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OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia

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Abstract

Objective

To assess dental treatment under dental general anesthesia (DGA) among Chinese preschool children by investigating changes in their oral health-related quality of life (OHRQoL), the incidence of postoperative complications, and parental satisfaction.

Method

A single-center prospective cohort study was conducted. A total of 190 children who received treatment for early childhood caries (ECC) under DGA were included. The primary outcome was a change in the children’s OHRQoL at 1 month after the operation compared to that at baseline, which was measured by the Early Childhood Oral Health Impact Scale (ECOHIS). The secondary outcomes were the incidence of complications within 1 day after treatment and parental satisfaction with the DGA treatment.

Results

In total, 180 participants were successfully reevaluated after the operation, yielding a 94.7% follow-up response rate. The total ECOHIS score decreased by 76.3% (P < 0.01) after treatment, demonstrating a large effect. Approximately 74.4% of the children complained of at least one complication, including sleepiness (43.3%), emergence agitation (38.9%), nausea/vomiting (13.9%), dizziness (10.6%), and fever (3.3%), on the first day. Approximately 85.5% of the parents were satisfied with the DGA treatment.

Conclusion

DGA treatment has a positive effect on Chinese preschool children’s OHRQoL and is evaluated highly by their parents.

Clinical relevance

Dental treatment under general anesthesia improved the OHRQoL of Chinese preschool children.

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References

  1. Cantekin K, Yildirim MD, Cantekin I (2014) Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anesthesia. Pediatr Dent 36:12E–17E

    PubMed  Google Scholar 

  2. Du MQ, Li Z, Jiang H, Wang X, Feng XP, Hu Y, Lin HC, Wang B, Si Y, Wang CX, Zheng SG, Liu XN, Rong WS, Wang WJ, Tai BJ (2018) Dental caries status and its associated factors among 3- to 5-year-old children in China: a National Survey. Chin J Dent Res 21:167–179. https://doi.org/10.3290/j.cjdr.a41076

    Article  PubMed  Google Scholar 

  3. Almaz ME, Sonmez IS, Oba AA, Alp S (2014) Assessing changes in oral health-related quality of life following dental rehabilitation under general anesthesia. J Clin Pediatr Dent 38:263–267

    Article  PubMed  Google Scholar 

  4. El-Meligy O, Maashi M, Al-Mushayt A, Al-Nowaiser A, Al-Mubark S (2016) The effect of full-mouth rehabilitation on oral health-related quality of life for children with special health care needs. J Clin Pediatr Dent 40:53–61. https://doi.org/10.17796/1053-4628-40.1.53

    Article  PubMed  Google Scholar 

  5. DiMaggio C, Sun LS, Li G (2011) Early childhood exposure to anesthesia and risk of developmental and behavioral disorders in a sibling birth cohort. Anesth Analg 113:1143–1151. https://doi.org/10.1213/ANE.0b013e3182147f42

    Article  PubMed  PubMed Central  Google Scholar 

  6. Jankauskiene B, Virtanen JI, Kubilius R, Narbutaite J (2014) Oral health-related quality of life after dental general anaesthesia treatment among children: a follow-up study. BMC Oral Health 14:81. https://doi.org/10.1186/1472-6831-14-81

    Article  PubMed  PubMed Central  Google Scholar 

  7. Mayeda C, Wilson S (2009) Complications within the first 24 hours after dental rehabilitation under general anesthesia. Pediatr Dent 31:513–519

    PubMed  Google Scholar 

  8. El Batawi HY, Panigrahi P, Awad MA (2014) Perceived outcomes and satisfaction of Saudi parents and their children following dental rehabilitation under general anesthesia: a 2-year follow-up. J Int Soc Prev Commun Dent 4:S153–S160. https://doi.org/10.4103/2231-0762.149024

    Article  Google Scholar 

  9. Wong S, Anthonappa RP, Ekambaram M, Mcgrath C, King NM, Winters JC (2017) Quality of life changes in children following emergency dental extractions under general anaesthesia. Int J Paediatr Dent 27:80–86. https://doi.org/10.1111/ipd.12241

    Article  PubMed  Google Scholar 

  10. Wong HM, McGrath CP, King NM, Lo EC (2011) Oral health-related quality of life in Hong Kong preschool children. Caries Res 45:370–376. https://doi.org/10.1159/000330231

    Article  PubMed  Google Scholar 

  11. Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML (2013) Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 47:211–218. https://doi.org/10.1159/000345534

    Article  PubMed  Google Scholar 

  12. Chao Z, Gui Jin H, Cong Y (2017) The effect of general anesthesia for ambulatory dental treatment on children in Chongqing, Southwest China. Paediatr Anaesth 27:98–105. https://doi.org/10.1111/pan.12983

    Article  PubMed  Google Scholar 

  13. Janse AJ, Sinnema G, Uiterwaal CS, Kimpen JL, Gemke RJ (2005) Quality of life in chronic illness: perceptions of parents and paediatricians. Arch Dis Child 90:486–491. https://doi.org/10.1136/adc.2004.051722

    Article  PubMed  PubMed Central  Google Scholar 

  14. Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G (2002) Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 81:459–463

    Article  PubMed  Google Scholar 

  15. Pahel BT, Rozier RG, Slade GD (2007) Parental perceptions of children’s oral health: the early childhood Oral health impact scale (ECOHIS). Health Qual Life Outcomes 5:6. https://doi.org/10.1186/1477-7525-5-6

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lee GH, McGrath C, Yiu CK, King NM (2009) Translation and validation of a Chinese language version of the Early Childhood Oral Health Impact Scale (ECOHIS). Int J Paediatr Dent 19:399–405. https://doi.org/10.1111/j.1365-263X.2009.01000.x

