Impact of pulpectomy versus tooth extraction in children's oral health-related quality of life: A randomized clinical trial.

Autor: Abanto J; Department of Paediatric Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain., Tsakos G; Department of Epidemiology & Public Health, Institute of Epidemiology & Health, University College London, London, UK., Olegário IC; Department of Child & Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland., Paiva SM; Department of Paediatric Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil., Mendes FM; Department of Paediatric Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain., Ardenghi TM; Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil., Bönecker M; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2024 Feb; Vol. 52 (1), pp. 13-23. Date of Electronic Publication: 2023 Jul 30.
DOI: 10.1111/cdoe.12895
Abstrakt: Aim: The aim of this randomized clinical trial was to compare the impact of two management options for primary molars with pulp necrosis (pulpectomy or extraction) on children's oral health-related quality of life (OHRQoL).
Design: A total of 100 children aged 3-5 years with at least one necrotic primary molar were selected and randomized into the study groups. The Brazilian version of early childhood oral health impact scale (B-ECOHIS) was completed by the parent proxy reports at baseline and after 4, 8 and 12 months. Differences between the trial groups were assessed through bootstrap linear regression for B-ECOHIS scores, logistic regression for dental pain self-reports and anxiety scores (α = 5%).
Results: The mean (SD) B-ECOHIS scores at baseline and after 12 months were 17.7 (6.5) and 3.0 (4.0) in the pulpectomy group and 18.8 (7.7) and 7.9 (7.7) in the extraction group. Both treatments significantly improved OHRQoL, but tooth extraction group showed higher scores in total B-ECOHIS (p < .001) and most domains, indicating lower OHRQoL. Furthermore, higher anxiety levels were reported for dental extraction compared to pulpectomy (OR = 2.52; p = .008).
Conclusion: Pulpectomy resulted in an improved OHRQoL scores after 12 months when compared to tooth extraction and should be considered as the treatment of choice for necrotic primary molars.
(© 2023 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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