Oral Health-related Quality of Life of Children with Early Childhood Caries before and after Receiving Complete Oral Rehabilitation under General Anesthesia
Introduction: Early childhood caries (ECC) significantly affects the quality of life of children due to recurrent pain, infection, and other associated problems.
Aim and objective: To assess the change in oral health-related quality of life of children aged <5 years undergoing complete oral rehabilitation under general anesthesia.
Materials and methods: A total of 50 healthy children affected with ECC were enrolled for the present study. Oral health-related quality of life (OHRQoL) of every child was assessed by interviewing the mothers using a prevalidated Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire one day prior to the treatment appointment and comparing the scores with those at 1 and 3 months post-treatment to evaluate the changes in the OHRQoL, if any and assess the stability of the changes.
Results: The results revealed a statistically significant reduction in Ouality of Life (QoL) scores of all the domains and total ECOHIS scores between baseline and 1 month, and baseline and 3 months.
Conclusion: The oral health-related quality of life showed a significant improvement after complete oral rehabilitation under general anesthesia and the improvement persisted beyond the immediate post-treatment period.
Jankauskiené B, Virtanen JI, Narbutaité J. Follow-up of children's oral health-related quality of life after dental general anesthesia treatment. Acta Odontol Scand 2017;75(4):255–261.DOI: 10.1080/00016357.2017.128603W4
Martins LGT, Pereira KCR, Costa SXS, et al. Impact of dental caries on quality of life of school children. Pesq Bras Odontoped Clion Integr DOI: 10.4034/PBOCI.2017.171.43 2016;16(1):307–312.
Brailo V, Janković B, Lozić M, et al. Dental treatment under general anesthesia in a daycare surgery setting. Acta Stomatol Croat 2019;53(1):64–71. DOI: 10.15644/asc53/1/7
Smith G, D’Cruz JR, Rondeau B, et al. General Anesthesia for Surgeons. 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021–. PMID: 29630251. Available at: http://creativecommons.org/licenses/by/4.0/
Li L, Wang H, Han X. Oral health-related quality of life in pediatric patients under general anesthesia. A prospective study. Medicine (Baltimore) 2017;96(2):e5596. DOI: 10.1097/MD.0000000000005596
de Souza MC, Harrison M, Marshman Z. Oral health-related quality of life following dental treatment under general anaesthesia for early childhood caries - a UK-based study. Int J Paediatr Dent 2017;27(1):30–36. DOI: 10.1111/ipd.12221
Gaynor WN, Thomson WM. Changes in young children's OHRQoL after dental treatment under general anaesthesia. Int J Paediatr Dent 2012;22(4):258–264. DOI: 10.1111/j.1365-263X.2011.01190.x
Ganesh A, Muthu MS, Mohan A, et al. Prevalence of early childhood caries in India - A systematic review. Indian J Pediatr 2019;86(3):276–286. DOI: 10.1007/s12098-018-2793-y
Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? J Dent Child 1962;29(3):150–163.
Daabiss M. American society of anaesthesiologists physical status classification. Indian J Anaesth 2011;55(2):111–115. DOI: 10.4103/0019-5049.79879
Saleem S M. Modified Kuppuswamy socioeconomic scale updated for the year 2019. Indian J Forensic Community Med 2019;6(1):1–3.DOI: 10.18231/2394-6776.2019.0001
Ismail AI, Sohn W, Tellez M, et al. The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35(3):170–178. DOI: 10.1111/j.1600-0528.2007.00347.x
Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38(6):Suppl:610–616. DOI: 10.1902/jop.1967.38.6.610
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;5:6.DOI: 10.1186/1477-7525-5-6
Ridell K, Borgström M, Lager E, et al. 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. DOI: 10.3109/00016357.2014.919661
Baghdadi ZD, Muhajarine N. Effects of dental rehabilitation under general anesthesia on children's oral-health-related quality of life: Saudi Arabian parents’ perspectives. Dent J(Basel) 2014;3(1):1–13.DOI: 10.3390/dj3010001
Honkala E, Runnel R, Honkala S, et al. Measuring dental caries in the mixed dentition by ICDAS. Int J Dent 2011:150424. DOI: 10.1155/2011/150424
Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P, et al. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 2013;47(3):211–218. DOI: 10.1159/000345534
Wilson S. Pharmacological management of the pediatric dental patient. Pediatr Dent 2004;26(2):131–136. PMID: 15132275.
