Impact of Dental Rehabilitation Under General Anesthesia on Oral Health-Related Quality-of-Life and Dental Anxiety in Turkish Children
Keywords:Oral Health, Child, Quality of Life, Dental Anxiety, General Anesthesia
Objective: To analyze children's and parents' oral health-related quality of life (OHRQoL) and children's dental fears before and after the dental rehabilitation under general anesthesia (DRGA). Material and Methods: 104 parents and their 3 to 13-year-old children (5.90 ± 2.42) who received DRGA were surveyed before and after DRGA. The children were divided into two groups: Group 1 - healthy children (n=43) and Group 2 - children with medical problems (n=61). After recording their socio-demographic information, parents completed a self-administered questionnaire named Early Childhood Oral Health Impact Scale (ECOHIS), which includes two main parts - Child Impact Section (CIS) and Family Impact Section (FIS). On the other hand, the children received a dentist-administered questionnaire named Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Frankle Behavior Scale (FBS). For statistical analyses, Wilcoxon Signed-Rank, Mann Whitney-U, Kruskal-Wallis, and Spearman's Correlation tests were used. Results: A statistically significant decrease in all CIS, FIS, ECOHIS and CFSS-DS scores was observed after DRGA (p<0.01). This decline was greater in healthy children than in children with systemic problems (p<0.01). Conclusion: Children's and parents' OHRQoL showed better results after DRGA. The decreases in dental anxiety in children were observed after DRGA.
Muntean A, Mesaros AS, Festila D, Mesaros M. Modern management of dental decay in children and adolescents - a review. Clujul Medical 2015; 88(2):137. https://doi.org/10.15386/cjmed-401
American Academy on Pediatric Dentistry. Policy on Early Childhood Caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent 2018; 40(6):60-2.
Baghdadi ZD. Effects of dental rehabilitation under general anesthesia on children’s oral health-related quality of life using proxy short versions of OHRQoL instruments. ScientificWorldJournal 2014; 2014:308439. https://doi.org/10.1155/2014/308439
Doğan MC, Seydaoglu G, Uguz S, Inanc BY. The effect of age, gender and socio-economic factors on perceived dental anxiety determined by a modified scale in children. Oral Health Prev Dent 2006; 4(4):235-41.
Jankauskiene B, Virtanen JI, Kubilius R, Narbutaite J. Oral health-related quality of life after dental general anaesthesia treatment among children: a follow-up study. BMC Oral Health 2014; 14(1):81. https://doi.org/10.1186/1472-6831-14-81
American Academy of Pediatric Dentistry. Clinical guideline on management of persons with special health care needs. Pediatr Dent 2004; 26(7 Suppl):77-80.
American Academy of Pediatric Dentistry. Guideline on Management of Dental Patients with Special Health Care Needs. Pediatr Dent 2016; 38(5):67-72.
Ridell K, Borgström M, Lager E, Magnusson G, Brogårdh-Roth S, Matsson L. Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia. Acta Odontol Scand 2015; 73(1):1-7. https://doi.org/10.3109/00016357.2014.919661
Ramazani N. Different aspects of general anesthesia in pediatric dentistry: a review. Iran J Pediatr 2016; 26(2):e2613. https://doi.org/10.5812/ijp.2613
Souza JGS, Souza SE, Noronha MDS, Ferreira EFE, Martins A. Impact of untreated dental caries on the daily activities of children. J Public Health Dent 2018; 78(3):197-202. https://doi.org/10.1111/jphd.12259
Jankauskiene B, Virtanen JI, Narbutaite J. Follow-up of children's oral health-related quality of life after dental general anaesthesia treatment. Acta Odontol Scand 2017; 75(4):255-61. https://doi.org/10.1080/00016357.2017.1286034
Guney SE, Araz C, Tirali RE, Cehreli SB. Dental anxiety and oral health-related quality of life in children following dental rehabilitation under general anesthesia or intravenous sedation: a prospective cross-sectional study. Niger J Clin Pract 2018; 21(10):1304-10. https://doi.org/10.4103/njcp.njcp_150_18
Farsi DJ, Farsi NJ, El-Housseiny AA, Damanhouri WH, Farsi NM. Responsiveness of the Arabic version of the ECOHIS to dental rehabilitation under general anaesthesia. Int J Paediatr Dent 2018; 28(1):52-61. https://doi.org/10.1111/ipd.12307
Cantekin K, Yildirim MD, Cantekin I. Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anesthesia. Pediatric Dent 2014; 36(1):12E-17E.
Pahel BT, Rozier RG, Slade GD. Parental perceptions of children's oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes 2007; 5(1):6. https://doi.org/10.1186/1477-7525-5-6
Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight-to ten-year-old children. Pediatric Dent 2004; 26(6):512-8.
Foster Page L, Thomson W, Jokovic A, Locker D. Validation of the child perceptions questionnaire (CPQ11-14). J Dent Res 2005; 84(7):649-52. https://doi.org/10.1177/154405910508400713
Gherunpong S, Tsakos G, Sheiham A. Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP. Community Dent Health 2004; 21(2):161-9.
