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Original Research

Open Access

Change in oral health-related behaviours of children before and after dental treatments under general anaesthesia

  • Mianxiang Li1,†
  • Huacui Xiong2,†
  • Meimei Li2
  • Wong Wen Chee2
  • Ke Chen1,2,*,

1Guangzhou Women and Children’s Medical Center, 510623 Guangzhou, Guangdong, China

2Stomatological Hospital, Southern Medical University, 510115 Guangzhou, Guangdong, China

DOI: 10.22514/jocpd.2024.063 Vol.48,Issue 3,May 2024 pp.94-100

Submitted: 24 April 2023 Accepted: 29 August 2023

Published: 03 May 2024

*Corresponding Author(s): Ke Chen E-mail: chenke@smu.edu.cn

† These authors contributed equally.

Abstract

This study evaluated the behavioural changes pertaining to children’s oral health before and after the dental general anaesthesia (DGA), with particular focus on the factors associated with these changes. The records were collected for the children who received DGA from July 2015 to November 2016, and relevant questionnaires were obtained from their parents/guardians for the information prior to and after the DGA. The questionnaire included Early Childhood Oral Health Impact Scale (ECOHIS) and Dental Subscale of Children’s Fear Survey Schedule (CFSS-DS) to investigate the changes in Oral Health-related Quality of Life (OHRQoL) and dental fear. The DGA impact on children’s oral hygiene habits and oral health-related behaviours was assessed by analysing the data. The chi-square test and Mann-Whitney test were employed to evaluate the differences. Total of 141 patients (89 before DGA and 77 after DGA, 25 being common) participated in this study. There were 60 children below 5 years and 29 over 5 years before DGA, while 41 children below 5 years and 36 over 5 years after DGA. Most parents/guardians were educated above undergraduate level (59.6% before DGA, 55.8% after DGA). More children lived with grandparents (61.8% before DGA, 54.5% after DGA) than only with parents (20.2% before DGA, 26.0% after DGA). In total, 73.0% (65/89) children before DGA brushed teeth more than twice a day. This proportion increased to 90.9% after DGA (70/77, p = 0.03). The eating difficulty decreased after DGA according to ECOHIS (p = 0.01). CFSS-DS score also decreased after DGA (p < 0.05). After DGA, children’s oral hygiene habits and oral health-related quality of life (OHRQoL) improved, children fear for dental treatment decreased, and parents became more attentive towards children oral health.


Keywords

Dental general anaesthesia (DGA); Dental anxiety; Oral health-related behaviours


Cite and Share

Mianxiang Li,Huacui Xiong,Meimei Li,Wong Wen Chee,Ke Chen. Change in oral health-related behaviours of children before and after dental treatments under general anaesthesia. Journal of Clinical Pediatric Dentistry. 2024. 48(3);94-100.

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