家長對於兒童牙科全瓷冠乳牙套之接受度及相關影響因素之探討

研究背景與目的: 由於現今忙碌的生活型態，與飲食習慣的改變，兒童齲齒問題仍然非常嚴重，常常需要根管治療及乳牙套之保護 。為了改善乳牙套美觀的問題，近來兒童牙科推出強調美觀之全瓷冠乳牙套，屬於高自費之項目，因此本研究之目的，是探討家長對於全瓷冠乳牙套之接受意願及相關影響因素。方法:本研究利用填寫問卷，總共發放兩百份問卷，研究對象為帶孩童至兒童牙科就診之家長，地點為中部某醫學中心，收集後統計分析 ，統計方法為t-檢定 及多變項分析 ANOVA。結果: 回收有效問卷195份，分析結果發現家長及家庭等背景因素，孩童基本資料，家長有無做過全瓷冠乳牙套的經驗，及對價位看法和接受意願程度沒有顯著相關性，有每三個月定期檢查及有固定看診醫師的接受意願有較高之趨勢，家長對全瓷冠乳牙套價位覺得價格尚可或普通者其接受意願程度較高。結論: 全瓷冠乳牙套在國內使用不到五年，透過此研究可了解影響家長接受意願之因素，及家長對價位之看法，未來可多做衛教，宣導乳牙套在美觀及功能上之重要性，因此，本研究對臨床上應用及推廣乳牙套有相當大之助益及貢獻。

Purpose : Children's oral health is much better than the past due to the development of the society, comprehensive care of medical welfare policy. However, owing to the busy lifestyle and changes in eating habits, the problem of children's dental caries is still very serious. The therapy often requires root canal treatment and the protection of tooth crown. Recently, the all-ceramic crown for deciduous tooth that emphasize the beauty have been introduced. The purpose of this study was to investigate the acceptance of all-ceramic primary tooth crown for the parents of pediatric dentistry patients and associated influencing factors.Materials and Methods: A total of 200 questionnaires were distributed at a medical center in the middle of Taiwan. The questionnaires were collected and performed analysed. The statistical methods are t-test and multivariate analysis ANOVA.Results: 195 valid questionnaires were collected. There is no significant correlation between the background of parents and families, children’s characteristics, parents' experience of all-ceramic crown, and the view on price and the acceptance of all-ceramic crown. The acceptance was higher among the groups of regular 3-months check-up and having regular dentist. Parents think that the price of all-ceramic crown is acceptable or the average has a higher acceptance.Conclusions: All-ceramic crown was used in Taiwan for less than five years. We can understand the factors that affect parents' acceptance and their views on price through this study. In the future, we can do more health education to promote. This study has considerable contribution to the clinical application and how to promote the all-ceramic crown.