Ludovichetti Francesco Saverio, Zuccon Andrea, Cantatore Donatella, Zambon Giulia, Girotto Luca, Lucchi Patrizia, Stellini Edoardo, Mazzoleni Sergio
Dentistry Section, Department of Neurosciences, , Università degli Studi di Padova, Padova, Italy.
Unità Operativa di Chirurgia Orale e Odontostomatologia, Ospedale S. Lorenzo, Trento, Italy.
Eur J Dent. 2023 Jul;17(3):834-839. doi: 10.1055/s-0042-1757210. Epub 2022 Oct 28.
The aim of this study is to evaluate whether the treatment of ECC, performed in a single-session dental treatment under general anesthesia, can affect the quality of life of pediatric patients. It was assessed whether risks and discomforts involved in SSGA are outweighed by its effectiveness and reliability in improving oral health-related quality of life.
The quality of life that was assessed in this prospective study was oral health-related quality of life (OHRQL). Pediatric patients aged between 3 and 6 years with ECC undergoing dental treatment in SSGA were asked to fill in the Early Childhood Oral Health Impact Scale (ECOHIS) form both before and 1 month after the intervention. The data obtained were then statistically elaborated and analyzed to evaluate the actual significance of the differences found between the values before and after treatment and between the two sexes.
Mean ECOHIS score before treatment was 30.58, following a large decrease after treatment, with a mean score of 2.94. Most parameters show a significant improvement between pre- and post-SSGA treatments, mainly those related to oral-dental pain, daytime irritability, and impact on family environment. Average ECOHIS scores for males and females are 31.72 and 29.76 before treatment and 3.55 and 2.52 1 month after treatment, respectively, showing no statistically significant differences.
The dental treatment of young children under SSGA is associated with considerable improvement in their OHRQL. It can be considered an effective and reliable way of managing cases that cannot be dealt with by alternative methods.
本研究旨在评估在全身麻醉下进行的一次性乳牙龋病治疗（ECC）是否会影响儿科患者的生活质量。评估全身麻醉下一次性治疗（SSGA）所涉及的风险和不适是否超过其在改善口腔健康相关生活质量方面的有效性和可靠性。
本前瞻性研究评估的生活质量是口腔健康相关生活质量（OHRQL）。要求年龄在3至6岁、在全身麻醉下进行乳牙龋病治疗的儿科患者在干预前和干预后1个月填写幼儿口腔健康影响量表（ECOHIS）表格。然后对获得的数据进行统计处理和分析，以评估治疗前后数值之间以及两性之间差异的实际意义。
治疗前ECOHIS平均得分为30.58，治疗后大幅下降，平均得分为2.94。大多数参数在全身麻醉下一次性治疗前后有显著改善，主要是那些与口腔牙齿疼痛、白天易怒以及对家庭环境的影响有关的参数。男性和女性治疗前的ECOHIS平均得分分别为31.72和29.76，治疗后1个月分别为3.55和2.52，无统计学显著差异。
全身麻醉下对幼儿进行牙科治疗与他们的口腔健康相关生活质量的显著改善有关。它可被认为是一种有效且可靠的方法，用于处理无法用其他方法处理的病例。
