scholarly journals Oral health–related quality of life (OHRQOL) of preschool children’s anterior teeth restored with zirconia crowns versus resin-bonded composite strip crowns: a 12-month prospective clinical trial

Author(s):  
Ahmad Abdel Hamid Elheeny ◽  
Mahmoud Ahmed Abdelmotelb

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 effect 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 significantly superior compared to the RCSC. Overall ECOHIS mean scores in the ZC group were significantly 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 effect size (r < 0.8) was observed. Restoration type, retention, baseline OHRQOL, and color had a significant impact on the overall OHRQOL at 12 months. Conclusions Preschool children OHRQOL treated with ZC were significantly better than those who received RCSC. Clinical relevance One of the optimum treatment standards in pediatric dentistry is the esthetic demand which has significance on the child’s OHRQOL and subsequently child’s general health quality of life. It is beneficial to the dentist to identify the influence 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.

2014 ◽  
Vol 42 (2) ◽  
pp. 114-121 ◽  
Author(s):  
Sônia Saeger Meireles ◽  
Marília Leão Goettems ◽  
Raquel Venâncio Fernandes Dantas ◽  
Álvaro Della Bona ◽  
Iná S. Santos ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Eluza Piassi ◽  
Leonardo Santos Antunes ◽  
Marcia Rejane Thomas Canabarro Andrade ◽  
Lívia Azeredo Alves Antunes

Anterior crossbite (AC) refers to a condition in which the maxillary anterior teeth are placed lingually in their relationship with the mandibular anterior teeth. This dental condition results in visible incisor differences that are associated with higher levels of dissatisfaction with appearance and have potential to negatively impact on oral health-related quality of life (OHRQoL) of the children. The aim of this paper was to report two cases of interceptive orthodontic treatment of twin children with anterior crossbite and its impact on OHRQoL of these children. Although AC affects negatively psychosocial aspects of OHRQoL of the children, the interceptive orthodontic treatment of children with AC was essential to improve their OHRQoL.


Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 171
Author(s):  
Adriana González-Sáez ◽  
Laura Antonio-Zancajo ◽  
Javier Montero ◽  
Alberto Albaladejo ◽  
María Melo ◽  
...  

Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients’ perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial was carried out with 90 patients (62.2% women and 37.8% men) with three kinds of fixed multi-bracket appliances: Conventional (GC), fixed multi-bracket low friction (GS) and self-ligating (GA). The VAS (Visual Analogue Scale) was used to determine pain during the first seven days of treatment at different points in time. The patients were also given the OHIP-14 (Oral Health Impact Profile) questionnaire to analyse their oral health-related quality of life (OHRQoL) after the first 30 days of treatment. The ANOVA test was used for the analysis of the variables and the post hoc Bonferroni test for the comparison between groups. Results: Maximum pain was observed between one and two days after the start of treatment. The GC group showed the greatest degree of pain, with maximum values (4.5 ± 2.0) at 24 h. The self-ligation brackets show lower impact on patients’ oral health-related quality of life (0.8 ± 2.2, p < 0.01). Conclusions: Friction in the type of bracket influences pain and the Oral Health-Related Quality of Life of patients who use multi-bracket fixed orthodontics.


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