Oral health-related quality of life changes in children following dental treatment under general anaesthesia: a meta-analysis

Park, Joon; Anthonappa, Robert P.; Yawary, Rana; King, Nigel M.; Martens, Luc

doi:10.1007/s00784-018-2367-4

Cited by 28 publications

(28 citation statements)

References 55 publications

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“…A recent meta‐analysis indicated that DGA significantly improved the OHRQoL of children . The present study, however, only evaluated the FIS changes.…”

Section: Discussionmentioning

confidence: 94%

“…49 A recent meta-analysis indicated that DGA significantly improved the OHRQoL of children. 10 The present study, however, only evaluated the FIS changes. Heterogeneity can potentially reduce the strength of the overall results; however, in the present meta-analysis measures were undertaken to ensure the integrity of the results.…”

Section: Studiesmentioning

confidence: 94%

“…A systematic search was conducted in October 2017 in order to assess studies that reported on the FIS changes following DGA for children as per previous methodology published. 10 This study was conducted in accordance with the PRISMA guidelines for systematic reviews 11 by two independent authors (J.P. and R.A.). The following databases were used: PubMed, Medline, CINAHL, Cochrane Library, and Web of Science.…”

Section: Study Selectionmentioning

confidence: 99%

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The family impact of dental general anaesthesia in children: A meta‐analysis

Park

Anthonappa

King

et al. 2018

Int J Paed Dentistry

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Background The health and well‐being of children are intimately linked to their parents’ physical, emotional, and social health and social circumstances. Aim To conduct a meta‐analysis of studies that have used the Early Childhood Oral Health Impact Scale (ECOHIS) and Child Oral Health‐Related Quality of Life (COHRQoL) instruments, to evaluate the family impact scale (FIS) changes following their children's dental treatment under general anaesthesia (DGA). Methodology A systematic search was undertaken using the PRISMA guidelines. The inclusion criteria consisted of patients below 16 years of age, DGA, pre‐ and post‐operative assessments, and the use of ECOHIS and COHRQoL. FIS changes were the primary outcome measure, where the mean difference (MD) was calculated. Results After initial search of 105 studies in the database, twenty‐one articles were included in the analysis. A positive outcome in the FIS changes was identified in all studies. The combined MD for FIS using ECOHIS and COHRQoL was 1.52 [95% CI: 1.15‐1.89; P < 0.00001; I2=87%] and 1.10 [95% CI: 0.68‐1.52; P < 0.00001; I2=79%], respectively. Conclusions Dental treatment with general anaesthesia for children had a significant positive impact on parental emotions, activity, and conflict. Following DGA, there was significant improvement in the FIS, with large MD.

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“…A recent meta‐analysis indicated that DGA significantly improved the OHRQoL of children . The present study, however, only evaluated the FIS changes.…”

Section: Discussionmentioning

confidence: 94%

Section: Studiesmentioning

confidence: 94%

Section: Study Selectionmentioning

confidence: 99%

See 1 more Smart Citation

The family impact of dental general anaesthesia in children: A meta‐analysis

Park

Anthonappa

King

et al. 2018

Int J Paed Dentistry

Self Cite

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“…OHQoL measures need to be sensitive to treatment (ie produce a significant change in scores following treatment/intervention) and ideally an ability to identify changes in OHQoL in relation to clinical importance (responsiveness). A systematic review and meta‐analysis have identified improvements in OHQoL following dental treatment under general anaesthesia in children in all studies, and an overall “large” magnitude of improvement, at least in the short term . Given the advances in the field and the availability of standardized OHQoL measures, incorporating OHQoL assessments should be encouraged to provide greater understanding of the consequences of ECC locally and globally so as to prioritize need.…”

Section: Impact Of Ecc On Oral Health‐related Quality Of Lifementioning

confidence: 99%

“…A systematic review and meta-analysis have identified improvements in OHQoL following dental treatment under general anaesthesia in children in all studies, and an overall "large" magnitude of improvement, at least in the short term. 31 Given the advances in the field and the availability of standardized OHQoL measures, incorporating OHQoL assessments should be encouraged to provide greater understanding of the consequences of ECC locally and globally so as to prioritize need. Moreover, there is a need to provide further evidence of the benefits of managing ECC to children's lives, their families, and their communities, including the benefits of preventive care.…”

Section: Health-related Qualit Y Of Lifementioning

confidence: 99%

Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Tinanoff

Báez

Guillory

et al. 2019

Int J Paed Dentistry

435

387

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Background This paper is a summary of the proceedings of the International Association of Paediatric Dentistry Bangkok Conference on early childhood caries (ECC) held in 3‐4 November 2018. Aim The paper aims to convey a global perspective of ECC definitions, aetiology, risk factors, societal costs, management, educational curriculum, and policy. Design This global perspective on ECC is the compilation of the state of science, current concepts, and literature regarding ECC from worldwide experts on ECC. Results Early childhood caries is related to frequent sugar consumption in an environment of enamel adherent, acid‐producing bacteria in a complex biofilm, as well as developmental defects of enamel. The seriousness, societal costs, and impact on quality of life of dental caries in pre‐school children are enormous. Worldwide data show that ECC continues to be highly prevalent, yet infrequently treated. Approaches to reduce the prevalence include interventions that start in the first year of a child's life, evidence‐based and risk‐based management, and reimbursement systems that foster preventive care. Conclusions This global perspective on ECC epidemiology, aetiology, risk assessment, global impact, and management is aimed to foster improved worldwide understanding and management of ECC.

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Promoting Children’s Health Equity With Medical-Dental Integration

Zea

Henshaw

2022

AMA Journal of Ethics

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Background: Successful medical-dental integration is key to achieving children's health equity. In 2015, a community health center (CHC) in Boston, Massachusetts, implemented a model of interdisciplinary care in a nationwide pilot. Based on the Oral Health Delivery Framework, pediatricians were trained to assess dental caries risk and apply fluoride varnish. They were trained to offer education materials to patients, incorporate oral health assessment in pediatric practice, and document preventive dental care in the electronic health record. This study assessed the level of medical-dental integration achieved by the pilot and maintained over 2 years after program implementation.Methods: Deidentified data were provided by the CHC on all well-child visits during 2014 to 2018 for children 72 months or younger, including appointment dates, age, ethnicity, race, insurance status, and outcomes of interest (ie, whether a dental assessment was performed and whether fluoride varnish was applied). Outcomes were stratified by visit year to allow pilot (2015)(2016) outcomes to be compared to pre-pilot (2014) and post-pilot (2017-2018) outcomes. Descriptive statistics were used to summarize the data.Results: Pediatricians performed fluoride varnish applications and dental assessments in 25% and 0% of visits, respectively, at baseline; in 50.2% and 49.4% of visits, respectively, at the pilot's end; and in 56.7% and 57.3% of visits, respectively, 2 years post-pilot.Conclusions: The proportion of well-child visits during which pediatricians integrated oral health preventive measures increased by roughly 25% to 50% from baseline (2014) to the end of the pilot (2016) and by at least 5% from 2016 to 2018. The success of this medical-dental integration pilot underscores the need for broader implementation of interprofessional education and practice to promote children's health equity.

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Oral health-related quality of life changes in children following dental treatment under general anaesthesia: a meta-analysis

Abstract: Dental treatment under GA significantly improved the OHRQoL of children.

Cited by 28 publications

References 55 publications

The family impact of dental general anaesthesia in children: A meta‐analysis

The family impact of dental general anaesthesia in children: A meta‐analysis

Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Promoting Children’s Health Equity With Medical-Dental Integration

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