Impact of Dental Rehabilitation Under General Anesthesia on Oral Health-Related Quality-of-Life and Dental Anxiety in Turkish Children

Duruk, Gülsüm; Kuru, Raziye; Özkan, Ahmet Selim

doi:10.1590/pboci.2021.006

Cited by 2 publications

(5 citation statements)

References 29 publications

(59 reference statements)

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“…Considering that the functional time of primary incisors is 5–8 years and that of canines and molars is 8–10 years, treatment under DGA can satisfy the functional duration for most teeth without clinical symptoms ( 36 ). Moreover, other studies related to the effects of DGA have also proved that the life quality of S-ECC children can be improved after DGA ( 37 , 38 ). Therefore, the clinical outcomes and psychological effects of DGA in children were satisfactory.…”

Section: Discussionmentioning

confidence: 88%

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Incidence and risk factors of unplanned retreatment following dental general anesthesia in children with severe early childhood caries

Li¹,

He²,

Wang³

et al. 2023

Front. Pediatr.

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ObjectiveThis study aimed to retrospectively describe the unplanned retreatment of dental general anesthesia (DGA) in children with severe early childhood caries (S-ECC) and explore potential factors that may influence the outcome of DGA treatment.MethodsMedical records of children with S-ECC who received DGA treatment were screened, and necessary data were extracted. The Kaplan–Meier method and Cox proportional hazards model were used to estimate the DGA survival rate and explore the potential factors affecting the success rate of DGA treatment.ResultsMedical records of 852 children were included; 509 (59.7%) children with 1,212 (10.7%) teeth underwent unplanned retreatment. Restoration failure (30.12%) and new caries (29.46%) accounted for the most significant proportion of all failures. The median survival times were 510 and 1,911 days at the child and tooth levels, respectively. Unplanned retreatment risk was associated with the age of S-ECC children, frequency of follow-up, and fluoride application (hazard ratio = 0.97, 0.78, 0.69, P < 0.001).ConclusionThe treatment outcome of DGA administered to children with S-ECC was satisfactory at the tooth level from the perspective of the incidence of unplanned retreatment. Restoration failure was the main reason for the high unplanned retreatment rate. Strategies for a better outcome of DGA include improving the professional knowledge and skills of pediatric dentists and enhancing compliance of parents/patients. Health education and regular topical fluoride application may improve the success rate of DGA treatment.

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Section: Discussionmentioning

confidence: 88%

“…However, the average number of retreated teeth (36). Moreover, other studies related to the effects of DGA have also proved that the life quality of S-ECC children can be improved after DGA (37,38). Therefore, the clinical outcomes and psychological effects of DGA in children were satisfactory.…”

Section: Discussionmentioning

confidence: 94%

Incidence and risk factors of unplanned retreatment following dental general anesthesia in children with severe early childhood caries

Li¹,

He²,

Wang³

et al. 2023

Front. Pediatr.

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“…GA is preferred as an alternative when undertaking dental treatment on children for this reason [ 6 , 7 ]. One of the principal approaches is to use general anesthesia (GA) during comprehensive oral treatment in children who are very young in age, or who suffer from extreme anxiety and/or physical or mental disabilities [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Dental GA is a day-stay procedure and is a suitable choice for complicated cases. It is performed in a controlled hospital [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ] setting that ensures the quality, safety, efficacy, and efficiency of dental treatment [ 8 , 19 , 20 , 21 , 22 ] Another benefit of GA is that all treatments can be completed in one visit, with less anxiety for both the patient and the parents, and more comfort for the dentist [ 9 ]. Its usage is quite practical for dental institutions, and minimizes the economic burden for the children’s families [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Pain of Pediatric Patients Undergoing Dental Treatment under General Anesthesia Visiting a General Hospital: A Cross-Sectional Study

et al. 2023

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Dental general anesthesia (GA) is a day-stay procedure and is a suitable choice for complicated cases. It is undertaken in a controlled hospital setting that ensures the quality, safety, efficacy, and efficiency of dental treatment. The purpose of this study is to determine the prevalence, severity, duration, and factors related to the occurrence of postoperative discomfort in young children following GA in a general hospital. This study includes a minimum sample size of 23 children that were undergoing GA over a 1-month period. Informed consent was obtained from the parent prior to the treatment. A preoperative questionnaire via the Survey Monkey program was used for the purposes of recording the responses of the survey population. All data related to the immediate postoperative period while the child was in the post-anesthetic recovery room (PAR) was collected and assessed by one of the investigators using the Face, Legs, Activity, Cry, and Consolability (FLACC) pain assessment scale. Postoperative data was gathered using the Dental Discomfort Questionnaire (DDQ-8) and was performed by phone 3 days after the GA procedure. The participating 23 children ranged from 4 to 9 years old (mean 5.43 ± 1.53). A total of 65.2% were girls and 34.8% were boys, with 30.4% experiencing a recent history of pain.

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Impact of Dental Rehabilitation Under General Anesthesia on Oral Health-Related Quality-of-Life and Dental Anxiety in Turkish Children

Cited by 2 publications

References 29 publications

Incidence and risk factors of unplanned retreatment following dental general anesthesia in children with severe early childhood caries

Incidence and risk factors of unplanned retreatment following dental general anesthesia in children with severe early childhood caries

Postoperative Pain of Pediatric Patients Undergoing Dental Treatment under General Anesthesia Visiting a General Hospital: A Cross-Sectional Study

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