Cantekin Kenan, Yildirim Mustafa Denizhan, Cantekin Isin
Assistant professor of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
Assistant professor, Department of Anesthesiology and Pediatric Dentistry, Faculty of Medicine and Dentistry, Erciyes University, Kayseri, Turkey.
Pediatr Dent. 2014 Jan-Feb;36(1):12E-17E.
This study's purpose was to investigate how young children's and parent/caregivers' oral health-related quality of life and children's dental fears were affected by dental rehabilitation under general anesthesia (DRGA).
A consecutive clinical sample of dyads of parents/caregivers and their four- to six-year-old children who received DRGA were surveyed before and after DRGA. Parents/caregivers responded through a self-administered questionnaire [Early Childhood Oral Health Impact Scale (ECOHIS)], and children received a dentist-administered questionnaire [children's fear survey schedule-dental subscale (CFSS-DS)].
The final sample consisted of 311 children/caregiver dyads. One to six teeth were extracted in 91 percent of children. There was a 44 percent decrease in total ECOHIS scores following treatment (P<.001). Overall child impact section scores decreased 34 percent following treatment (P<.001), and family impact section scores decreased 65 percent (P<.001). CFSS-DS anxiety scores after dental treatment were significantly higher for 14 of 15 situations/conditions assessed (P<.001). There was a trend of higher CFSS-DS scores in children who received increasing numbers of extractions.
Children's and parent/caregivers' quality of life improved after the children received dental rehabilitation under general anesthesia, and children's fears increased for all situations tested. The number of extractions the children received was associated with increased levels of fear.
本研究旨在调查全身麻醉下牙齿修复（DRGA）对幼儿及其父母/照顾者口腔健康相关生活质量以及儿童牙科恐惧的影响。
对接受DRGA的父母/照顾者及其4至6岁儿童的连续临床样本在DRGA前后进行调查。父母/照顾者通过自行填写问卷[幼儿口腔健康影响量表（ECOHIS）]作答，儿童则接受牙医填写的问卷[儿童恐惧调查量表-牙科子量表（CFSS-DS）]。
最终样本包括311对儿童/照顾者。91%的儿童拔除了1至6颗牙齿。治疗后ECOHIS总分下降了44%（P<.001）。治疗后儿童总体影响部分得分下降了34%（P<.001），家庭影响部分得分下降了65%（P<.001）。在评估的15种情况/条件中，有14种情况下牙科治疗后的CFSS-DS焦虑得分显著更高（P<.001）。拔牙数量增加的儿童CFSS-DS得分有升高趋势。
儿童在全身麻醉下接受牙齿修复后，儿童及其父母/照顾者的生活质量得到改善，且在所有测试情况下儿童的恐惧都有所增加。儿童接受拔牙的数量与恐惧程度增加有关。
