Abstract
Objectives: This study aimed to document the mid-term effects of comprehensive dental treatment under general anesthesia (DTGA) on parent-assessed children’s oral health-related quality of life (COHRQoL). A second aim was to examine some epidemiological factors associated with COHRQoL and treatment outcome. Study Design: A pretest-posttest design was followed in which parents were surveyed using the Child Oral Health Quality of Life Questionnaire before and 6-9 months after their children (age ranges 3-10 years) underwent DTGA. Some clinical conditions and epidemiological factors were examined to assess their association with COHRQoL and changes resulting from treatment. Results: The clinical sample consisted of 80 children-parent dyads. The effect sizes of change following DTGA were large for both the child impact section and family impact section of the COHRQoL. COHRQoL scores after treatment were comparable or lower than those of a cross-matched group of children with no complaints related to oral health. Child’s age, pain and number of teeth with pulpal involvement showed significant association with both pretreatment scores and change scores. Conclusions: Children’s OHRQoL improved after DTGA as assessed by parents 6-9 months postoperatively. Child’s age, pain and number of pulpally-involved teeth can be used as predictors for COHRQoL and change scores. Key words:Quality of life, children, oral health, reliability.
Highlights
The definition of oral health as the standard of oral health and related tissue health that enables individuals to eat, speak, and socialize without active disease, discomfort, or embarrassment, and that contributes to general wellbeing is in line with the World Health Organization’s general definition of health as a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity [1,2]
Dental treatment under general anesthesia [dental treatment under general anesthesia (DTGA)] in children is one of treatment protocols that has captured some attention by examining changes in OHRQoL following DTGA among young children with severe dental caries
The main aim of this study was to assess the mid-term [6 – 9 months] change in children’s OHRQoL after DTGA, paying special attention to several additional issues: [1] the factors associated with pretreatment OHRQoL scores, [2] the factors associated with changes resulting from DTGA, and [3] a comparison between OHRQoL pretreatment and post treatment scores of the children who received the DTGA and a cross-matched control group with no complaints related to oral health
Summary
The definition of oral health as the standard of oral health and related tissue health that enables individuals to eat, speak, and socialize without active disease, discomfort, or embarrassment, and that contributes to general wellbeing is in line with the World Health Organization’s general definition of health as a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity [1,2]. While a wide range of variables have been reported to associate with OHRQoL [which was partially explained based on ethnicity and/or the health system in different countries], Thomson and Malden [11] found in their prospective study no sociodemographic differences in scale scores or changes resulting from DTGA [data were not shown in Thomson and Malden’s article]. The main aim of this study was to assess the mid-term [6 – 9 months] change in children’s OHRQoL after DTGA, paying special attention to several additional issues: [1] the factors associated with pretreatment OHRQoL scores, [2] the factors associated with changes resulting from DTGA, and [3] a comparison between OHRQoL pretreatment and post treatment scores of the children who received the DTGA and a cross-matched control group with no complaints related to oral health
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