Jankauskiené Biruté, Virtanen Jorma I, Narbutaité Julija
a Clinic for Preventive and Paediatric Dentistry , Lithuanian University of Health Sciences , Kaunas , Lithuania.
b Clinic for Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences Hospital , Kaunas , Lithuania.
Acta Odontol Scand. 2017 May;75(4):255-261. doi: 10.1080/00016357.2017.1286034. Epub 2017 Feb 7.
Our aim was to analyze longitudinally the impact of young children's dental general anaesthesia (DGA) treatment on their OHRQoL and to determine their post-operative oral health status at the six-month follow-up together with parental ratings of their children's oral health.
We conducted a prospective follow-up study of OHRQoL among Lithuanian child patients treated under general anaesthesia (n = 144). The study consisted of clinical dental examinations performed by two examiners at the time of DGA and at the six-month recall, along with OHRQoL surveys and data collected from the patients' files. The dmft index and Silness-Löe plaque index served as clinical measures. The survey tool for assessing the children's OHRQoL was the previously tested Lithuanian version of the ECOHIS. The Wilcoxon signed-rank test served for the statistical analysis (p < 0.05).
The ECOHIS scores clearly decreased post-operatively, indicating a significant (p < 0.001) improvement in the children's OHRQoL after the DGA treatment. The ECOHIS scores were lower immediately after the DGA treatment and remained low at the six-month recall. Parents rated their child's oral health as higher after the DGA treatment (p < 0.001). The majority (75%) of the patients had poor or satisfactory oral hygiene at follow-up.
This longitudinal study showed a sustained improvement in the children's OHRQoL six months after their DGA treatment. Post-operative parental ratings of their child's oral health were higher after the DGA treatment, but the children exhibited insufficient oral hygiene and new caries lesions. An appropriate follow-up system for children receiving DGA treatment with special focus on preventive care is needed.
我们的目的是纵向分析幼儿牙科全身麻醉（DGA）治疗对其口腔健康相关生活质量（OHRQoL）的影响，并在六个月的随访中确定其术后口腔健康状况以及家长对其子女口腔健康的评分。
我们对在全身麻醉下接受治疗的立陶宛儿童患者（n = 144）的OHRQoL进行了前瞻性随访研究。该研究包括两名检查人员在DGA时和六个月复诊时进行的临床牙科检查，以及OHRQoL调查和从患者档案中收集的数据。dmft指数和Silness-Löe菌斑指数作为临床测量指标。评估儿童OHRQoL的调查工具是先前测试过的立陶宛语版ECOHIS。采用Wilcoxon符号秩检验进行统计分析（p < 0.05）。
ECOHIS评分在术后明显下降，表明DGA治疗后儿童的OHRQoL有显著改善（p < 0.001）。DGA治疗后ECOHIS评分立即降低，并在六个月复诊时保持较低水平。家长在DGA治疗后对其子女口腔健康的评分更高（p < 0.001）。大多数（75%）患者在随访时口腔卫生状况较差或一般。
这项纵向研究表明，儿童在DGA治疗六个月后OHRQoL持续改善。DGA治疗后家长对其子女口腔健康的术后评分更高，但儿童的口腔卫生状况不足且出现了新的龋损。需要为接受DGA治疗的儿童建立一个适当的随访系统，特别关注预防保健。
