Alantali Kholoud, Al-Halabi Manal, Hussein Iyad, El-Tatari Ahmed, Hassan Amar, Kowash Mawlood
Mohammed Bin Rashid University of Medicine and Health Sciences, Paediatric Dentistry, Dubai Healthcare City, Building 34, Dubai, 505097, United Arab Emirates.
Mediclinic Middle East (Al Jowhara Hospital), Al-Ain, United Arab Emirates.
Br Dent J. 2020 Nov;229(10):670-676. doi: 10.1038/s41415-020-2335-7. Epub 2020 Nov 27.
Background Early childhood caries is the most common childhood disease in preschool children which often requires dental treatment under restorative dental general anaesthesia (RDGA).Aim To assess the effect of RDGA on preschool children and their families' oral health-related quality of life (OHRQoL).Methods A cross-sectional study using a RDGA pre- and post-operative survey to evaluate changes in OHRQoL. Parents completed the Early Childhood Oral Health Impact Scale (ECOHIS) survey before and after their children underwent specialist paediatric RDGA in the United Arab Emirates from 1 March 2017 to 28 February 2018. The ECOHIS and its effect size (ES) served to evaluate children's OHRQoL status and changes, and the Wilcoxon signed-rank and the Kruskal-Wallis tests were used for statistical analyses.Results The mean number of decayed, missing and filled teeth (DMFT) of the children (N = 173, mean age 4.6 years) before the treatment was very high (13.8 ± 3.07). Children's pain and eating problems, and parents feeling upset and guilty, were the most frequently reported impacts at baseline. The ECOHIS scores decreased significantly (p <0.001) after RDGA, revealing a large ES for the child (2.19) and family (2.79) sections of the ECOHIS.Conclusions Preschool children's RDGA resulted in significant improvement in all child and family physical, psychological and social aspects of OHRQoL.
幼儿龋齿是学龄前儿童中最常见的儿童疾病，通常需要在口腔修复全身麻醉（RDGA）下进行牙科治疗。
评估口腔修复全身麻醉对学龄前儿童及其家庭口腔健康相关生活质量（OHRQoL）的影响。
采用横断面研究，通过RDGA术前和术后调查来评估OHRQoL的变化。2017年3月1日至2018年2月28日期间，在阿拉伯联合酋长国，家长们在孩子接受专科儿科RDGA治疗前后完成了幼儿口腔健康影响量表（ECOHIS）调查。ECOHIS及其效应量（ES）用于评估儿童的OHRQoL状况和变化，采用Wilcoxon符号秩检验和Kruskal-Wallis检验进行统计分析。
治疗前，儿童（N = 173，平均年龄4.6岁）的龋失补牙平均颗数（DMFT）非常高（13.8 ± 3.07）。儿童的疼痛和进食问题，以及家长的心烦和内疚感，是基线时最常报告的影响。RDGA后，ECOHIS评分显著下降（p <0.001），显示ECOHIS儿童部分（2.19）和家庭部分（2.79）的效应量较大。
学龄前儿童的RDGA使OHRQoL在儿童和家庭的所有身体、心理和社会方面都有显著改善。
