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Original Research

Open Access

Long-term outcome of oral health in uncooperative children with caries treated under general anesthesia

  • Liatsi Aikaterini1
  • Agouropoulos Andreas1,*,
  • Balta G Maria2
  • Tsiligianni Athanasia1
  • Gizani Sotiria1

1Department of Paediatric Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece

2Periodontology and Implant Dentistry, The CrossTalk group, Institute of Oral Biology, Dental faculty, University of Oslo, 0316 Oslo, Norway

DOI: 10.22514/jocpd.2023.024 Vol.47,Issue 3,May 2023 pp.64-70

Submitted: 02 November 2022 Accepted: 05 January 2023

Published: 03 May 2023

*Corresponding Author(s): Agouropoulos Andreas E-mail: agourop@dent.uoa.gr

Abstract

Although uncooperative children with extensive caries can be treated under general anesthesia (GA), they remain at high-risk for caries recurrence. This study aimed to assess the long-term outcome of the dental health of uncooperative healthy children (HC) and special needs patients (SNP) treated under GA at least 2 years before this study. Data were collected via questionnaire and oral examination. Oral hygiene was assessed using the Hygiene Index, while caries were recorded using ICDAS II. The dmfs/DMFS score was calculated for every participant. A total of 69 patients completed the questionnaire, and 37 were clinically examined (HC = 15, SNP = 22). The mean (±SD-standard diviation) follow-up time was 5.5 (±2.55) years, the mean DMFS score for HC was 6.39 (±4.99), and the mean DMFS score for SNP was 12.95 (±12.29). The SNP group had significantly more filled surfaces on permanent teeth than the HC group (6.18 (±6.17) vs. 1.54 (±3.27), p = 0.004). In regard to primary teeth, HC had a higher dmfs, indicating a clear trend for more decayed surfaces in this group of participants (p = 0.08). The DMFS score was significantly higher in children who underwent GA more than 5 years ago. Oral health-related behavior was not improved as expected. Altogether, HC and SNP have poor oral hygiene and high caries risk in primary and permanent dentition, and their treatment remains challenging.


Keywords

Dental general anesthesia; Long-term outcome; Special needs patients; Caries recurrence; Follow-ups


Cite and Share

Liatsi Aikaterini,Agouropoulos Andreas,Balta G Maria,Tsiligianni Athanasia,Gizani Sotiria. Long-term outcome of oral health in uncooperative children with caries treated under general anesthesia. Journal of Clinical Pediatric Dentistry. 2023. 47(3);64-70.

References

[1] O’Sullivan EA, Curzon ME. The efficacy of comprehensive dental care for children under general anesthesia. Br Dent J 1991;171:56-8.

[2] Schroth RJ, Smith WF. A review of repeat general anesthesia for pediatric dental surgery in Alberta, Canada. Pediatric Dentistry. 2007; 29: 480–487.

[3] Worthen TB, Mueller W. Implications of parental compliance on decision making in care provided using general anesthesia in a low-income population. ASDC Journal of Dentistry for Children. 2000; 67: 197–199.

[4] Jamieson WJ, Vargas K. Recall rates and caries experience of patients undergoing general anesthesia for dental treatment. Pediatric Dentistry. 2007; 29: 253–257.

[5] Amin MS, Bedard D, Gamble J. Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia. European Archives of Paediatric Dentistry. 2010; 11: 269–273.

[6] Almeida AG, Roseman MM, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatric Dentistry. 2000; 22: 302–306.

[7] Gizani S, Vinckier F, Quirynen M, Declerck D. Children with rampant caries in the primary dentition: oral health situation 1 year after total dental rehabilitation under general anaesthesia. European Journal of Paediatric Dentistry. 2001; 2: 29–37.

[8] Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. Journal of Dental Research. 2002; 81: 561–566.

[9] Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. European Archives of Paediatric Dentistry. 2008; 9: 114–125.

[10] El Batawi HY. Factors affecting clinical outcome following treatment of early childhood caries under general anaesthesia: a two-year follow-up. European Archives of Paediatric Dentistry. 2014; 15: 183–189.

[11] Mallineni SK, Yiu CKY. A retrospective review of outcomes of dental treatment performed for special needs patients under general anaesthesia: 2- year follow-up. The Scientific World Journal. 2014; 2014: 748353.

[12] Oh TJ, Nam OH, Kim MS, Choi SC, Lee HS. Oral health of patients with special health care needs after general anesthesia: a 25- year retrospective study. Pediatric Dentistry. 2014; 40: 215–219.

