ผลกระทบของการใช้ฟลูออไรด์วิธีต่างๆ ต่อคุณภาพชีวิตในมิติสุขภาพช่องปากในเด็กประถม
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บทคัดย่อ
Health-related quality of life has been crucial for the assessment of treatment outcomes in term of patient’s perspective. This study aimed to evaluate the effect of three different types of fluoride treatment on Oral Health-Related Quality of Life (OHRQoL) of children. A randomized control trial was conducted in primary schools in Khon Kaen, Thailand. Subjects included 253 students aged 6-7 years, who assented to the OHRQoL evaluation. Participants had at least one primary molar with active dentinal caries. They were randomly assigned into three treatment groups; group A: 38% SDF; group B: 5% NaF varnish and group C: combination of 38% SDF and 5% NaF varnish. Subjects received oral examination and fluoride treatment at 6-month interval. At 1-year follow-up, they were interviewed using the Child-Oral Impacts on Daily Performance (Child-OIDP) index. Demographic characteristics and oral status among the three groups did not differ significantly. Groups received SDF had significantly higher prevalence of discolored tooth (p<0.001). There was no statistically significant difference among groups in the prevalence of oral impacts in daily performances (p=0.64). In all groups, the impact scores on eating, smiling, emotional stability and tooth cleaning were higher than other domains, albeit not significantly different. The most frequent perceived cause reported by children included having toothache, tooth sensitivity, tooth decay and malodor. The percentage of children who reported tooth discoloration were significantly higher in both SDF groups compared to the NaF varnish group (p<0.001). However, tooth discoloration did not seem to be the main perceived cause that impacted daily performances on smiling, laughing, emotional stability and socialization. The results suggested no difference in OHRQoL among children who received 3 different types of fluoride treatment. Black discoloration of dentinal caries after SDF application was not the major cause that impacted children’s daily performances.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ทีได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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