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全身麻醉下进行全口修复的儿童口臭问题。

Halitosis in Children Undergoing Full Mouth Rehabilitation under General Anesthesia.

作者信息

AlMadhi Noura A, Sulimany Ayman M, Alzoman Hamad A, Bawazir Omar A

机构信息

Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

出版信息

Children (Basel). 2021 Feb 17;8(2):149. doi: 10.3390/children8020149.

Abstract

Interventions and management modalities of pediatric halitosis have been suggested in the literature, however, the effect of full mouth rehabilitation (FMR) under general anesthesia (GA) on pediatric halitosis was not reported. Therefore, the present study was conducted to investigate parents' perceptions of their child's halitosis before and after FMR under GA; and to evaluate the effect of FMR on clinical halitosis. Fifty-seven children between 3-8 years old, scheduled for FMR under GA, were included after satisfying the inclusion criteria and upon parental consent. Parents' perception of halitosis in their children was evaluated using a standardized questionnaire and a breath sample was collected to assess the level of volatile sulfur compounds (VSCs) using OralChroma before and after FMR under GA. Sixty percent ( = 34) of the parents perceived halitosis in their children before FMR and about 80% ( = 27) of them reported improvement in halitosis after FMR. Clinical halitosis was detected in 84.2% ( = 48) of the sample before treatment. A statistically significant reduction in halitosis was found in 56.3% ( = 27) of the children after treatment ( < 0.001). In conclusion, majority of parents perceived an absence or reduction of halitosis in their children following FMR and significant improvement of clinical halitosis.

摘要

文献中已提出小儿口臭的干预措施和管理方式,然而,全身麻醉(GA)下的全口修复(FMR)对小儿口臭的影响尚未见报道。因此,本研究旨在调查家长对其孩子在GA下进行FMR前后口臭的看法;并评估FMR对临床口臭的影响。57名3至8岁计划在GA下进行FMR的儿童在满足纳入标准并获得家长同意后被纳入研究。使用标准化问卷评估家长对其孩子口臭的看法,并在GA下进行FMR前后收集呼气样本,使用OralChroma评估挥发性硫化物(VSCs)水平。60%(n = 34)的家长在FMR前察觉到孩子有口臭,其中约80%(n = 27)的家长报告FMR后口臭有所改善。治疗前84.2%(n = 48)的样本检测到临床口臭。治疗后56.3%(n = 27)的儿童口臭有统计学意义的降低(P < 0.001)。总之,大多数家长认为他们的孩子在FMR后口臭减轻或消失,临床口臭有显著改善。

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