Department of Pediatric Dentistry, School of Dentistry, Medical University of Vienna, Vienna, Austria.
Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Goettingen, Goettingen, Germany.
BMC Oral Health. 2020 Nov 4;20(1):307. doi: 10.1186/s12903-020-01302-4.
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.
本研究的目的是描述 2002 年至 2011 年间在德国专门的儿科牙科机构接受全身麻醉（GA）的 1 至 6 岁儿童的特征，并评估这些儿童龋齿经历（dmf-s）的风险因素（年龄、移民背景、营养状况）。
设计了一项回顾性数据收集的横断面研究。纳入在 GA 下接受全面牙科治疗的儿童。从病历中收集个人背景数据，包括年龄、性别、dmf-s、营养状况、GA 原因和治疗内容。应用 Mann-Whitney-U 检验、卡方检验和线性回归模型进行统计学分析。
2002 年至 2011 年间，共有 652 名儿童（中位数年龄：3 岁[IQR：2-4]，41.6%为女性）接受 GA 治疗。其中 30.8%有移民背景，17.3%体重不足，14.8%超重。中位数 dmf-s 为 28（IQR：19-43.5）。单因素分析仅显示年龄和移民与 dmf-s 有显著相关性（p<0.01），直至 5 岁。在线性回归分析中，dmf-s 与年龄（OR：4.04/CI：2.81-5.27；p<0.01）和移民（OR：4.26/CI：0.89-7.62；p=0.013）的相关性得到证实。在患者层面，拔牙是两个时期最常选择的治疗方法，但与 2002-2006 年相比，2007-2011 年更多采用了牙髓治疗和带状及不锈钢冠等更保守的方法。
接受 GA 治疗的 1-6 岁儿童龋齿经历（dmf-s）较高，其中年龄以及移民是相关的风险因素，但 BMI 不是。尽管在第一个时期，拔牙是大多数情况下的首选，但在随访的后半段，更多采用了保守的治疗方法。
