孩童裝戴不銹鋼乳牙冠之相關因素探討（Part II）

Investigating the relative factors for children wearing stainless steel crown (Part II)

張卉萱(Hui-Hsuan Chang) ； 李翠芬(Tsui-Fen Li) ； 陳正慧(Jeng-Huey Chen) ； 陳弘森(Hong-Sen Chen)

《Taiwan Journal of Oral Medicine Sciences》 30卷1期 (2015/04) Pp. 52-66

摘要

目的：乳臼齒齲齒的補綴方式有很多種， 其中大面積缺損的修復根據多項研究以不銹鋼乳牙冠為首選。它不但能保留乳牙直到換牙以避免過早拔除乳齒所帶來的不良後果，並與銀粉、樹脂補綴治療方式比較均有顯著的優越性。本研究希望了解家長對於孩童裝戴不銹鋼乳牙冠的認知與態度，並且調查家長對於孩童裝戴不銹鋼乳牙冠的接受度。方法：針對北部和南部12歲以下孩童之家長559位，以結構式問卷進行調查。問卷調查內容為孩童及父母親社會人口學基本資料、孩童與家長口腔衛生習慣及就醫行為、家長對兒童牙科的常識、家長對孩童裝戴不銹鋼乳牙冠的認知及接受情形。資料統整後使用JMP6.0分析軟體進行統計分析。結果：參與本研究的有效家長個案數共有559人，研究中孩童裝戴不銹鋼乳牙冠接受率有23.97％。家長對於不銹鋼乳牙冠的認知，以牙醫師或牙科護士與親朋好友兩者為主要來源。若是父母瞭解到當乳牙有較大的齲齒，或是牙齒經過根管處理後，必須利用不銹鋼乳牙冠來修復，而且父母清楚不銹鋼乳牙冠的費用。因此，父母就會比較能夠接受孩童裝戴不銹鋼乳牙冠。結論：本研究顯示家長對不銹鋼乳牙冠的接受度低落，對不銹鋼乳牙冠的認知不足有關係；而治療費用是家長讓小孩接受治療的影響因素，但牙醫師的意見仍然被多數家長採納。

關鍵字

孩童 ； 乳牙 ； 齲齒 ； 不銹鋼乳牙冠

並列摘要

Purpose There are lots of treatment methods to restore deciduous molars, and many researches reveal that the first selection to restore large cavities is the stainless steel crown. The stainless steel crowns can maintain deciduous teeth until replacing them, and in comparison with amalgam fillings, they are more effective and long-lived. The purpose of this study was to investigate the use of the stainless steel crown in children and its association with the parents' awareness, attitude, and acceptance of the stainless steel crown. Methods The study enrolled 559 parents whose children were under 12 years old and had dental treatment experience from the northern and the southern Taiwan. The study was surveyed by questionnaires, including the basic society demography, oral hygiene behavior, general knowledge about pediatric dentistry, and the awareness and acceptance of the stainless steel crown of the parents and their children. The data were analyzed by the statistics software of JMP6.0. Results: Our study included 559 subjects, and it revealed that 23.9 percent of the children accept to wear stainless steel crowns and among of them. The source of knowledge of the stainless steel crown of parents mainly comes from the dentists, dental assistants, and their relatives or friends. If their parents realized that the large cavity or tooth after root canal treatment must be restored by the stainless steel crown, and knew the item and fee of stainless steel crown fabrication in the dental clinic, they would be more acceptable to do it. Conclusion: The study indicated that parents do not realize the function of stainless steel crowns, there're low proportion rates of acceptance. This is related to the unawareness of the stainless steel crown. Meanwhile, the fee of stainless steel crowns is the major factor that their parents accept stainless steel crowns. However, the suggestion of the dentists is always accepted by most parents.

並列關鍵字

children ； deciduous tooth ； dental caries ； stainless steel crown