Changes in oral health-related quality of life of parents and preschool children who received silver diamine fluoride to arrest caries in primary teeth, Hatyai District, Songkhla Province: A 6-month prospective study
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Abstract
Untreated caries in early childhood was a long-standing problem. Non-urgent dental treatments had been postponed in the Coronavirus disease (COVID-19) outbreak situation, which affected preschool children and their parents' quality of life. The objective was to study changes in oral health-related quality of life in parents and preschool children who received silver diamine fluoride (SDF) to arrest caries in primary teeth during the six months. The sample consisted of 99 preschool children of the child development center, aged 3-5 years old, who had at least one dental caries. Their mean dmft score at baseline was 7.1. The parents completed the Thai Early Childhood Oral Health Impact Scale (Thai-ECOHIS) before and after treatment, for analysis. After treatment, 94 children (95%) came to follow up. The results showed their mean (SD) scores at baseline and follow-up were 4.9±5.99 and 3.3±4.69, respectively. A statistically significant difference in the total Thai-ECOHIS score and effect scores on the children and parents was found (p<0.001), and the caries arresting rate was 92.7%. Therefore, SDF treatment for arresting caries showed the impact on the quality of life of preschool children and parents. They also discovered more positive than negative tendencies. In addition, the treatment was also non-aerosol, which was an alternative treatment for the COVID-19 outbreak situation. Similarly, if there is a heath policy for out-of-hospital services, this approach could be an alternative treatment for early childhood caries in accessibility problem area or lack of dental specialist.
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