The impact of dental caries and its treatment under general anaesthetic on children and their families

Knapp, Rebecca; Marshman, Zoe; Gilchrist, Fiona; Rodd, Helen

doi:10.1007/s40368-020-00591-1

Cited by 15 publications

(14 citation statements)

References 17 publications

(18 reference statements)

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“…This perhaps could be due to their treatment planning towards an ideal (future) occlusion, although more research is needed to validate this claim. In the age range of 7-11 years, GA was the most common treatment modality for both compensated and non-compensated groups, as well as for FPM extractions overall, which is a finding that once again highlights the high dependence on and importance of access to GA for the management of oral health problems in young children (Knapp et al, 2020). Most orthodontic resources were also utilised to advise on cases involving poor prognosis lower FPMs, which suggests that paediatric dentists may prefer for the final decision on upper FPM compensatory extractions to be made by an orthodontist, even with national guidelines available.…”

Section: Discussionmentioning

confidence: 84%

Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?

et al. 2021

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Objective: To observe whether paediatric dentists and orthodontists balance and compensate the extraction of first permanent molars (FPMs) in children aged 7–11 years. Design: Service evaluation. Setting: UK dental teaching hospital. Methods: Retrospective analysis of FPM extraction patterns in patients aged 7–11 years that attended for extraction of FPMs from 1 January 2019 to 31 January 2020 (13-month period). Results: A total of 194 patients were included and they collectively had 435 FPMs extracted. No balancing extractions to prevent dental centreline shifts and no lower FPM compensatory extractions were performed. Compensatory extraction of good prognosis upper FPMs were performed in 64% (94/146) of cases to avoid overeruption. Orthodontic input was sought for poor prognosis lower FPMs in 76% of cases compared to 51% for poor prognosis upper FPMs. Conclusion: Compensatory extraction of good prognosis upper FPMs to avoid overeruption appears to be a common practice at Guy’s and St Thomas’ Hospitals. There was also higher demand for orthodontic advice for cases presenting with poor prognosis lower FPMs compared to poor prognosis upper FPMs, which suggests that paediatric dentists may prefer for the final decision on upper FPM compensatory extractions to be made by an orthodontist, even with national guidelines available. More high-quality research on the topic is required to determine the necessity of this practice for achieving optimal long-term oral health in children.

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Section: Discussionmentioning

confidence: 84%

Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?

et al. 2021

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“…The FIS-8 has had its validity demonstrated in other populations and cultures, such as Oman [ 6 ], New Zealand [ 3 ], Libya [ 16 ], England [ 17 ] and Saudi Arabia [ 18 ]. Those studies have all confirmed the scale’s validity, with marked gradients observed in mean scale scores across the ordinal categories of the global “gold standard” item(s) used.…”

Section: Discussionmentioning

confidence: 99%

Concurrent validity of the short-form Family Impact Scale (FIS-8) in 4-year-old US children

et al. 2022

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Background US data on the validity and reliability of the short-form Family Impact Scale (FIS-8; a scale for measuring the impact of a child’s oral condition on his/her family) are lacking. Methods Cross-sectional analysis of data on four-year-old US children taking part in a multi-center cohort study. For child-caregiver dyads recruited at child age 12 months, the impact of the child’s oral condition on the family was assessed at age 48 months using the FIS-8, with a subsample of 422 caregivers (from 686 who were approached). Internal consistency reliability was assessed using Cronbach’s α, with concurrent validity assessed against a global family impact item (“How much are your family’s daily lives affected by your child’s teeth, lips, jaws or mouth?”) and a global oral health item (“How would you describe the health of your child’s teeth and mouth?”). Results Cronbach’s alpha was 0.83. Although gradients in mean scores across ordinal response categories of the global family impact item were inconsistent, there were marked, consistent gradients across the ordinal categories of the global item on the child’s oral health, with scores highest for those rating their child’s oral health as ‘Poor’. Conclusions While the findings provide some evidence for the utility of the FIS in a US child sample, the study’s replication in samples of preschoolers with greater disease experience would be useful.

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“…Approval for this research, and a related study (Knapp et al 2021 ), was obtained (NHS Research Ethics ID: 16/SS/0187). A convenience sample was drawn from children attending new patient assessment clinics at a British Dental Hospital over a 2-year period (January 2017 to January 2019).…”

Section: Methodsmentioning

confidence: 99%

Clinical, individual and environmental factors related to children’s health-related quality of life following treatment under general anaesthetic for dental caries: a path analysis

Knapp

Marshman

Gilchrist

et al. 2022

Eur Arch Paediatr Dent

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Objective To examine the impact of clinical, individual, and environmental factors on children’s oral health-related quality of life (OHRQoL) and overall health-related quality of life (HRQoL) following dental caries management under general anaesthetic (GA). Methods Participants comprised 5- to 16-year-old children who were referred to a British Dental Hospital, for the management of their dental caries under GA. The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC) and the Child Health Utility 9D (CHU9D) were used to assess child-reported OHRQoL and HRQoL, respectively, at baseline and 3-months follow up. A theoretical conceptual model, based on the Wilson and Cleary model of HRQOL, was evaluated using path analysis to explore indirect and direct relationships of the clinical, individual, and environmental variables on the quality of life outcomes following treatment. Results 85 children completed the study. Path analyses revealed that 47% of the variance in OHRQoL scores was accounted for by the variables in the model. There were significant relationships between change in OHRQoL score and treatment type [extraction only vs. combination care (β = 1.41, p = 0.07)] and number of extractions (β = 0.46, p < 0.001). A higher number of tooth extractions was associated with poorer OHRQoL and HRQoL following treatment. Conclusions Treatment type, via number of extractions, may significantly impact on child OHRQoL and HRQoL following treatment under GA. However, to identify any other factors, that might affect these key outcomes, further enquiry is warranted with a bigger sample.

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The impact of dental caries and its treatment under general anaesthetic on children and their families

Cited by 15 publications

References 17 publications

Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?

Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?

Concurrent validity of the short-form Family Impact Scale (FIS-8) in 4-year-old US children

Clinical, individual and environmental factors related to children’s health-related quality of life following treatment under general anaesthetic for dental caries: a path analysis

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