Chai Hollis Haotian, Sun Ivy Guofang, Duangthip Duangporn, Gao Sherry Shiqian, Lo Edward Chin Man, Chu Chun Hung
Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.
Division of Pediatric Dentistry, The Ohio State University, Columbus, OH 43210, USA.
Dent J (Basel). 2024 Aug 5;12(8):248. doi: 10.3390/dj12080248.
The objective of this prospective 12-month observational study is to examine the oral health-related quality of life (OHRQoL) among Hong Kong young children aged 3-4 years old receiving silver diamine fluoride (SDF) therapy for carious upper anterior primary teeth. A parental questionnaire was used to collect each child's sociodemographic background and oral health habits at baseline. Data on parents' satisfaction with their child's dental aesthetics were collected at baseline and during a 12-month visit. The Chinese Early Childhood Oral Health Impact Scale (C-ECOHIS) was used to measure OHRQoL. A trained dentist performed examinations and recorded caries experience (dmft) and oral hygiene (visible plaque index) at baseline and 12 months. SDF was applied to the carious lesions. Out of 286 invited children, 248 (87%, 248/286) participated, and 211 (85%, 211/248) attended the 12-month examination. All SDF-treated carious lesions were discoloured at the 12-month examination. Regression analysis showed that the baseline C-ECOHIS score was associated with dmft ( < 0.001). The baseline and 12-month C-ECOHIS scores were 4.6 ± 5.5 and 5.0 ± 5.6, respectively ( = 0.42). The scores for parental satisfaction with dental aesthetics at baseline and 12 months were 59% to 46% ( < 0.001). Satisfaction was negatively associated with the number of discoloured upper anterior teeth ( < 0.001). In conclusion, SDF discoloured the carious upper anterior teeth of the Hong Kong kindergarten children. However, the discoloured lesions had no significant effects on the OHRQoL of these children. However, more parents became dissatisfied with their child's dental aesthetics after SDF therapy. Hence, clinicians should inform parents well before they perform SDF therapy on children.
这项为期12个月的前瞻性观察性研究的目的是，调查香港3至4岁接受氟化亚锡（SDF）治疗上颌乳前牙龋齿的幼儿的口腔健康相关生活质量（OHRQoL）。在基线时，使用家长问卷收集每个孩子的社会人口背景和口腔健康习惯。在基线时以及12个月的随访期间，收集家长对孩子牙齿美观度满意度的数据。使用中国幼儿口腔健康影响量表（C-ECOHIS）来衡量OHRQoL。一名经过培训的牙医在基线时和12个月时进行检查，并记录龋病经验（dmft）和口腔卫生情况（可见菌斑指数）。将SDF应用于龋损处。在286名受邀儿童中，248名（87%，248/286）参与了研究，211名（85%，211/248）参加了12个月的检查。在12个月的检查中，所有接受SDF治疗的龋损都出现了变色。回归分析表明，基线时的C-ECOHIS评分与dmft相关（<0.001）。基线时和12个月时的C-ECOHIS评分分别为4.6±5.5和5.0±5.6（=0.42）。基线时和12个月时家长对牙齿美观度的满意度评分分别为59%至46%（<0.001）。满意度与上颌前牙变色的数量呈负相关（<0.001）。总之，SDF使香港幼儿园儿童的上颌乳前龋牙变色。然而，变色病损对这些儿童的OHRQoL没有显著影响。然而，更多家长在SDF治疗后对孩子的牙齿美观度不满意。因此，临床医生在对儿童进行SDF治疗前应充分告知家长。
