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

Abstract

Enamel-dentin fracture causes impact on the oral health-related quality of life (OHRQoL) of children. 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. This prospective clinical study included C/As between 8 and 14years 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 (CPQ8-10 and CPQ11-14 ), Parental-Caregiver Perceptions Questionnaire (P-CPQ), and Familiar Impact Scale (FIS), applied before and 3months after the restorative procedure. T test for dependent samples and Wilcoxon test were applied(P<0.05). Of 32 C/As included, 30 completed the study. The treatment of CFED reduced the negative impact in OHRQoL of C/As (CPQ8-10 P=0.0065; CPQ11-14 P=0.0486; P-CPQ, P=0.0259), specially for "oral symptoms" (CPQ8-10 , P= 0.0003; P-CPQ, P=0.0455) and "emotional well-being" (CPQ11-14 , 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). Restorative treatment of CFED increases the OHRQoL of C/As but not influence the OHRQoL of their families.