Advertisement

European Archives of Paediatric Dentistry

, Volume 11, Issue 6, pp 269–273 | Cite as

Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia

  • M. S. AminEmail author
  • D. Bedard
  • J. Gamble
Article

Abstract

AIMS: This was to assess the recurrence of dental caries and the affecting factors after dental surgery for early childhood caries (ECC). STUDY DESIGN: A retrospective study completed in a private dental practice with surgical facilities. METHODS: Dental charts were reviewed for 269 patients under 6-years-old who had comprehensive dental care under general anaesthesia (GA) between January 1, 2005 and December 31, 2007. The rate of new caries was evaluated by recording the new carious lesions at each follow-up appointment up to 24 months after the original dental surgery. RESULTS: Of the 269 patients, 62% had at least one recall appointment within 12 months after the GA; 24% of these had at least one new carious lesion. Of the 36 patients who attended recalls at 13 to 24 months following the GA, 53% had new carious lesions. Demographics, defs/deft before the GA, and number of extractions, pulpotomies, and preformed metal crowns (PMC) at the GA were not associated with relapse. Patients who had a previous dental GA were less likely to relapse in the short term (1–6 months after GA), but more likely to relapse in the longer term (19–24 months), as compared with those who had not had another GA. CONCLUSION: A previous dental GA experience may have an immediate impact on parents to promote healthy behaviours, but the challenges that they face may eventually mean failure of maintaining good oral health in the long term. A comprehensive and frequent preventive approach is required to reduce the relapse rate following a dental surgery for ECC.

Key words

early childhood caries treatment general anaesthesia dental caries recurrence 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. ADSBC (2001) Association of Dental Surgeons of British Columbia. Children’s Dentistry Task Force Report.Google Scholar
  2. Almedia AG, Roseman MM, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatr Dent, 2000;22,302–6.Google Scholar
  3. Amin MS and Harrison RL. Change in parental oral health practices following a child’s dental treatment under general anaesthesia. Eur Arch Paediatr Dent, 2006;7,116–20.PubMedGoogle Scholar
  4. Amin MS and Harrison RL. A conceptual model of parental behavior change following a child’s dental general anesthesia procedure. Pediatr Dent, 2007;29,278–86.PubMedGoogle Scholar
  5. Amin MS and Harrison RL. Understanding parents’ oral health behaviors for their young children. Qual Health Res, 2009;19,116–27.PubMedCrossRefGoogle Scholar
  6. Amin MS, Harrison RL, Benton TS, Roberts M, Weinstein P. Effect of povidoneiodine on Streptococcus mutans in children with extensive dental caries. Pediatr Dent, 2004;26,5–10.PubMedGoogle Scholar
  7. Berkowitz RJ. Causes, treatment and prevention of early childhood caries: a microbiologic perspective. J Can DentAssoc, 2003;69,304–7.Google Scholar
  8. Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anesthesia. ASDC J Dent Child, 1997;64,210–1, 228.PubMedGoogle Scholar
  9. Chace I, Berkowitz RJ, Proskin HM, Weinstein P, Billings RJ. Clinical outcomes for Early Childhood Caries (ECC): the influence of health locus of control. Eur J Paediatr Dent, 2004;5,76–80.Google Scholar
  10. Foster T, Perinpanayagam H, Pfaffenbach A, Certo M. Recurrence of early childhood caries after comprehensive treatment with general anesthesia and follow-up. J Dent Child, 2006;73,25–30.Google Scholar
  11. Graves CE, Chace I, Berkowitz RJ, et al. Clinical outcomes for early childhood caries: influence of aggressive dental surgery. J Dent Child (Chic), 2004;71,114–7.Google Scholar
  12. Hausen H, Karkkainen S, Seppa L. Application of the high-risk strategy to control dental caries. Community Dent Oral Epidemiol, 2000;28,26–34.PubMedCrossRefGoogle Scholar
  13. Kowash MB, Pinfield A, Smith J, Curzon ME. Effectiveness on oral health of a long-term health education programme for mothers with young children. Br Dent J, 2000;188,201–5.PubMedGoogle Scholar
  14. Peerbhay FB. Compliance with preventive care following dental treatment of children under general anaesthesia. SADJ, 2009;64, 442,444–5.Google Scholar
  15. Primosch RE, Balsewich CM, Thomas CW. Outcomes assessment an intervention strategy to improve parental compliance to follow-up evaluations after treatment of early childhood caries using general anesthesia in a Medicaid population. ASDC J Dent Child, 2001; 68,102–8, 80.PubMedGoogle Scholar
  16. Reisine S, Litt M, Tinanoff N. A biopsychosocial model to predict caries in preschool children. Pediatr Dent, 1994;16,413–8.PubMedGoogle Scholar
  17. Sheller B, Williams BJ, Hays K, Mancl L. Reasons for repeat dental treatment under general anesthesia for the healthy child. Pediatr Dent, 2003;25,546–52.PubMedGoogle Scholar
  18. Splieth CH, Nourallah AW, Konig KG. Caries prevention programs for groups: out of fashion or up to date? Clin Oral Investig, 2004;8,6–10.PubMedCrossRefGoogle Scholar
  19. Tinanoff N, O’Sullivan DM. Early childhood caries: overview and recent findings. Pediatr Dent, 1997;19,12–6.PubMedGoogle Scholar
  20. Weinstein P, Harrison RL, Benton TS. Motivating mothers to prevent caries: confirming the beneficial effect of counseling. J Am Dent Assoc, 2006;137,789–93.PubMedGoogle Scholar
  21. Yengopal V, Harneker SY, Patel N, Siegfried N. Dental fillings for the treatment of caries in the primary dentition. Cochrane Database Syst Rev, 2009; CD004483.Google Scholar

Copyright information

© Adis International 2010

Authors and Affiliations

  1. 1.School of Dentistry, Division of a Paediatric DentistryUniversity of AlbertaEdmontonCanada

Personalised recommendations