Effect of caries treatment under general anesthesia on oral health behavior and growth development of children in short term

doi:10.19439/j.sjos.2019.04.011

Abstract

Abstract: PURPOSE: To study changes of children caries activity after treatment under general anesthesia, and to analyze effect of caries treatment under general anesthesia on oral health behavior and growth index of children. METHODS: Patients who met criteria and were treated under general anesthesia were included in this study. Informed consent for this study was obtained from parents. Before and after treatment, children's oral health conditions were examined; height, weight were recorded; the caries activity was evaluated. In addition, questionnaires related to oral health behavior and early childhood oral health impact scales were fulfilled by parents. The patients were followed for 6 months after treatment. The data were analyzed using SPSS 25.0 software package. RESULTS: The average dmft of children before treatment was 14.02. Patients with supplemental feeding during sleep and additional bottle feeding in the first 6 months had higher dmft. The incidence of caries relapse was 25.67% after 3 months and 50% after 6 months. Caries activity decreased dramatically after treatment. Among three follow-up results, Cariostat scores at the 3rd month were the lowest. After general anesthesia, the eating frequency and sweets intake decreased obviously, and the time for tooth-brushing was longer, while the children's mealtime was significantly shorter. The number of children in normal BMI range significantly increased after dental general anesthesia. CONCLUSIONS: Dental general anesthesia can reduce caries activity and improve oral health behavior, nutritional status, physical and mental health of children in a short term. However, a large number of patients were still at a high risk of caries relapse after treatment.

Key words: Childhood caries, General anesthesia, Caries activity, BMI

CLC Number:

R781.1

ZHAO Jin, LAI Guang-yun, WANG Jun. Effect of caries treatment under general anesthesia on oral health behavior and growth development of children in short term[J]. Shanghai Journal of Stomatology, 2019, 28(4): 391-396.

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