Quality of life changes in children following emergency dental extractions under general anaesthesia

Wong, Susan; Anthonappa, Robert P.; Ekambaram, Manikandan; McGrath, Colman; King, Nigel; Winters, John C.

doi:10.1111/ipd.12241

Cited by 24 publications

(35 citation statements)

References 29 publications

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“…Higher mean scores of ECOHIS were reported in other studies conducted among Australian children in 2016 and 2017 [32,33].…”

Section: Family Impactcontrasting

confidence: 52%

Changes in children’s oral-health-related quality of life following dental treatment under general anesthesia in the United Arab Emirates

Alantali¹,

Halabi²,

Hussein³

et al. 2019

Preprint

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Background Early Childhood Caries (ECC) is the most common childhood disease in preschool children which often require dental treatment under Dental General Anaesthesia (DGA). Aim: To assess the effect of DGA on United Arab Emirates (UAE) children and their families’ Oral Health Related Quality of Life (OHRQoL). Design: A cross sectional study, using a DGA pre-and post-survey to evaluate changes in OHRQoL. A total of 173 parents completed Early Childhood Oral Health Impact Scale (ECOHIS) before and after their children (mean age 4.6 years) underwent DGA by a pediatric dentist in Al-Ain, UAE from 1st March 2017 to 28th February 2018. The ECOHIS and its effect size (ES) served to evaluate children's OHRQoL, the Wilcoxon signed-rank and the Kruskal-Wallis tests were used for statistical analyses. Results: The mean dmft of the children prior to the treatment was 13.8+3.07. Children’s pain and eating problems and parents feeling upset and guilty were the most frequently reported impacts at baseline. The ECOHIS scores decreased significantly (p < 0.001) after DGA, revealing a large ES for the child (2.19) and family (2.79) sections of the ECOHIS. Conclusions: DGA treatment resulted in significant improvement in all child and family physical, psychological and social aspects of OHRQoL.

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“…Higher mean scores of ECOHIS were reported in other studies conducted among Australian children in 2016 and 2017 [32,33].…”

Section: Family Impactcontrasting

confidence: 52%

Changes in children’s oral-health-related quality of life following dental treatment under general anesthesia in the United Arab Emirates

Alantali¹,

Halabi²,

Hussein³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…In accordance with the inclusion and exclusion criteria, 11 articles were excluded. After evaluating the texts comprehensively, all 21 articles were included in the meta‐analysis . Within the same publication, one study contributed to the meta‐analysis twice because both the ECOHIS and COHRQoL questionnaires were used .…”

Section: Resultsmentioning

confidence: 99%

“…After evaluating the texts comprehensively, all 21 articles were included in the meta-analysis. 3,14,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Within the same publication, one study contributed to the meta-analysis twice because both the ECOHIS and COHRQoL questionnaires were used. 37 In addition, within the same publication, another study utilised the COHRQoL questionnaire in two different groups.…”

Section: Literature Searchmentioning

confidence: 99%

The family impact of dental general anaesthesia in children: A meta‐analysis

Park

Anthonappa

King

et al. 2018

Int J Paed Dentistry

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Background The health and well‐being of children are intimately linked to their parents’ physical, emotional, and social health and social circumstances. Aim To conduct a meta‐analysis of studies that have used the Early Childhood Oral Health Impact Scale (ECOHIS) and Child Oral Health‐Related Quality of Life (COHRQoL) instruments, to evaluate the family impact scale (FIS) changes following their children's dental treatment under general anaesthesia (DGA). Methodology A systematic search was undertaken using the PRISMA guidelines. The inclusion criteria consisted of patients below 16 years of age, DGA, pre‐ and post‐operative assessments, and the use of ECOHIS and COHRQoL. FIS changes were the primary outcome measure, where the mean difference (MD) was calculated. Results After initial search of 105 studies in the database, twenty‐one articles were included in the analysis. A positive outcome in the FIS changes was identified in all studies. The combined MD for FIS using ECOHIS and COHRQoL was 1.52 [95% CI: 1.15‐1.89; P < 0.00001; I2=87%] and 1.10 [95% CI: 0.68‐1.52; P < 0.00001; I2=79%], respectively. Conclusions Dental treatment with general anaesthesia for children had a significant positive impact on parental emotions, activity, and conflict. Following DGA, there was significant improvement in the FIS, with large MD.

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“…[23,24] Wong et al [25] had reported that the oral health-related quality of life of preschool children, admitted to the emergency department with the consequences of untreated dental caries, was significantly improved following emergency GA. Similarly, in a previous study performed by Eidelman et al, [23] a total of 248 restorations were evaluated for the GA group, with a 94% success rate for marginal adaptation, 92% success for anatomic form, and 97% had no secondary caries.…”

Section: Discussionmentioning

confidence: 99%

Oral health-related quality of life in pediatric patients under general anesthesia

Wang

Han

2017

Medicine

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Our goal was to evaluate how dental treatments under general anesthesia (GA) affect the quality of life by a prospective pair-matched design. Pediatric patients, who had received dental treatments under GA, were enrolled and were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS) before the treatment and 1 month after the treatment. To shield the observed impacts, a pair-matched control group was performed. Patients in the control group were also required to complete the ECOHIS at these different points in time. In both groups, the items of troubled sleep and oral/dental pain scored highest, whereas avoiding smiling or laughing and avoiding talking scored lowest before the treatment. The total mean score in the 2 groups was 13.1 and 13.7, respectively, and there was no significant statistical difference (P > 0.05). However, the total mean score was 1.9 in the experimental group after the treatment and smaller compared with the control group (1.9 vs. 4.7, P < 0.001). The majority of the items in both groups had an apparent effect size and the total mean effect in the experimental group was greater than that in the control group (85.5% vs. 65.7%, P < 0.001). Therefore, dental treatment under GA could provide better quality of life restoration compared with treatment over multiple visits.

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Quality of life changes in children following emergency dental extractions under general anaesthesia

Abstract: The OHRQoL of preschool children, who presented to the emergency department with the consequences of untreated dental caries, was significantly improved following emergency DEGA.

Cited by 24 publications

References 29 publications

Changes in children’s oral-health-related quality of life following dental treatment under general anesthesia in the United Arab Emirates

Changes in children’s oral-health-related quality of life following dental treatment under general anesthesia in the United Arab Emirates

The family impact of dental general anaesthesia in children: A meta‐analysis

Oral health-related quality of life in pediatric patients under general anesthesia

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