School of Dentistry, University of Jordan, Amman, Jordan.
Private practice, Amman, Jordan.
Eur J Paediatr Dent. 2018 Mar;19(1):21-28. doi: 10.23804/ejpd.2018.19.01.04.
Dental caries in preschool children has shown significant impact on children's OHRQoL and family functioning. The aim of this study was to measure parents' perceptions of children's OHRQoL and impact of children's orofacial conditions on the family following management of carious anterior teeth with either zirconia crown placement or non-restorative therapy.
Parents of medically fit children aged from 2 years to 6 years attending specialist paediatric clinics were recruited and a questionnaire that included the Global Oral Health Rating Item, Parent-Caregivers Perception Questionnaire (P-CPQ-8) and Family Impact Scale (FIS-8) was distributed at a recall visit 3-6 months following treatment. Twenty patients were allocated in each of the two groups; zirconia crown and non-restorative therapy.
The Global Oral Health Rating item scores were significantly different between groups (p=0.038). Children health effects due to dental status were more among patients treated with zirconia crowns. However, PCPQ and FIS total and individual scores were not significantly different between groups (p>0.05) except that children suffered more food impaction between teeth among patients treated with zirconia crowns (p=0.002).
Parents' perceptions of children's OHRQoL and impact on family were similar when anterior carious teeth were managed with zirconia crown placement or non-restorative therapy.
学龄前儿童的龋齿对儿童的口腔健康相关生活质量（OHRQoL）和家庭功能有显著影响。本研究旨在评估在治疗儿童前牙龋损时，使用氧化锆全瓷冠修复或非修复治疗后，父母对儿童 OHRQoL 的感知以及儿童口面状况对家庭的影响。
招募了在专科儿科诊所就诊的、身体状况良好的 2 至 6 岁儿童的家长，并在治疗后 3 至 6 个月的复诊时发放了包括全球口腔健康评估量表、家长感知问卷（P-CPQ-8）和家庭影响量表（FIS-8）在内的问卷。每组 20 名患者分别接受氧化锆全瓷冠和非修复治疗。
两组间的全球口腔健康评分有显著差异（p=0.038）。接受氧化锆全瓷冠修复的患者中，因牙齿状况而导致的儿童健康影响更为明显。然而，P-CPQ 和 FIS 的总分和单项评分在两组间无显著差异（p>0.05），但接受氧化锆全瓷冠修复的患者中，儿童牙齿间食物嵌塞的发生率更高（p=0.002）。
在前牙龋损的治疗中，使用氧化锆全瓷冠修复或非修复治疗后，父母对儿童 OHRQoL 的感知和对家庭的影响相似。
