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Impact of Dental Treatment Under Sedation on the Oral Health–Related Quality of Life of Distressed Young Children
TAKE-HOME MESSAGE
- This study showed that, at 2 weeks and 3 months after dental treatment under sedation for early childhood caries in distressed preschool children, the total scores of the Brazilian version of the Early Childhood Oral Health Impact Scale were reduced by 85.7%. A total of 92.3% and 88.3% of parents reported that their child's oral health–related quality of life (OHRQoL) greatly improved at 2 weeks and 3 months after treatment, respectively.
- Although dental treatment under general anesthesia improves the QoL of children and their families, there has been little evidence of changes in the OHRQoL after pediatric dental treatment under sedation. General and pediatric dentists should be aware that sedation can benefit children with dental behavior management problems by reducing fear/anxiety and facilitating treatment that improves the OHRQoL.
abstract
This abstract is available on the publisher's site.
Access this abstract nowINTRODUCTION
Little is known regarding the impact of dental treatment under sedation on distressed young children's oral health-related quality of life (OHRQoL).
AIM
To evaluate the impact of dental treatment under sedation on the OHRQoL of children and their families.
METHODS
Caregivers of two-to-six-year-old children answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS): (1) before treatment under sedation (T0), (2) two weeks (T1) and (3) 3 months after the completion of treatment (T2). A global transition judgment was included in the posttreatment evaluations to determine the perception of changes in OHRQoL after dental treatment. Bivariate analysis was performed. Changes in scores and effect sizes (ES) were calculated.
RESULTS
Reductions were found at both posttreatment evaluations in the total B-ECOHIS scores (median [25th-75th percentile] at T0: 14 [9.8-21.7]; T1: 2.0 [0.0-5.1]; T2: 2.0 [0.0-6.7]); "child impact" section (T0: 8.8 [4.0-13.1]; T1: 0.0 [0.0-2.2]; T2: 0.0 [0.0-4.3]) and "family impact" section (T0: 6.0 [4.0-8.5]; T1: 0.0 [0.0-2.0]; T2: 0.0 [0.0-2.0]) (≤0.001; large ES). In 92.3% of cases at T1 and 88.3% at T2, caregivers reported that their child's oral health improved considerably.
CONCLUSION
Dental treatment under sedation significantly improved the OHRQoL of the children and their families.
Additional Info
Impact of dental sedation treatment on the oral health-related quality of life of distressed young children: A secondary analysis of a randomized clinical trial
Spec Care Dentist 2024 Mar 30;[EPub Ahead of Print], P Corrêa-Faria, SM Paiva, LR CostaFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.