Anderson HK, Drummond BK, Thomson WM. Changes in aspects of children's oral-health-related quality of life following dental treatment under general anaesthesia. Int J Paediatr Dent 2004;14(5):317–325. DOI: 10.1111/j.1365-263X.2004.00572.x
Yawary R, Anthonappa RP, Ekambaram M, et al. Changes in the oral health-related quality of life in children following comprehensive oral rehabilitation under general anaesthesia Int J Paediatr Dent 2016;26(5):322–329. DOI: 10.1111/ipd.12200
Amin MS, Bedard D, Gamble J. Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia. Eur Arch Paediatr Dent 2010;11(6):269–273. DOI: 10.1007/BF03262761
Farsi DJ, Farsi NJ, El-Housseiny AA, et al. Responsiveness of the Arabic version of the ECOHIS to dental rehabilitation under general anaesthesia. Int J Paediatr Dent 2018;28(1):52–61. DOI: 10.1111/ipd.12307
Rai NK, Tiwari T. Parental factors influencing the development of early childhood caries in developing nations: a systematic review. Front Public Health 6:64. DOI: 10.3389/fpubh.2018.00064
Rane JV, Winnier J, Bhatia R. Comparative assessment of oral health related quality of life of children before and after full mouth rehabilitation under general anaesthesia and local anaesthesia. J Clin Diagn Res 2017;11(1):ZC23–ZC26. DOI: 10.7860/JCDR/2017/23699.9163
Cantekin K, Yildirim MD, Cantekin I. Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anesthesia. Pediatr Dent 2014;36(1):12E–17E. PMID: 24717700
Almaz ME, Sönmez IS, Oba AA, et al. Assessing changes in oral health-related quality of life following dental rehabilitation under general anesthesia. J Clin Pediatr Dent 2014 Spring;38(3):263–267. DOI: 10.17796/jcpd.38.3.d032283066403848
Novaes TF, Pontes LRA, Freitas JG, et al. Responsiveness of the Early Childhood Oral Health Impact Scale (ECOHIS) is related to dental treatment complexity. Health Qual Life Outcomes 2017;15(1):182–189. DOI: 10.1186/s12955-017-0756-z
Jabarifar SE, Eshghi AR, Shabanian M, et al. Changes in children's oral health related quality of life following dental treatment under general anesthesia. Dent Res J(Isfahan) 2009 Spring;6(1):13–16. PMCID: PMC3075446.
Lee GH, McGrath C, Yiu CK, et al. Sensitivity and responsiveness of the Chinese ECOHIS to dental treatment under general anaesthesia. Community Dent Oral Epidemiol 2011;39(4):372–377. DOI: 10.1111/j.1600-0528.2010.00604.x
Klaassen MA, Veerkamp JS, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children's oral-health-related quality of life. Eur Arch Paediatr Dent 2008;9(3):130–137. DOI: 10.1007/BF03262624
Thomson WM, Foster Page LA, Gaynor WN, et al. Short-form versions of the parental-caregivers perceptions questionnaire and the family impact scale. Community Dent Oral Epidemiol 2013;41(5):441–450. DOI: 10.1111/cdoe.12036
Acs G, Pretzer S, Foley M, et al. Perceived outcomes and parental satisfaction following dental rehabilitation under general anesthesia. Pediatr Dent 2001;23(5):419–423. PMID: 11699167.