Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia

Abstract

Objective: This study evaluated oral health-related quality of life (OHRQoL) in children and families before and after dental treatment under general anesthesia because of severe caries or molar-incisor hypomineralisation (MIH). Material and methods: A consecutive sample of the parents/caregivers of children (3-14 yr) in need of treatment under general anesthesia participated in the study. The children were divided into two groups: 3-6 yr and 7-14 yr. The 49-item questionnaire that was administered before and after general anesthesia comprised the Child Oral Health Quality of Life-components of the Parental-Caregivers Perception Questionnaire (P-CPQ), the Family Impact Scale (FIS), and two global questions concerning oral health and general well-being. The P-CPQ domains were Oral symptoms, Functional limitations, Emotional well-being, and Social well-being. The FIS items assessed impact on family life. Results: In both age groups, a significant decrease (p < 0.001) occurred in overall P-CPQ, and the Oral symptoms, Functional limitations, and Emotional limitations domains of the P-CPQ. Mean values for the Social well-being domain decreased significantly in the older (p < 0.05) but not the younger age group. Mean values for FIS decreased significantly in the younger (p < 0.001) and the older (p < 0.05) age groups. Conclusions: Dental treatment of severe caries or MIH, performed under general anesthesia, had an immediate effect on the oral health-related quality of life in the children in this study and a positive impact on the family situation.

Oral health‐related quality of life following dental treatment under general anaesthesia for early childhood caries – a UK‐based study

“…Overall, a significant improvement in OHRQoL was reported by parents using the P‐CPQ and FIS measures with over half reaching the MID, a difference that a person perceives as being important to them. These findings mirrored those seen in other developed countries. Changes were smallest in the social well‐being subscale – also comparable with results in other studies for children of this age group.…”

Impact of a dental care program on the quality of life of children with and without caries

“…This was also observed in studies which evaluated changes in the OHRQoL of children after a short-term dental caries treatment 12,15,17,29 and corroborates the importance of the promotion of equal access to dental care and quality of treatment outcomes to reduce inequalities in oral health. 31 The 1-year follow-up in the DTG demonstrated that the scores of all CPQ 8-10 domains continued to improve and were statistically different from those at baseline, except for the OS domain.…”

“…6,7,8,12,13,14,21,24 Moreover, our results bring new evidence of the long-term effects of caries treatment on the OHRQoL of schoolchildren aged 8 to 10 years. Although other studies have demonstrated improvements in children's OHRQoL after dental treatment, they generally have focused on outcomes in younger children using the Early Childhood Oral Health Impact Scale (ECOHIS), Child-Oral Impacts on Daily Performances (Child-OIDP), the Parental-Caregivers Perception Questionnaire (P-CPQ), 17,25,26,27 and research in which treatment was proposed for early childhood caries under general anesthesia.…”

“…Although other studies have demonstrated improvements in children's OHRQoL after dental treatment, they generally have focused on outcomes in younger children using the Early Childhood Oral Health Impact Scale (ECOHIS), Child-Oral Impacts on Daily Performances (Child-OIDP), the Parental-Caregivers Perception Questionnaire (P-CPQ), 17,25,26,27 and research in which treatment was proposed for early childhood caries under general anesthesia. 12,28,29 In relation to CPQ instruments, Turton et al 30 evaluate the responsiveness of the Khmer version of the CPQ [11][12][13][14] in 140 children aged 8 to 14 years who received basic dental care from a local nongovernmental organization over a 6-month period. Therefore, to our knowledge, the present study is the first longitudinal study that compares the OHRQoL of children aged 8 to 10 years after caries treatment using the CPQ 8-10 over a 1 year period.…”

“…atraumatic restorative treatment, traumatic dental injury, and other treatments, 10,11,12,13,14,15,16,17,18 few have evaluated the longitudinal impact of dental caries treatment on children's OHRQoL by considering subjective aspects. 14,15,16,17,18 Most studies comparing OHRQoL scores between children with and without dental caries have a cross-sectional design, which refrains them from determining the causal relationship between an intervention and an outcome.…”