SDF 处理和未处理的牙本质龋损修复对学龄前儿童父母满意度和口腔健康相关生活质量的影响。

Effects of restoring SDF-treated and untreated dentine caries lesions on parental satisfaction and oral health related quality of life of preschool children.

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.

出版信息

J Dent. 2019 Sep;88:103171. doi: 10.1016/j.jdent.2019.07.009. Epub 2019 Jul 17.

DOI:10.1016/j.jdent.2019.07.009

PMID:31325466

Abstract

OBJECTIVES

To find out the effects of placement of atraumatic restorative treatment (ART) restorations on parental satisfaction and oral health related quality of life (OHRQoL) of preschool children with SDF-treated or untreated dentine caries lesions.

METHODS

In a randomized controlled trial conducted in Hong Kong, preschool children who had cavitated dentine caries lesions were randomly assigned to receive application of silver diamine fluoride (SDF) solution or placebo (tonic water) on their caries lesions 10 weeks before receiving ART restorations. Parents were asked to rate their satisfaction with their child's teeth using a 5-point scale (5 = very satisfied, 1 = very dissatisfied) before and six months after the restorative treatment. Besides, the Chinese version of Early Childhood Oral Health Impact Scale (C-ECOHIS) was used to assess the children's OHRQoL.

RESULTS

A total of 194 children participated in this study, with 101 and 93 children receiving SDF and placebo application before ART restorations, respectively. There was no significant difference in parental satisfaction and C-ECOHIS score between the SDF and placebo groups at baseline. At the 6-month follow-up, the mean parental satisfaction score regarding their child's dental health status increased significantly (p < 0.001) from 2.2 ± 0.7 to 2.8 ± 1.0 in the SDF group and from 2.3 ± 0.8 to 2.7 ± 0.9 in the placebo group. However, no significant changes (p > 0.05) in C-ECOHIS scores were found in either of the two groups after ART restoration placement.

CONCLUSIONS

Placement of ART restorations can improve parental satisfaction with the health and appearance of their child's teeth but has no significant effect on the OHRQoL.

CLINICAL SIGNIFICANCE

This study provides valuable information about the effects of ART restoration placement on SDF-treated or untreated dentine caries lesions regarding parental satisfaction and OHRQoL of preschool children.

摘要

目的

探讨微创修复治疗（ART）修复体放置对接受或未接受过氟化氨银（SDF）处理的儿童龋洞牙本质龋病变的父母满意度和口腔健康相关生活质量（OHRQoL）的影响。

方法

在香港进行的一项随机对照试验中，患有牙本质龋洞病变的学龄前儿童被随机分为两组，分别在接受 ART 修复体治疗前 10 周接受 SDF 溶液或安慰剂（苏打水）处理。在修复治疗前和治疗后 6 个月，家长使用 5 分制（5=非常满意，1=非常不满意）对孩子的牙齿满意度进行评分。此外，还使用中文版幼儿口腔健康影响量表（C-ECOHIS）评估儿童的 OHRQoL。

结果

共有 194 名儿童参与了本研究，其中 101 名和 93 名儿童分别在 ART 修复体治疗前接受了 SDF 和安慰剂处理。在基线时，SDF 组和安慰剂组的父母满意度和 C-ECOHIS 评分之间没有显著差异。在 6 个月随访时，SDF 组儿童对其牙齿健康状况的平均父母满意度评分从治疗前的 2.2±0.7 显著增加到治疗后的 2.8±1.0（p<0.001），安慰剂组从 2.3±0.8 增加到 2.7±0.9（p<0.001）。然而，在 ART 修复体放置后，两组的 C-ECOHIS 评分均无显著变化（p>0.05）。