    Article  PubMed  Google Scholar 

  17. White H, Lee JY, Vann WF Jr (2003) Parental evaluation of quality of life measures following pediatric dental treatment using general anesthesia. Anesth Prog 50:105–110

    PubMed  PubMed Central  Google Scholar 

  18. Lee GH, McGrath C, Yiu CK, King NM (2011) Sensitivity and responsiveness of the Chinese ECOHIS to dental treatment under general anaesthesia. Community Dent Oral Epidemiol 39:372–377. https://doi.org/10.1111/j.1600-0528.2010.00604.x

    Article  PubMed  Google Scholar 

  19. Needleman HL, Harpavat S, Wu S, Allred EN, Berde C (2008) Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia. Pediatr Dent 30:111–121

    PubMed  Google Scholar 

  20. Keles S, Kocaturk O (2018) Postoperative discomfort and emergence delirium in children undergoing dental rehabilitation under general anesthesia: comparison of nasal tracheal intubation and laryngeal mask airway. J Pain Res 11:103–110. https://doi.org/10.2147/JPR.S153637

    Article  PubMed  PubMed Central  Google Scholar 

  21. Gaynor WN, Thomson WM (2012) Changes in young children’s OHRQoL after dental treatment under general anaesthesia. Int J Paediatr Dent 22:258–264. https://doi.org/10.1111/j.1365-263X.2011.01190.x

    Article  PubMed  Google Scholar 

  22. Pakdaman A, Pourhashemi SJ, Bagheri Ghalesalim M, Ghadimi S, Baradaran-Nakhjavani Y (2014) Comparison of children’s oral health related quality of life pre- and post dental treatment under general anesthesia using F-ECOHIS questionnaire. Iran J Pediatr 24:121–122

    PubMed  Google Scholar 

  23. Park JS, Anthonappa RP, Yawary R, King NM, Martens LC (2018) Oral health-related quality of life changes in children following dental treatment under general anaesthesia: a meta-analysis. Clin Oral Investig 22:2809–2818. https://doi.org/10.1007/s00784-018-2367-4

    Article  PubMed  Google Scholar 

  24. Collado V, Pichot H, Delfosse C, Eschevins C, Nicolas E, Hennequin M (2017) Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life : a prospective comparative study. Med Oral Patol Oral Cir Bucal 22:e333–e341

    PubMed  PubMed Central  Google Scholar 

  25. Yawary R, Anthonappa RP, Ekambaram M, McGrath C, King NM (2016) Changes in the oral health-related quality of life in children following comprehensive oral rehabilitation under general anaesthesia. Int J Paediatr Dent 26:322–329. https://doi.org/10.1111/ipd.12200

    Article  PubMed  Google Scholar 

  26. Farsi N, Ba'akdah R, Boker A, Almushayt A (2009) Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health 9:6. https://doi.org/10.1186/1472-6831-9-6

    Article  PubMed  PubMed Central  Google Scholar 

  27. Atan S, Ashley P, Gilthorpe MS, Scheer B, Mason C, Roberts G (2004) Morbidity following dental treatment of children under intubation general anaesthesia in a day-stay unit. Int J Paediatr Dent 14:9–16

    Article  PubMed  Google Scholar 

  28. Keaney A, Diviney D, Harte S, Lyons B (2004) Postoperative behavioral changes following anesthesia with sevoflurane. Paediatr Anaesth 14:866–870. https://doi.org/10.1111/j.1460-9592.2004.01310.x

    Article  PubMed  Google Scholar 

  29. Ersin NK, Oncag O, Cogulu D, Cicek S, Balcioglu ST, Cokmez B (2005) Postoperative morbidities following dental care under day-stay general anesthesia in intellectually disabled children. J Oral Maxillofac Surg 63:1731–1736. https://doi.org/10.1016/j.joms.2005.08.021

    Article  PubMed  Google Scholar 

  30. Breschan C, Platzer M, Jost R, Stettner H, Likar R (2007) Midazolam does not reduce emergence delirium after sevoflurane anesthesia in children. Paediatr Anaesth 17:347–352. https://doi.org/10.1111/j.1460-9592.2006.02101.x

    Article  PubMed  Google Scholar 

  31. Hengst A, Roghmann K (1978) The two dimensions in satisfaction with dental care. Med Care 16:202–213

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors wish to thank all the children who participated in the study.

Funding

This study was supported by the Program for Innovation Team Building at Institutions of Higher Education in Chongqing in 2016, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education.

Author information

Author notes

  1. Hao-feng Jiang and Dan Qin contributed equally to this work.

Authors and Affiliations

  1. College of Stomatology, Chongqing Medical University, No. 426 Songshibei Road, Chongqing, 401147, China

    Hao-feng Jiang, Dan Qin, Song-lin He & Jin-hua Wang

  2. Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China

    Hao-feng Jiang, Dan Qin, Song-lin He & Jin-hua Wang

  3. Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China

    Hao-feng Jiang, Dan Qin, Song-lin He & Jin-hua Wang

Authors
  1. Hao-feng Jiang
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  2. Dan Qin
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  3. Song-lin He
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  4. Jin-hua Wang
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Corresponding authors

Correspondence to Song-lin He or Jin-hua Wang.

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All procedures in studies involving human participants were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Jiang, Hf., Qin, D., He, Sl. et al. OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia. Clin Oral Invest 24, 1997–2004 (2020). https://doi.org/10.1007/s00784-019-03063-z

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  • DOI: https://doi.org/10.1007/s00784-019-03063-z

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