Sabbagh Heba Jafar, Samara Ahmad Adnan, Dhafar Wala, Turkistani Jihan, Almalik Manal Ibrahim, Zaatari Rzan, Bahkali Ahlam, Bamashmous Nada
Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80200, Jeddah, 21589, Saudi Arabia.
Pediatric Dentistry, Ministry of Health, PO Box 23532, Taif, 21442, Saudi Arabia.
BMC Oral Health. 2025 Mar 1;25(1):327. doi: 10.1186/s12903-025-05646-7.
This study addresses a literature gap by examining Oral Health Related Quality of Life (OHRQoL) and children-parental satisfaction concerning the management of compromised first permanent molars (FPMs) through root canal therapy (RCT) versus extraction.
Children who extracted or received RCT and their parents were interviewed using a validated questionnaire that includes sociodemographic data, OHIP5-Ar questionnaire and satisfaction question.
There were 305 patients with RCT (197 (37.1%)) or extraction (108 (87.8%)). RCT increased the adjusted odds ratio (AOR) of the child's OHRQoL (3.76; P < 0.001) and parent-satisfaction at assessment-time (AOR = 1.82; P = 0.02). Additionally, increase in the duration between treatment and assessment-time elevated the AOR of patient's OHRQoL (AOR = 1.69; P = 0.001). Significantly fewer children reported being uncomfortable with the appearance of their teeth following RCT compared to those who underwent extraction (P < 0.001). Although not statistically significant, patients tended to express greater satisfaction with extraction compared to RCT at the assessment-time (AOR: 0.64; P = 0.081).
While the choice between performing RCT or extraction of compromised FPM in children depends on various factors, both can lead to substantial success in improving the child's OHRQoL and satisfaction. Nevertheless, RCT resulted in fewer concerns about dental appearance.
本研究通过比较根管治疗（RCT）与拔牙对患有龋齿的第一恒磨牙（FPM）的治疗效果，来填补口腔健康相关生活质量（OHRQoL）以及儿童与家长满意度方面的文献空白。
使用经过验证的问卷对接受拔牙或RCT治疗的儿童及其家长进行访谈，问卷包括社会人口统计学数据、OHIP5-Ar问卷和满意度问题。
共有305例患者接受了RCT（197例（37.1%））或拔牙治疗（108例（87.8%））。RCT提高了儿童OHRQoL的调整优势比（AOR）（3.76；P < 0.001）以及评估时家长的满意度（AOR = 1.82；P = 0.02）。此外，治疗与评估时间间隔的增加提高了患者OHRQoL的AOR（AOR = 1.69；P = 0.001）。与拔牙的儿童相比，接受RCT治疗后对牙齿外观感到不适的儿童明显更少（P < 0.001）。尽管无统计学意义，但在评估时，与RCT相比，患者对拔牙的满意度往往更高（AOR：0.64；P = 0.081）。
虽然儿童龋齿FPM选择RCT或拔牙治疗取决于多种因素，但两者都能在很大程度上成功改善儿童的OHRQoL和满意度。然而，RCT导致对牙齿外观的担忧更少。