Li S, Veronneau J, Allison PJ. Validation of a French language version of the early childhood oral health impact scale (ECOHIS). Health Qual Life Outcomes 2008; 6(1):9. https://doi.org/10.1186/1477-7525-6-9
Lee GH, Mcgrath C, Yiu CK, King NM. Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Int J Paediatr Dent 2009; 19(6):399-405. https://doi.org/10.1111/j.1365-263X.2009.01000.x
Peker K, Uysal Ö, Bermek G. Cross-cultural adaptation and preliminary validation of the Turkish version of the Early Childhood Oral Health Impact Scale among 5-6-year-old children. Health Qual Life Outcomes 2011; 9(1):118. https://doi.org/10.1186/1477-7525-9-118
Cuthbert M, Melamed BG. A screening device: children at risk for dental fears and management problems. J Dent Child 1982; 49(6):432-6.
Serim-Yildiz B, Erdur-Baker O. Examining the cultural validity of fear survey schedule for children: the contemporary fears of Turkish children and adolescents. J Genet Psychol 2013; 174(4):345-65. https://doi.org/10.1080/00221325.2012.678420
Klinberg G. Dental anxiety and behaviour management problems in paediatric dentistry--a review of background factors and diagnostics. Eur Arch Paediatr Dent 2008; 9(Suppl 1):11-5. https://doi.org/10.1007/BF03262650
Yıldırım C, Akgün Ö, Polat G, Ok M, Altun C, Başak F. Assessment of dental fear in turkish children with the frankl behavior rating Scale (FS) and the sound-eye-Motor (SEM) scale. Gülhane Tıp Derg 2016; 58:272-6. https://doi.org/10.5455/gulhane.180391
Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Paediatr Dent 2002; 12(1):47-52. https://doi.org/10.1046/j.0960-7439.2001.00322.x
Mayhew D, Mendonca V, Murthy BVS. A review of ASA physical status - historical perspectives and modern developments. Anaesthesia 2019; 74(3):373-9. https://doi.org/10.1111/anae.14569
Sakaryali D, Bani M, Cinar C, Alacam A. Evaluation of the impact of early childhood caries, traumatic dental injury, and malocclusion on oral healthuRelated quality of life for Turkish preschool children and families. Niger J Clin Pract 2019; 22(6):817-23. https://doi.org/10.4103/njcp.njcp_581_18
Cohen J. Statistical Power Analysis for the Behavioural Sciences. 2nd. ed. Hillsdale: Lawrence Erlbaum Associates; 1988.
Faker K, Tostes MA, Paula VAC. Impact of untreated dental caries on oral health-related quality of life of children with special health care needs. Braz Oral Res 2019; 32:e117. https://doi.org/10.1590/1807-3107BOR-2018.vol32.0117
Duruk G, Aksoy H, Gurbuz T, Laloglu E, Tan H: Oral hygiene in children with epilepsy: effect of interleukin-1 beta and VEGF levels in gingival crevicular fluid. Dent Med Probl 2017; 54(1):67-71. https://doi.org/10.17219/dmp/65450
Duruk G, Kuru R, Gorgen VA. A comprehensive survey of dental rehabilitation under general anaesthesia at a dental hospital in Turkey. J Res Med Dent Sci 2020; 8(3):44-9.
Knapp R, Gilchrist F, Rodd HD, Marshman Z. Change in children's oral health-related quality of life following dental treatment under general anaesthesia for the management of dental caries: a systematic review. Int J Paediatr Dent 2017; 27(4):302-12. https://doi.org/10.1111/ipd.12259
Thomas CW, Primosch RE. Changes in incremental weight and well-being of children with rampant caries following complete dental rehabilitation. Pediatric Dent 2002; 24(2):109-13.
Akbay Oba A, Dülgergil ÇT, Sönmez IŞ. Prevalence of dental anxiety in 7-to 11-year-old children and its relationship to dental caries. Med Princ Pract 2009; 18(6):453-7. https://doi.org/10.1159/000235894
Klaassen MA, Veerkamp JS, Hoogstraten J. Young children’s Oral Health‐Related Quality of Life and dental fear after treatment under general anaesthesia: a randomized controlled trial. Eur J Oral Sci 2009; 117(3):273-8. https://doi.org/10.1111/j.1600-0722.2009.00627.x
Pasin L, Febres D, Testa V, Frati E, Borghi G, Landoni G, et al. Dexmedetomidine vs midazolam as preanesthetic medication in children: a meta-analysis of randomized controlled trials. Paediatr Anaesth 2015; 25(5):468-76. https://doi.org/10.1111/pan.12587
Patel T, Kurdi MS. A comparative study between oral melatonin and oral midazolam on preoperative anxiety, cognitive, and psychomotor functions. J Anaesthesiol Clin Pharmacol 2015; 31(1):37-43. https://doi.org/10.4103/0970-9185.150534
Kain ZN, MacLaren JE, Herrmann L, Mayes L, Rosenbaum A, Hata J, et al. Preoperative melatonin and its effects on induction and emergence in children undergoing anesthesia and surgery. Anesthesiology 2009; 111(1):44-9. https://doi.org/10.1097/ALN.0b013e3181a91870
Kain ZN, Caldwell-Andrews AA, Krivutza DM, Weinberg ME, Wang SM, Gaal D. Trends in the practice of parental presence during induction of anesthesia and the use of preoperative sedative premedication in the United States, 1995-2002: results of a follow-up national survey. Anesth Analg 2004; 98(5):1252-9. https://doi.org/10.1213/01.ane.0000111183.38618.d8
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