European Archives of Paediatric Dentistry

, Volume 15, Issue 3, pp 183–189 | Cite as

Factors affecting clinical outcome following treatment of early childhood caries under general anaesthesia: a two-year follow-up

  • H. Y. El BatawiEmail author
Original Scientific Article



To investigate factors that might affect the clinical outcome of early childhood caries treatment under dental general anaesthesia (DGA).


Retrospective longitudinal study. The medical records of paediatric patients with early childhood caries who underwent full dental rehabilitation under DGA during 2011 in a private medical facility in Jeddah, Saudi Arabia, were investigated. Study parameters were the patient’s financial arrangements and compliance with suggested recall plan. Statistical analysis of caries recurrence and the need to repeat the rehabilitation process was also performed.


Eighteen percent failed to attend any post-operative visit. Twenty-six percent did not comply with the post-operative preventive plan. The overall relapse rate was high (58.5 %), with the highest percentage (68 %) among the non-compliant group. The highest frequency of repeat DGA (10 %) was in the non-compliant group.


Despite the high rate of post-operative caries recurrence, DGA is still an acceptable treatment option as it minimises the need for future dental treatment. Compliance by caregivers with post-operative care plans is as important as the procedure itself. In Saudi Arabia, targeting the actual caregivers with post-operative dental health education presents challenges that might affect the clinical outcome of DGA.


Dental general anaesthesia outcome Early childhood caries 



The author would like to express his gratitude to Soliman Fakeeh Hospital, Jeddah KSA for making this work possible. Gratitude is extended to Dr. Maged El Batawi for supervising the statistical works.


  1. Agresti A. Analysis of ordinal categorical data. Chapter 7: non-model-based analysis of ordinal association, p 184 Somers’ d. Hoboken: Wiley; 2010. p 189. (ISBN 978-0-470-08289-8).Google Scholar
  2. Alamoudi N, Salako NO, Massoud I. Caries experience of children aged 6–9 years in Jeddah, Saudi Arabia. Int J Paediatr Dent. 1996;6:101–5.PubMedCrossRefGoogle Scholar
  3. Albadri SS, Jarad FD, Lee GT, Mackie IC. The frequency of repeat general anaesthesia for teeth extractions in children. Int J Paed Dent. 2006;16:45–8.CrossRefGoogle Scholar
  4. Al-Hussyeen AA. Compliance of Saudi parents with follow-up preventive care following dental treatment under general anesthesia. Saudi Dent J. 2003;15:17–21.Google Scholar
  5. Almeida 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.PubMedGoogle Scholar
  6. Amin MS, Bedard D, Gamble J. Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia. Eur Arch Paediatr Dent. 2010;11:269–73.PubMedCrossRefGoogle Scholar
  7. Amin MS, Harrison RL, Weinstein P. A qualitative look at parents’ experience of their child’s dental general anaesthesia. Int J Paed Dent. 2006;16:309–19.Google Scholar
  8. Berkowitz RJ, Amante A, Kopycka-Kedzierawski DT, Billings RJ, Feng C. Dental caries recurrence following clinical treatment for severe early childhood caries. Pediatr Dent. 2011;33:510–4.PubMedGoogle Scholar
  9. Flynn P. The Saudi Arabian labor force: a comprehensive statistical portrait. Middle East J. 2011;65:575–86.CrossRefGoogle 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, Berkowitz RJ, Proskin HM, et al. Clinical outcomes for early childhood caries: influence of aggressive dental surgery. J Dent Child (Chic). 2004;71:114–7.Google Scholar
  12. Hashim R, Fitzgerald R, Schafer C, Thomson WM. Mothers’ understanding of dental caries-related feeding practices and children’s use of dental care in Ajman. Soc Sci Dent. 2011;1:97–107.Google Scholar
  13. Kakaounaki E, Tahmassebi JF, Fayle SA. Repeat general anaesthesia, a 6-year follow up. Int J Paediatr Dent. 2011;21:126–31.PubMedCrossRefGoogle Scholar
  14. Livny A, Assali R, Sgan-Cohen HD. Early childhood caries among a Bedouin community residing in the eastern outskirts of Jerusalem. BMC Public Health. 2007;7:167.PubMedCentralPubMedCrossRefGoogle Scholar
  15. Ozer S, Sen Tunc E, Bayrak S, Egilmez T. Evaluation of certain risk factors for early childhood caries in Samsun, Turkey. Eur J Paediatr Dent. 2011;12:103–6.PubMedGoogle Scholar
  16. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6.PubMedCrossRefGoogle 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. Togoo RA, Zakirulla M, Yaseen SM. Presence of early childhood caries in 3–6-year-old children visiting dental clinics in Abha city. Guident. 2012;5:70.Google Scholar
  19. Wyne A, Darwish S, Adenubi J, Battata S, Khan N. The prevalence and pattern of nursing caries in Saudi preschool children. Int J Paediatr Dent. 2001;11:361–4.PubMedCrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Paediatric DentistrySharjah UniversitySharjahUnited Arab Emirates

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