Impact of crown fracture treatment on oral health-related quality of life of children, adolescents, and their families: A prospective clinical study

Abstract

Background: Enamel-dentin fracture causes impact on the oral health-related quality of life (OHRQoL) of children.

Aim: To evaluate the impact of treatment of crown fracture involving enamel and dentin (CFED) in the permanent dentition on the OHRQoL of children and adolescents (C/As) and their families.

Design: This prospective clinical study included C/As between 8 and 14 years who presented anterior CFED treated thought direct composite resin restoration. Their parents/caregivers (P/Cs) were also invited to take part of the study. The quality of life was evaluated thought the Child Perceptions Questionnaires (CPQ_8-10 and CPQ_11-14 ), Parental-Caregiver Perceptions Questionnaire (P-CPQ), and Familiar Impact Scale (FIS), applied before and 3 months after the restorative procedure. T test for dependent samples and Wilcoxon test were applied(P < 0.05).

Results: Of 32 C/As included, 30 completed the study. The treatment of CFED reduced the negative impact in OHRQoL of C/As (CPQ_8-10 P = 0.0065; CPQ_11-14 P = 0.0486; P-CPQ, P = 0.0259), specially for "oral symptoms" (CPQ_8-10 , P = 0.0003; P-CPQ, P = 0.0455) and "emotional well-being" (CPQ_11-14 , P = 0.0431). Concerning the families' perceptions, the treatment did not influence OHRQoL both in terms of the domains and total FIS score (P > 0.05).

Conclusion: Restorative treatment of CFED increases the OHRQoL of C/As but not influence the OHRQoL of their families.

Keywords: adolescent; child; dental restoration; permanent; quality of life; tooth fracture.