Faheem Mahmoud, Moheb Dalia, Bahgat Sherif, Splieth Christian, Bekes Katrin
Department of Preventive and Pediatric Dentistry, University of Greifswald, 17489 Greifswald, Germany.
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University, Cairo 12613, Egypt.
J Clin Med. 2023 Sep 6;12(18):5792. doi: 10.3390/jcm12185792.
Treatment of young children under dental general anesthesia (DGA) is sometimes necessary due to lack of cooperation and the complexity of dental treatment. The aim of this study was to assess the changes in oral-health-related quality of life (OHRQoL) in children following treatment under DGA.
A consecutive sample of 88 children aged 5 and younger who were referred to the department of pediatric dentistry, Cairo university, Egypt, for treatment under DGA was included. Parents were asked to complete the Arabic version of the Early Childhood Oral Health Impact Scale (A-ECOHIS) questionnaire before and 4 weeks after treatment. The Wilcoxon signed-rank test was used to compare baseline and follow up scores. Effect sizes (ES) were also calculated.
The overall ECOHIS scores decreased significantly from 16.72 (±7.07) to 0.9 (±3.08); ( < 0.001, Wilcoxon signed-rank test) after treatment under DGA, demonstrating a large effect size of 2.2. The scores of the two subscales of the ECOHIS, the child impact scale (CIS) and the family impact scale (FIS), also decreased significantly ( < 0.001).
Treatment under DGA not only improved the OHRQoL of the Egyptian children in our sample significantly, but also had a positive effect on their families' quality of life.
由于儿童缺乏合作以及牙科治疗的复杂性,有时需要对幼儿进行牙科全身麻醉(DGA)下的治疗。本研究的目的是评估在DGA下接受治疗的儿童口腔健康相关生活质量(OHRQoL)的变化。
纳入了连续88名年龄在5岁及以下、因需在埃及开罗大学儿童牙科部门接受DGA治疗而被转诊的儿童。要求家长在治疗前和治疗后4周完成阿拉伯语版的幼儿口腔健康影响量表(A-ECOHIS)问卷。采用Wilcoxon符号秩检验比较基线和随访得分。还计算了效应量(ES)。
在DGA下接受治疗后,ECOHIS总分从16.72(±7.07)显著降至0.9(±3.08);(Wilcoxon符号秩检验,P<0.001),显示出2.2的大效应量。ECOHIS两个子量表,即儿童影响量表(CIS)和家庭影响量表(FIS)的得分也显著下降(P<0.001)。
DGA下的治疗不仅显著改善了我们样本中埃及儿童的OHRQoL,而且对其家庭生活质量也有积极影响。