Changes in aspects of children's oral‐health‐related quality of life following dental treatment under general anaesthesia

Anderson, Heather K.; Drummond, Bernadette; Thomson, W. Murray

doi:10.1111/j.1365-263x.2004.00572.x

Cited by 116 publications

(105 citation statements)

References 2 publications

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“…[4][5][6][7][8][9][10] A review of the possible effects of dental caries on failure to thrive (FTT) showed that in otherwise healthy children, severe dental decay could contribute to FTT. 11 The impact of comprehensive dental intervention affected patients with both organic and non-organic FTT.…”

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confidence: 99%

“…3,4 Dental treatment makes a very significant difference to the psychological and social aspects of the child's life. 9,10,13,15,19 These improvements include less pain and improved abilities to eat and sleep. In one study, parents perceived treatment had positive social impacts on their child: more smiling, improved school performance and increased social interaction.…”

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confidence: 99%

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Dental caries affects body weight, growth and quality of life in pre-school children

2006

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OPINION• Severe untreated dental caries is very common in pre-school children in many countries.• Following treatment of affected decayed teeth there is more rapid weight gain and growth velocity in the treated children.• Children with untreated early childhood caries (ECC) have signifi cantly poorer oral healthrelated quality of life than children without ECC.• Comprehensive treatment in pre-school children makes a very signifi cant difference to the psychological and social aspects of the child's life. I N B R I E FDental caries affects body weight, growth and quality of life in pre-school childrenThe effect of a relatively common chronic disease, severe dental caries, affects young childrens' growth and well-being. Treating dental caries in pre-school children would increase growth rates and the quality of life of millions of children. Severe untreated dental caries is common in pre-school children in many countries. Children with severe caries weighed less than controls, and after treatment of decayed teeth there was more rapid weight gain and improvements in their quality of life. This may be due to dietary intake improving because pain affected the quantity and variety of food eaten, and second, chronic infl ammation from caries related pulpitis and abscesses is known to suppress growth through a metabolic pathway and to reduce haemoglobin as a result of depressed erythrocyte production.

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Dental caries affects body weight, growth and quality of life in pre-school children

2006

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“…In previous studies, oral intake was improved from the preoperative status at one week following dental rehabilitation. 17 Our patients were not followed after 24 hr, but we expect oral intake to have improved after this time frame.…”

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Effect of dexamethasone on postoperative morbidity after dental rehabilitation in children

McIntyre

Hardcastle

Eng

et al. 2011

Can J Anesth/J Can Anesth

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Purpose Dexamethasone reduces postoperative morbidity after adenotonsillectomy, strabismus surgery, and third molar extraction. Our hypothesis was that dexamethasone would reduce pain and other morbidity in children undergoing dental surgery for up to 24 hr postoperatively. Methods A triple-blinded, randomized, controlled trial was carried out on 200 children undergoing prolonged dental rehabilitation under general anesthesia. Subjects were randomized into two groups: group D, given dexamethasone 0.3 mgÁkg -1 ; group S, given normal saline. The primary outcome measure was pain over 24 hr as evaluated by a parental 0-10 numerical rating scale (NRS). Key secondary outcomes included oral intake on a four-point scale at 24 hr and the overall incidence of postoperative vomiting (POV). Analysis for the primary outcome consisted of comparison of means in the NRS with the Wilcoxon rank sum test and for occurrence of POV with Fisher's test. Results After eliminating 22 subjects for protocol violations and withdrawals, 178 subjects were analyzed. There was no significant difference in pain scores (NRS) at 24 hr or the worst NRS experienced over the preceding 24 hr. There was no difference in the quality of oral intake between the groups. There was a significant difference in the percentage of patients who vomited during the first 24 hr: eight of 91 in group S and one of 87 in group D. Therefore, 7.74% more vomited in group S (P = 0.045), with a 95% confidence interval of 0.32 to15.16 for the difference in percentages. Conclusions Dexamethasone, 0.3 mgÁkg -1 , did not reduce pain over 24 hr in healthy children undergoing dental rehabilitation under general anesthesia. The quality of oral intake was also unaffected by dexamethasone at 24 hr. Dexamethasone did produce a significant reduction in postdischarge vomiting, beyond the incidence found with ondansetron alone. RésuméObjectif La dexame´thasone diminue la morbiditeṕ ostope´ratoire apre`s une intervention chirurgicale pour ade´no-amygdalectomie, strabisme et extraction de la troisie`me molaire. Nous avons formule´l'hypothe`se que la dexame´thasone pouvait diminuer la douleur et d'autres morbidite´s chez des enfants subissant une chirurgie dentaire jusqu'a`24 heures apre`s l'intervention. Méthodes Une e´tude randomise´e, contrôle´e, a`triple insu a e´te´mene´e chez 200 enfants subissant une restauration

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“…Os efeitos negativos da cárie dentária sobre a vida das crianças incluem: dificuldade de mastigar, diminuição do apetite, perda de peso, dificuldade para dormir, alteração no comportamento (irritabilidade e baixa auto-estima) e diminuição do rendimento escolar 5,6,7,8,9,10 . Foi relatado ainda que, quando uma criança apresenta um quadro de cárie rampante na primeira infância, o bemestar da família pode ser comprometido: os pais sentem-se culpados, e, por vezes, precisam faltar ao trabalho e ter despesas com o tratamento odontológico da criança 11 .…”

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Mensuração do impacto dos problemas bucais sobre a qualidade de vida de crianças: aspectos conceituais e metodológicos

2007

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Changes in aspects of children's oral‐health‐related quality of life following dental treatment under general anaesthesia

Abstract: Treating young children with high disease experience in a single session under GA results in immediate improvement in oral health and aspects of their QoL for both the children and their families.

Cited by 116 publications

References 2 publications

Dental caries affects body weight, growth and quality of life in pre-school children

Dental caries affects body weight, growth and quality of life in pre-school children

Effect of dexamethasone on postoperative morbidity after dental rehabilitation in children

Mensuração do impacto dos problemas bucais sobre a qualidade de vida de crianças: aspectos conceituais e metodológicos

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