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

Park, Joon; Anthonappa, Robert P.; King, Nigel; McGrath, Colman

doi:10.1111/ipd.12452

Cited by 11 publications

(13 citation statements)

References 53 publications

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“…Although any OHRQoL measure that attempts to assess outcomes for participants who are not yet able to articulate their own opinions has limitations, 24 the differences in both mean scores and the prevalence of impacts across the FIS scale and subscales suggest that the intervention was beneficial. The differences observed were similar to the medium‐to‐large effect sizes reported in another nine studies that used the FIS to assess changes in OHRQoL after dental treatment under general anaesthesia 25 …”

Section: Discussionsupporting

confidence: 85%

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Turton

Durward

Crombie

et al. 2020

Comm Dent Oral Epid

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Objective To critically evaluate an early childhood caries (ECC) intervention performed by non‐dental primary healthcare providers. Methods This mixed‐methods investigation includes data from three sources: (a) a pilot non‐randomized controlled trial to examine clinical outcomes at four health centres; (b) stakeholder focus group interviews; and (c) a survey of parents whose children were exposed to the intervention. The pilot study involved four Community Health Centres in rural Cambodia whereby mother‐child (6‐24 months of age)dyads received oral health education (OHE), toothbrushes, fluoride toothpaste and fluoride varnish on up to six occasions as part of the routine vaccination schedule. Outcomes were as follows: presence of ECC; impacts on oral health‐related quality of life (OHRQoL); stakeholder perceptions of intervention delivery; and parental perceptions of fluoride varnish. Results Participants in the intervention group had six times lower odds of developing ECC than those in the comparison group after controlling for socio‐economic status (OR 0.13). Those in the intervention group also had a large reduction OHRQoL scale scores. Key knowledge and practice gaps were identified among stakeholders. Surveyed parents had favourable views of the fluoride varnish placement by medical professionals, and four out of five stated that they would recommend fluoride varnish for other children. Primary healthcare providers, commune council representatives and community health promoters supported oral health interventions being provided in CHCs. Conclusions OHE and fluoride varnish interventions provided by non‐dental primary health workers were feasible and acceptable for stakeholders in a Cambodian setting. The intervention group had lower ECC experience and better OHRQoL at 2 years of age.

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Section: Discussionsupporting

confidence: 85%

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Turton

Durward

Crombie

et al. 2020

Comm Dent Oral Epid

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“…48 There is evidence to support an improvement in OHRQoL following comprehensive dental rehabilitation under general anaesthesia. 49,50 To date, there are no published studies that comprehensively assess dental patient-reported outcomes (dPRO) after the use of alternative pulp medicaments in primary teeth. 48 However, from the available published studies, the absence of soft tissue pathology and pain is used as a measure of clinical success.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Efficacy of Alternative Medicaments for Pulp Treatment in Primary Teeth in the Short Term: A Meta-analysis

Park

Jasani

Patel

et al. 2019

Journal of Evidence Based Dental Practice

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Objective: This systematic review and meta-analysis aimed to evaluate the overall, clinical, and radiographical success rates of alternative pulpotomy medicaments in primary teeth. Methods: A systematic search of five databases was conducted following the PRISMA guidelines. Prospective clinical trials utilising alternative pulpotomy medicaments in children were included. The outcome measures were overall, clinical, and radiographic success, expressed in percentages and converted to odds ratios (OR). Fifteen articles were included in the meta-analysis. Results: combined OR for overall, clinical, and radiographic success was 0.55 [95% CI: 0.12-2.41; P=0.42; I 2 =76%], 1.03 [95% CI: 0.57-1.86; P= 0.92; I 2 =0%] and 0.84 [95% CI: 0.54-1.47; P=0.66; I 2 =34%], respectively. The results suggest an inconclusive outcome in the success rate of alternative medicaments. Conclusions: There is insufficient evidence to support the efficacy of alternative pulpotomy medicaments for use in primary teeth. Further robust studies are required before such alternative medicaments should be used in clinical practice.

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“…People with SHCN, including those with intellectual disability (ID), often show poor oral health due to various developmental disorders and/or cognitive disabilities, along with limitations to tolerate routine treatment at the dental clinic ( 1 ). In addition, general anesthesia (GA) is required in many of them to provide safe dental treatment given their persistent inability to cooperate, the severity of their dental problems, and the complex and extensive procedures they often need ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

Oral health-related quality of life after dental treatment in patients with intellectual disability

Rollon-Ugalde¹,

Coello-Suanzes²,

Lopez-Jimenez³

et al. 2020

Med Oral

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Background The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was to estimate the changes on OHRQOL in patients with ID after the implementation of an institutional dental treatment program under general anesthesia using the Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire (FHCOHRQOL-Q). Material and Methods A prospective longitudinal study was conducted on 85 patients (mean age=24.85 years) classified according to DSM-V whose parents/caregivers completed the FHC-OHRQOL-Q. We analyzed the changes in the questionnaire’s overall score and its dimensions from pre-treatment to 12-months of follow-up, considering effect sizes and minimal important differences estimated by the standard measurement error. The impact of clinical and therapeutic factors was evaluated using univariate and multiple linear regression analysis ( p <0.05). Results Significant improvement of OHRQOL was found after dental treatment in oral symptoms ( p 0.001), daily life problems ( p =0.018), parent’s perceptions ( p =0.013) and FHCOHRQOL-Q´s overall score ( p =0.001). OHRQOL changes exhibited an intermediate magnitude (0.38-0.21) as estimated by effect sizes. Changes in oral symptoms showed positive correlation with DMFT index ( r =0.375, p =0.002), decayed teeth ( r =0.244, p =0.036), dental extractions ( r =0.424, p <0.001) and number of treatments ( r =0.255, p =0.019). The improvement was greater in patients with 4 decayed teeth ( p =0.049) and undergoing 2 dental extractions ( p =0.002). Multiple regression analysis demonstrated that dental extractions ( p <0.001) and DMFT index ( p =0.028) were significantly related to oral symptom improvement. Conclusions Dental treatment under general anesthesia showed a positive effect on the overall FHC-OHRQOL-Q score and most of its dimensions. At 12-months of follow-up, the improvement of oral symptoms was significantly associated with DMFT index, decayed teeth, dental extractions and number of treatments. In our clinical setting, the implementation of a dental treatment program enhanced the OHRQOL of patients with ID. Key words: Oral health-related quality of life, intellectual disability, general anesthesia, special needs, dental treatment, Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire.

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

Cited by 11 publications

References 53 publications

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Efficacy of Alternative Medicaments for Pulp Treatment in Primary Teeth in the Short Term: A Meta-analysis

Oral health-related quality of life after dental treatment in patients with intellectual disability

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