The influence of general health on the need for dental general anaesthesia in children

Rajavaara, Päivi; Rankinen, Sirkku; Laitala, Marja‐Liisa; Vähänikkilä, Hannu; Yli-Urpo, Helena; Koskinen, Sari; Anttonen, Vuokko

doi:10.1007/s40368-017-0284-x

Cited by 14 publications

(20 citation statements)

References 19 publications

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“…We found an impact of health conditions on dental treatment in permanent dentition. The present study findings correspond with the similar study of Rajavaara et al [15] but are partly contradictory to the findings of Loyola-Rodrigues et al [19], who reported more treatment need among healthy children compared to medically compromised ones.…”

Section: Discussionsupporting

confidence: 71%

“…It must be borne in mind that caries history predicts future caries incidence independently of whether the child is healthy or medically compromised. This is particularly important in terms of children with multiple health issues [15,21]. The present study, similar to the study by Rajavaara [15], did not have detailed information concerning the dental treatment history of the children.…”

Section: Discussionmentioning

confidence: 77%

“…This is particularly important in terms of children with multiple health issues [15,21]. The present study, similar to the study by Rajavaara [15], did not have detailed information concerning the dental treatment history of the children. It would be interesting to know how many visits and attempts preceded the treatment under GA, reasons for referral, and reasons for the use of GA, such as the ability to cooperate.…”

Section: Discussionmentioning

confidence: 77%

“…The use of GA is valuable for young patients who require extensive dental treatment and who do not cooperate with the use of behaviour management, local anaesthesia, or sedation [10,11,12]. The second and significant group of candidates for GA are patients with physical/psychological disability and medically compromised children, due to their underlying medical conditions and the necessity of postoperative monitoring [13,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…There was an increasing trend in the occurrence of dental treatment under GA in the study period. This might be due to the reluctance of some dentists to treat non-cooperative children, both healthy and those with medical disability, conventionally in their dental office, preferring to instead refer the children for GA [15]. Another reason might be that parents have become more aware and more demanding of this treatment option.…”

Section: Discussionmentioning

confidence: 99%

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The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

Koberová

Pilbauerova

Kovácsová

et al. 2019

IJERPH

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Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) (p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

Koberová

Pilbauerova

Kovácsová

et al. 2019

IJERPH

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Behaviour management problems in Finnish children with operated congenital heart disease: a practice-based study

Vähänikkilä

Blomqvist

et al. 2022

Eur Arch Paediatr Dent

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Purpose This retrospective, practice-based study investigates behaviour management problems (BMPs) in dental care among Finnish children with operated congenital heart disease (CHD). Methods All the heart-operated children born between the years 1997 and 1999 were identified in the national ProCardio database (n = 570). Primary dental care records were requested from this population and were eventually received from 211 patients. Information on gender, diagnosis, number of heart operations and perioperative care were collected from the ProCardio database, and the CHDs were categorised as shunting/stenotic/complex/other defects. Data on BMP/dental fear, oral conscious sedation, dental general anaesthesia (DGA) and past and present caries indices at 6, 12 and 15 years (d/D, dmft/DMFT) were assessed. Results Notes on behaviour management problems or dental fear were found in 19% of the study population. BMPs in dental care were more frequent among boys. Children with re-operations, longer post-operative intensive care stay and hospitalisation, and complications had not more BMP than others. Those children diagnosed with syndromes had more BMP often than the rest. Past and present caries experience were significantly associated with BMP, need of oral conscious sedation and DGA. Oral conscious sedation, nitrogen oxide sedation and dental general anaesthesia were used in 17/211, 2/221 and 24/211 CHD patients, respectively. Conclusion Dental caries remains a main factor associated with BMP in the CHD population. Need for oral conscious sedation and DGA were rather common. To maintain a good oral health and to avoid development of BMP, CHD children benefit from focus in health promotion and preventive care.

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Pediatric morbidity after oral surgery procedures under general anaesthesia: A systematic review

Velasco¹,

Carrera-Hueso²,

Silvestre³

et al. 2023

Journal of Stomatology, Oral and Maxillofacial Surgery

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The influence of general health on the need for dental general anaesthesia in children

Cited by 14 publications

References 19 publications

The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

Behaviour management problems in Finnish children with operated congenital heart disease: a practice-based study

Pediatric morbidity after oral surgery procedures under general anaesthesia: A systematic review

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