University of Oulu, Finland DDS (Pediatric Dentistry), PhD student, Department of Cariology, Endodontology and Pediatric Dentistry, Research Unit of Oral Health Sciences, Dental Teaching Unit and Unit of Specialized Care, Municipal Health Centre, Oral Health Care, City of Oulu, Finland.
PhD, DDS, Department of Cariology, Endodontology and Pediatric Dentistry, Research Unit of Oral Health Sciences.
Eur J Paediatr Dent. 2018 Jun;19(2):139-144. doi: 10.23804/ejpd.2018.19.02.08.
Treatment under general anaesthesia (DGA) is a rising trend in Finland. There is a great need to investigate the causes leading to it. Our purpose was to examine family-related factors reported by parents, such as the family size and favoring DGA in the family, and their influence on children being treated under DGA. This survey was based on a questionnaire targeted to parents of children whose dental treatment could not be performed in a conventional setting.
Guardians of 87 healthy children treated under DGA at a municipal health center in the city of Oulu, Finland, between November 2014 and December 2015 answered the questionnaire on family-related background factors and on the respondent's own as well as their child's presumed dental fear.
According to most guardians (83.9% of the cases), the reason for DGA was caries. Male gender, vague family structure, large number of siblings (?4), and DGA history in the family were all important family-related background factors leading to DGA. Self-reported parental dental fear was quite common (25.3%). Children's dental fear reported by parents was associated with DGA in almost half of the cases (46.0%).
The survey highlights the role of the entire family in association with children ending up being treated under DGA. It is essential for the success of dental health care to also consider family-related factors when planning the treatment, particularly with children demanding DGA.
在芬兰,全身麻醉下治疗(DGA)呈上升趋势。因此,非常有必要调查导致这种趋势的原因。我们的目的是研究家长报告的与家庭有关的因素,如家庭规模和对家庭中 DGA 的偏好,以及这些因素对接受 DGA 治疗的儿童的影响。该调查基于一项针对在芬兰奥卢市一家市立健康中心接受 DGA 治疗的 87 名健康儿童的家长进行的问卷调查,这些儿童的牙科治疗无法在常规环境下进行。
2014 年 11 月至 2015 年 12 月期间,在芬兰奥卢市的一家市立健康中心接受 DGA 治疗的 87 名健康儿童的监护人回答了一份关于家庭背景因素以及受访者及其子女假定的牙科恐惧的问卷。
根据大多数监护人(83.9%的病例)的说法,DGA 的原因是龋齿。男性性别、模糊的家庭结构、兄弟姐妹多(≥4 个)以及家庭中有 DGA 史都是导致 DGA 的重要家庭背景因素。家长自述的牙科恐惧相当普遍(25.3%)。家长报告的孩子的牙科恐惧与近一半(46.0%)的 DGA 病例有关。
该调查强调了整个家庭在儿童接受 DGA 治疗方面的作用。在规划治疗时,考虑与家庭有关的因素对于牙科保健的成功至关重要,尤其是对于需要 DGA 的儿童。