一项回顾性临床研究，研究对象为上颌乳前牙接受带环冠修复、至少返回进行1次复诊检查且家长同意其参与研究的患者。由2名独立的儿童牙医使用彩色照片进行评估。通过问卷调查评估家长对冠修复美观程度的满意度。
对40名儿童的112颗修复体进行了评估。评估在冠修复平均就位18个月（范围为6 - 25个月）后进行。总体而言，家长对治疗的满意度很高；然而，对颜色的满意度评分最低。在牙医和家长对颜色、大小及整体外观的评估之间未发现显著差异（Fisher精确检验；P值分别为0.194、0.776、0.291）。尽管家长对颜色、大小或整体外观的评分较低，但他们对总体满意度的评价仍为积极。然而，发现耐用性与总体满意度之间存在显著关系（P = 0.046）。对耐用性评价较低的家长对总体满意度的评价也较低。
家长对粘结树脂复合带环冠修复大面积或多面龋坏的乳前牙的满意度很高。家长的不满最常与修复体的颜色有关。然而，这并未影响他们对冠修复的总体满意度。修复体的耐用性对冠修复总体满意度评分有负面影响。对于这组家长来说，耐用性似乎比完美的颜色匹配更受关注。
