The Effect of Full-Mouth Rehabilitation on Oral Health-Related Quality of Life for Children with Special Health Care Needs

Objectives: Changes in oral health-related quality of life (OHRQoL) among 40 children with special health care needs (CSHCN) aged 5–14 years before and 12 months after full-mouth rehabilitation (FMR) under general anesthesia (GA) in two hospitals in Jeddah city were assessed. Study design: The questionnaire was delivered to the parents/caregivers at baseline (pre-operative) and at the 12-month post-operative follow-up visit. Medical and dental histories and clinical findings were correlated accordingly. Results: The follow-up response rate was 87.5% with 35 children completing a 12-month follow-up visit. The age range was from 5 to 12 years with a mean of 7.3 ± 2.4 years. More than half of the study sample was boys (63%) in the 5–8 year age-group (69%). The impact on OHRQoL was reportedly negative before FMR under GA, with overall scores ranging from 12 to 68 and a mean of 43.34 ± 14.83. OHRQoL improved significantly in all aspects evaluated (P<0.05) following FMR under GA with overall scores ranging from 4 to 41 and a mean of 18.86 ± 8.54. Conclusions: Treating CSHCN under GA, with 3-month recall visits for the patients, had a significant long-term effect on their OHRQoL extending up to 12 months postoperatively.

Rehabilitation, oral health, quality of life, anesthesia, general, follow-up

1. American Academy of Pediatric Dentistry. Definition of special health care needs. Pediatr Dent, 34(special issue): 16, 2012.

2. Owens PL, Kerker BD, Zigler E, Horwitz SM. Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev, 12(1): 28-40, 2006.

3. Asokan S, Muthu MS, Sivakumar N. Dental caries prevalence and treat-ment needs of Down syndrome children in Chennai, India. Indian J Dent Res, 19: 224-229, 2008.

4. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J, 201: 625-626, 2006.

5. Dinesh RB, Arnitha HM, Munshi AK. Malocclusion and orthodontic treatment need of handicapped individuals in South Canara, India. Int Dent J, 53: 13-18, 2003.

6. Macpherson LM, Pine CM, Tochel C, Burnside G, Hosey MT, Adair P. Factors influencing referral of children for dental extractions under general and local anaesthesia. Community Dent Health, 22(4): 282–288, 2005.

7. Malden PE, Thomson WM, Jokovic A, Locker D. Changes in parent-as-sessed oral health-related quality of life among young children following dental treatment under general anaesthetic. Community Dent Oral Epide-miol, 36(2): 108-117, 2008.

8. Al-Malik MI, Al-Sarheed MA. Comprehensive dental care of pediatric patients treated under general anesthesia in a hospital setting in Saudi Arabia. J Contemp Dent Pract, 7: 79-88, 2006.

9. Barberia E, Arenas M, Gómez B, Saavedra-Ontiveros D. An audit of paediatric dental treatments carried out under general anaesthesia in a sample of Spanish patients. Community Dent Health, 24(1): 55-58, 2007.

10. Janse AJ, Sinnema G, Uiterwaal CS, Kimpen JL, Gemke RJ. Quality of life in chronic illness: perception of parents and paediatricians. Arch Dis Child, 90(5): 486-491, 2005.

11. Vaitkaitienė E, Makari J, Zaborskis A. Gyvenimo kokybės samprata ir sveikatos nulemtos vaikų gyvenimo kokybės tyrimai [Quality of life conception and surveys on childrens‘ oral health related quality of life]. Medicina, 43: 746-753, 2007.

12. Allen PF. Assessment of oral health related quality of life. Health Qual Life Outcomes, 1: 40, 2003.

13. Walter MH, Woronuk JI, Tan HK, Lenz U, Koch R, Boening KW, Pinch-beck YJ. Oral health related quality of life and its association with socio-demographic and clinical findings in 3 northern outreach clinics. J Can Dent Assoc, 73(2): 153, 2007.

14. Jankauskiene B, Narbutaite J. Changes in oral health-related quality of life among children following dental treatment under general anaesthesia: A systematic review. Stomatologija, 12: 60-64, 2010.

15. The Employment and Disability Institute. Disability Statistics. Online Resource for US Disability Statistics, 2000.

16. Oral health surveys: Basic methods. 4th ed. Geneva: World Health Orga-nization, 1997.

17. James PMC, Iaekson D, Slack GL, Lawton FE. Gingival health and dental cleanliness in English school children. Arch Oral Biol, 3: 57-66, 1960.

18. Oral health surveys: Basic methods. 3rd ed. Geneva: World Health Orga-nization, 1987.

19. Silness P, Lӧe H. Periodontal disease in pregnancy. Acta Odontol Scand, 22: 121, 1964.

20. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res, 81(7): 459-463, 2002.

21. Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent, 26: 512–518, 2004.

22. Eiser C, Morse R. Quality-of-life measures in chronic diseases of child-hood. Health Technol Assess, 5(4): 1-157, 2001.

23. Sawyer MG, Reynolds KE, Couperr JJ, Staugas R. A two-year prospec-tive study of the health-related quality of life of children with chronic illness – the parent’s perspective. Qual Life Res, 14: 395-405, 2005.

24. Klaassen MA, Veerkamp JS, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children’s oral-health-related quality of life. Eur Arch Paediatr Dent, 9: 130-137, 2008.

25. Klaassen MA, Veerkamp JS, Hoogstraten J. Young children’s Oral Health- Related Quality of Life and dental fare after treatment under general anaesthesia: a randomized controlled trial. Eur J Oral Sci, 117(3): 273- 278, 2009.

26. Dahl KE, Wang NJ, Skau I, Ohrn K. Oral health-related quality of life and associated factors in Norwegian adults. Acta Odontol Scand, 69(4): 208- 214, 2011.

27. Desai M, Messer LB, Calache H. A study of the dental treatment needs of children with disabilities in Melbourne, Australia. Aust Dent J, 46: 41-50, 2001.

28. Marshman Z, Rodd H, Stern M, Mitchell C, Locker D, Jokovic A, Robinson PG. An evaluation of the Child Perceptions Questionnaire in the UK. Community Dent Health, 22(3): 151–155, 2005

29. Brown A, Al-Khayal Z. Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ11-14) in Saudi Arabia. Int J of Paediatr Dent, 16: 405-411, 2006.

30. O’Connor R. Measuring Quality of Life in Health. 1st ed. Edinburgh, Elsevier/ Churchill Livingstone, 2004.