Klaassen M A, Veerkamp J S J, Hoogstraten J
Dept of Cariology, Endodontology, Pedodontology, Academic Centre for Dentistry (ACTA), The Netherlands.
Eur Arch Paediatr Dent. 2008 Sep;9(3):130-7. doi: 10.1007/BF03262624.
This was to assess the short-term change in children's oral-health-related quality of life (OHRQoL) and family impact after dental treatment under general anaesthesia (GA) in the Netherlands.
A pretest-posttest design was used.
Children (< 8 years) referred to a clinic for specialized paediatric dentistry and who needed treatment under GA were selected to participate and divided across two groups. Fifty out of 80 parents/children couples participated, one group of parents filled out the questionnaires on behalf of their child before and after treatment (N = 31), and the other group only after treatment (N = 19). The questionnaires used were the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Parental Perceptions Questionnaire and Family Impact Scale (PPQ and FIS, forming the OHRQoL score). The oral health was assessed using the decayed-missing-filled surfaces or teeth index (dmfs/dmft) for the primary dentition from the status praesens after treatment.
There was a significant difference between the pre- and posttest-scores in group A for both the short version and the long version (short: t = 5.088, df = 20, p < 0.001 and long: t = 6.279, df = 20, p < 0.001). There was no statistically significant difference in CFSS-DS scores before and after treatment (group A) (t = 1.815, df = 13, p = 0.093).
The children's OHRQoL improved after treatment under GA according to their parents. As expected, dental fear did not change and should be dealt with after treatment to avoid a child's dental fear to persist in the future. A shorter version of the PPQ and FIS seems useful to assess OHRQoL in very young children.
本研究旨在评估荷兰儿童在全身麻醉（GA）下接受牙科治疗后口腔健康相关生活质量（OHRQoL）的短期变化及家庭影响。
采用前测-后测设计。
选取转诊至专科儿童牙科诊所且需要在全身麻醉下接受治疗的8岁以下儿童参与研究，并分为两组。80对父母/儿童中，50对参与，一组父母在治疗前后代表孩子填写问卷（N = 31），另一组仅在治疗后填写（N = 19）。使用的问卷包括儿童恐惧调查表-牙科分量表（CFSS-DS）、父母认知问卷和家庭影响量表（PPQ和FIS，构成OHRQoL评分）。治疗后，根据治疗后现况，使用乳牙列的龋失补牙面或牙数指数（dmfs/dmft）评估口腔健康状况。
A组短版和长版问卷的前测和后测得分之间存在显著差异（短版：t = 5.088，自由度 = 20，p < 0.001；长版：t = 6.279，自由度 = 20，p < 0.001）。治疗前后（A组）CFSS-DS得分无统计学显著差异（t = 1.815，自由度 = 13，p = 0.093）。
根据父母的反馈，儿童在全身麻醉下接受治疗后OHRQoL有所改善。正如预期的那样，牙科恐惧没有改变，治疗后应加以处理，以避免儿童未来持续存在牙科恐惧。较短版本的PPQ和FIS似乎有助于评估幼儿的OHRQoL。
