Associated factors to caries experience of children undergoing general anaesthesia and treatment needs characteristics over a 10 year period.
Body mass index
Caries index
Children
Dental care
General anesthesia
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
04 11 2020
04 11 2020
Historique:
received:
11
05
2020
accepted:
28
10
2020
entrez:
5
11
2020
pubmed:
6
11
2020
medline:
30
12
2020
Statut:
epublish
Résumé
Aim of this study was to describe the characteristics of 1- to 6-year-old children who underwent general anesthesia (GA) in a German specialized pediatric dental institution between 2002 and 2011, and to evaluate the risk factors (age, migration background, nutritional status) for caries experience (dmf-s) in these children. A cross-sectional study with retrospective data collection was designed. Children who underwent comprehensive dental treatment under GA were enrolled in the study. The data were collected from patient records and included personal background: age, sex, dmf-s, nutritional status, reasons for GA and treatments provided. Mann-Whitney-U test, Chi-square tests, and linear regression modelling were applied for statistical analyses. 652 children (median age: 3 years [IQR: 2-4], 41.6% female) were treated under GA between 2002 and 2011. Of these, 30.8% had migration background, 17.3% were underweight and 14.8% overweight. The median dmf-s was 28 (IQR: 19-43.5). Univariate, only age and migration showed a significant association with dmf-s (p < 0.01) up to the age of 5 years. In the linear regression analysis, this association of dmf-s with age (OR: 4.04/CI: 2.81-5.27; p < 0.01) and migration (OR: 4.26/CI: 0.89-7.62; p = 0.013) was confirmed. At the patient level, tooth extraction was the most chosen option in both time periods, however, more restorative approaches were taken between 2007 and 2011 including pulp therapy and the use of strip and stainless steel crowns compared to 2002-2006. Children aged 1-6 years treated under GA showed a high caries experience (dmf-s), whereby age as well as migration, but not BMI, were relevant risk factors. Although tooth extraction is the first choice in most cases in the first time period, more conservative procedures were performed in the second half of the follow-up period.
Sections du résumé
BACKGROUND
Aim of this study was to describe the characteristics of 1- to 6-year-old children who underwent general anesthesia (GA) in a German specialized pediatric dental institution between 2002 and 2011, and to evaluate the risk factors (age, migration background, nutritional status) for caries experience (dmf-s) in these children.
METHODS
A cross-sectional study with retrospective data collection was designed. Children who underwent comprehensive dental treatment under GA were enrolled in the study. The data were collected from patient records and included personal background: age, sex, dmf-s, nutritional status, reasons for GA and treatments provided. Mann-Whitney-U test, Chi-square tests, and linear regression modelling were applied for statistical analyses.
RESULTS
652 children (median age: 3 years [IQR: 2-4], 41.6% female) were treated under GA between 2002 and 2011. Of these, 30.8% had migration background, 17.3% were underweight and 14.8% overweight. The median dmf-s was 28 (IQR: 19-43.5). Univariate, only age and migration showed a significant association with dmf-s (p < 0.01) up to the age of 5 years. In the linear regression analysis, this association of dmf-s with age (OR: 4.04/CI: 2.81-5.27; p < 0.01) and migration (OR: 4.26/CI: 0.89-7.62; p = 0.013) was confirmed. At the patient level, tooth extraction was the most chosen option in both time periods, however, more restorative approaches were taken between 2007 and 2011 including pulp therapy and the use of strip and stainless steel crowns compared to 2002-2006.
CONCLUSIONS
Children aged 1-6 years treated under GA showed a high caries experience (dmf-s), whereby age as well as migration, but not BMI, were relevant risk factors. Although tooth extraction is the first choice in most cases in the first time period, more conservative procedures were performed in the second half of the follow-up period.
Identifiants
pubmed: 33148228
doi: 10.1186/s12903-020-01302-4
pii: 10.1186/s12903-020-01302-4
pmc: PMC7640411
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
307Références
Int J Paediatr Dent. 2015 May;25(3):204-12
pubmed: 25100446
Br Dent J. 1999 Oct 23;187(8):440-3
pubmed: 10716003
Pediatr Clin North Am. 2018 Oct;65(5):941-954
pubmed: 30213355
Eur J Med Res. 2004 Aug 31;9(8):400-4
pubmed: 15337630
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Mar-Apr;39(2):109-11
pubmed: 9599900
Braz Oral Res. 2017 Nov 06;31:e83
pubmed: 29116296
J Public Health Dent. 2008 Fall;68(4):227-33
pubmed: 18384534
Int J Paediatr Dent. 2011 May;21(3):217-22
pubmed: 21332849
BMC Oral Health. 2012 Oct 27;12:45
pubmed: 23102205
Int J Paediatr Dent. 2019 May;29(3):238-248
pubmed: 31099128
Aust Dent J. 2006 Jun;51(2):124-9
pubmed: 16848259
Front Public Health. 2019 Nov 12;7:328
pubmed: 31781530
Pediatrics. 2007 Sep;120(3):e510-20
pubmed: 17766495
Gesundheitswesen. 2009 Jan;71(1):28-34
pubmed: 19173148
Curr Oral Health Rep. 2015;2(4):212-217
pubmed: 26523247
Eur J Paediatr Dent. 2013 Sep;14(3):185-9
pubmed: 24295001
Am J Public Health. 2015 Dec;105(12):2510-7
pubmed: 26469655
Int J Paediatr Dent. 2001 Mar;11(2):110-6
pubmed: 11310133
BMC Oral Health. 2014 May 06;14:47
pubmed: 24885697
Int J Environ Res Public Health. 2013 Mar 05;10(3):867-78
pubmed: 23462435
J Chin Med Assoc. 2017 Apr;80(4):262-268
pubmed: 28100415
Caries Res. 2004 May-Jun;38(3):173-81
pubmed: 15153686
J Dent Anesth Pain Med. 2019 Dec;19(6):313-322
pubmed: 31942447
Oral Health Prev Dent. 2006;4(2):137-44
pubmed: 16813143
Chang Gung Med J. 2009 Nov-Dec;32(6):636-42
pubmed: 20035643
Community Dent Oral Epidemiol. 2018 Jun;46(3):280-287
pubmed: 29380407
Qual Life Res. 2016 Jan;25(1):193-9
pubmed: 26135023
Arch Oral Biol. 2017 Sep;81:69-73
pubmed: 28482240
Pediatrics. 2000 Apr;105(4 Pt 2):989-97
pubmed: 10742361
J Contemp Dent Pract. 2006 Feb 15;7(1):79-88
pubmed: 16491150
J Contemp Dent Pract. 2016 Oct 1;17(10):844-848
pubmed: 27794156
Community Dent Oral Epidemiol. 2013 Aug;41(4):289-308
pubmed: 23157709
Int Dent J. 2008 Jun;58(3):115-21
pubmed: 18630105
Gen Dent. 2003 Sep-Oct;51(5):464-8; quiz 469
pubmed: 15055638
J Dent Res. 2015 May;94(5):650-8
pubmed: 25740856
Eur Arch Paediatr Dent. 2014 Oct;15(5):353-60
pubmed: 24676548
J Orofac Orthop. 2008 Jan;69(1):5-19
pubmed: 18213457