[13] Lin Y, Chou C, Lin YJ. Caries experience between primary teeth at 3–5 years of age and future caries in the permanent first molars. Journal of Dental Sciences. 2021; 16: 899–904.

[14] EzEldeen M, Gizani S, Declerck D. Long-term outcome of oral health in patients with early childhood caries treated under general anaesthesia. European Archives of Paediatric Dentistry. 2015; 16: 333–340.

[15] Crutchfield TM, Kistler CE. Getting patients in the door: medical appointment reminder preferences. Patient Preference and Adherence. 2017; 11: 141–150.

[16] Kavvadia K, Agouropoulos A, Gizani S, Papagiannouli L, Twetman S. Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram. European Journal of Dentistry. 2012; 6: 415–421.

[17] Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. International Journal of Paediatric Dentistry. 2002; 12: 47–52.

[18] Al-Eheideb AA, Herman NG. Outcomes of dental procedures performed on children under general anesthesia. Journal of Clinical Pediatric Dentistry. 2003; 27: 181–183.

[19] Hajek A, De Bock F, Huebl L, Kretzler B, König HH. Postponed dental visits during the COVID-19 pandemic and their correlates. Evidence from the nationally representative COVID-19 snapshot monitoring in germany (COSMO). Healthcare. 2021; 9: 50.

[20] Üstün N, Akgöl BB, Bayram M. Influence of COVID-19 pandemic on paediatric dental attendance. Clinical Oral Investigations. 2021; 25: 6185–6191.

[21] Peerbhay FB. Compliance with preventive care following dental treatment of children under general anaesthesia. SADJ. 2009; 64: 442–445.

[22] Peretz B, Faibis S, Ever-Hadani P, Eidelman E. Dental health behavior of children with BBTD treated using general anesthesia or sedation, and of their parents in a recall examination. ASDC Journal of Dentistry for Children. 2000; 67: 50–59.

[23] Roberts GJ. Caries and the preschool child: treatment of the preschool child in the hospital service. Journal of Dentistry. 1990; 18: 321–324.

[24] Mathu-Muju KR, Bush HM, Ho LA, Golden S, Roberts MW, Wright TJ. Socio-ecological factors associated with returning for post-operative care after dental treatment under general anesthesia. Pediatric Dentistry. 2010; 32: 27–34.

[25] Wotman S. Recurrence of early childhood caries after comprehensive treatment with general anesthesia and follow-up. Yearbook of Dentistry. 2007; 2007: 196.

[26] Tahmassebi JF, Achol LT, Fayle SA. Analysis of dental care of children receiving comprehensive care under general anaesthesia at a teaching hospital in England. European Archives of Paediatric Dentistry. 2014; 15: 353–360.

[27] Thomson WM. Day-stay treatment for dental caries at a New Zealand hospital dental unit: a 5-year retrospective audit. New Zealand Dental Journal. 1994; 90: 139–142.

[28] Drummond BK, Davidson LE, Williams SM, Moffat SM, Ayers KM. Outcomes two, three and four years after comprehensive care under general anaesthesia. New Zealand Dental Journal. 2004; 100: 32–37.

[29] Kakaounaki E, Tahmassebi JF, Fayle SA. Further dental treatment needs of children receiving exodontia under general anaesthesia at a teaching hospital in the UK. International Journal of Paediatric Dentistry. 2006; 16: 263–269.

[30] Kakaounaki E, Tahmassebi JF, Fayle SA. Repeat general anaesthesia, a 6- year follow up. International Journal of Paediatric Dentistry. 2011; 21: 126–131.

[31] Bücher K, Rothmaier K, Hickel R, Heinrich-Weltzien R, Kühnisch J. The need for repeated dental care under general anaesthesia in children. European Journal of Paediatric Dentistry. 2016; 17: 129–135.

[32] Rudie MN, Milano MM, Roberts MW, Divaris K. Trends and characteristics of pediatric dentistry patients treated under general anesthesia. Journal of Clinical Pediatric Dentistry. 2018; 42: 303–306.

[33] Bullen C, Rubenstein L, Saravia ME, Mourino AP. Improving children’s oral hygiene through parental involvement. ASDC Journal of Dentistry for Children. 1988; 55: 125–128.

[34] Pine CM, Adair PM, Burnside G, Brennan L, Sutton L, Edwards RT, et al. Dental RECUR randomized trial to prevent caries recurrence in children. Journal of Dental Research. 2020; 99: 168–174.



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