Treatment of Severe Caries and Molar Incisor Hypomineralization and Its Influence on Oral Health-Related Quality of Life in Children: A Comparative Study

International Journal of Environmental Research and Public Health

Sarra Altner¹  Katrin Bekes¹  Christian Hirsch²  Markus Ebel³  Valentin Ritschl⁴  Tanja Stamm⁴ 

[1] Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090 Vienna, Austria;Department of Pediatric Dentistry, University of Leipzig, Liebigstr. 12, 04103 Leipzig, Germany;Private Pediatric Dentistry Practice ‘Leo Löwenzahn’, 51465 Bergisch Gladbach, Germany;Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University Vienna, 1090 Vienna, Austria;

关键词: molar incisor hypomineralization;    caries;    oral health related quality of life;    oral health;    pediatric dentistry;   

DOI  :  10.3390/ijerph19052983

来源: DOAJ

【 摘 要 】

Background: Treatment of oral diseases can have a long-lasting impact on a child’s life well beyond its childhood years. The purpose of this study was to compare the impact of treatment on the oral-health-related quality of life (OHRQoL) of children with severe caries and severe molar incisor hypomineralization (MIH). Methods: A total of 210 children (mean age 9 years; 49% female) with severe caries (inner third of dentin) and severe MIH (post-eruptive breakdown, crown destruction) were included in the study. Both groups were matched according to age, gender, and social status. The German version of the Child Perception Questionnaire for 8–10-year-olds (CPQ-G8–10) was used before and after treatment to analyze the impact on OHRQoL. Results: Patients with severe MIH showed a significantly higher total CPQ score (17.8 (±10.6)) before treatment compared to the caries group (13.8 (±14.3)). The mean CPQ score in all subdomains decreased significantly after therapy in the MIH group. Children with severe carious lesions had similar results except in the domain “functional limitations”, as treatment led to only minor changes (2.9 (±3.6) to 2.2 (±2.6)). Conclusions: Despite a narrower treatment spectrum, patients with severe MIH experienced a greater overall improvement in OHRQoL compared to the caries group.

【 授权许可】

Unknown