مقاله انگلیسی کیفیت زندگی مرتبط با سلامت دهان (OHRQOL) دندان های قدامی کودکان پیش دبستانی ترمیم شده
Abstract
Introduction
Materials and methods
Results
Discussion
Conclusions
References
Abstract
Objectives To compare oral health–related quality of Life (OHRQOL) of preschool children’s anterior teeth restored with prefabricated zirconia crowns (ZC) versus resin-bonded composite strip crown (RCSC). Materials and methods A prospective clinical trial included 136 children with early childhood caries aged 36–71 months who were assigned into prefabricated ZC and RCSC groups. A total of 344 teeth were restored either with 170 ZCs (49.4%) and 174 RCSCs (50.6%). Wilson and Cleary’s conceptual model was to associate the study predictors to the OHRQOL. Early Childhood Oral Health Impact Scale (ECOHIS) was used to assess the OHRQOL at 6 and 12 months. Mann–Whitney U test was used in comparing OHRQOL mean scores in the two groups and Wilcoxon signed-rank test with the efect size (r) to measure the intragroup OHRQOL change. A Poisson regression model was used to study potential risk factors associated with the overall OHRQOL. Results After 12 months, the USPHS parameters of the ZC were signifcantly superior compared to the RCSC. Overall ECOHIS mean scores in the ZC group were signifcantly lower than that of the RCSC group at T1 and T2 (p<0.001). Remarkable enhancement of the OHRQOL at the follow-ups with a large efect size (r<0.8) was observed. Restoration type, retention, baseline OHRQOL, and color had a signifcant impact on the overall OHRQOL at 12 months. Conclusions Preschool children OHRQOL treated with ZC were signifcantly better than those who received RCSC. Clinical relevance One of the optimum treatment standards in pediatric dentistry is the esthetic demand which has signifcance on the child’s OHRQOL and subsequently child’s general health quality of life. It is benefcial to the dentist to identify the infuence of esthetic restorations on the OHRQOL of preschool children which aids in future decision-making. The longitudinal nature of the study enables the dentist to identify the changes of children’s OHRQOL.
Introduction
Early childhood caries (ECC) refers to the involvement of at least one surface or more of the primary teeth of children below the age of six with a cavitated or non-cavitated carious lesion or missing and/or flled because of caries [1]. Neglect preventive and/or defnitive intervention of children sufering from ECC may have led to distressing impacts. For instance, it increases the risk of acquiring a new carious lesion in primary and permanent dentition, hospitalization and increases treatment expenditure and missed school days which subsequently negatively afect the educational attainment and undermine the child’s oral health-related quality of life (OHRQOL) [1, 2]. Untreated carious lesions negatively infuenced the multidimensional nature of OHRQOL in terms of oral/dental pain, eating and sleeping difculties, and diminished psychological and self-image/social activities [3, 4]. To measure the OHRQOL of preschool children, a proxy instrument called Early Childhood Oral Health Impact Scale (ECOHIS) was introduced in 2007 by Pahel et al. [5].