Department of Operative and Prosthetic Dentistry, Medical University of Innsbruck, Innsbruck, Austria.
Department of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.
Eur J Paediatr Dent. 2020 Dec;21(4):283-286. doi: 10.23804/ejpd.2020.21.04.5.
The aim of this retrospective study was to determine the prevalence of caries and treatment needs in the collective of patients ?16 years of age, who underwent scheduled dental general anaesthesia (DGA) at the University Clinic of Innsbruck from January 2015 to June 2019, with respect to demographic factors.
A retrospective analysis of children's diagnoses, demographics, and dental treatment under general anaesthesia in Innsbruck, Austria, from 2015 to 2019 was performed. Anonymised demographic data (age; gender; the presence or absence of general disease or disablement; parents' first language (German- (GS) or non-German-speaking (non-GS), reflecting ethnicity; and the number of teeth restored and extracted under DGA were collected from patients' files. Data was analysed by means of descriptive and comparative statistics.
The main group consisted of 545 subjects at a median age of 5.3 (IQR 4.4-6.6) years, who had exclusively primary teeth and or first molars that received restorations or were extracted. Of the subjects, 84.4% were classified with uncooperativeness due to dental anxiety and 15.6% with systemic diseases or intellectual and or physical disablement. In this group, 47.9% were GS and 52.1% were non-GS or had GS or non- GS parents. In the total sample, 5 (IQR 3-7) primary teeth were restored and 4 (IQR 4-7) extracted. Subgroup analysis revealed statistically significant differences in the number of extracted primary teeth between children with and without systemic diseases or disablement - 3 (IQR 1-5) versus 4 (IQR 2-7) - and between children of GS and non-GS parents - 4 (IQR 2-6) versus 5 (IQR 3-7.8). Zero (IQR 0-0) first molars were filled and extracted.
Within the study collective of children in poor oral health, the offspring of non-GS families were overrepresented (compared to their prevalence in the total population) and displayed a higher prevalence of deep caries than those of GS parents. By intensifying and special gearing of prophylactic measures to the non-GS population and promoting the parents' insight into the importance of oral hygiene and regular dental attendance, the demand for scheduled DGA might be greatly reduced. In the small share of children who suffer from severe diseases or disablement and are thus unable to cooperate with home care or dental treatment, DGA will remain the treatment of choice.
本回顾性研究旨在确定 2015 年 1 月至 2019 年 6 月在因斯布鲁克大学诊所接受计划性全麻下牙科治疗的 16 岁以上患者的龋病和治疗需求的流行率，并对人口统计学因素进行分析。
对奥地利因斯布鲁克 2015 年至 2019 年儿童全麻下牙科治疗的诊断、人口统计学和牙科治疗进行回顾性分析。从患者病历中收集匿名人口统计学数据（年龄；性别；是否存在一般疾病或残疾；父母的第一语言（德语-（GS）或非德语（非 GS），反映种族；以及在全麻下接受修复或拔牙的牙齿数量。通过描述性和比较统计数据对数据进行分析。
主要组由 545 名年龄中位数为 5.3（IQR 4.4-6.6）岁的患者组成，他们仅患有乳牙和/或第一磨牙，需要进行修复或拔牙。其中 84.4%的患者因牙科焦虑而被归类为不合作，15.6%的患者因系统性疾病或智力和/或身体残疾而被归类为不合作。在该组中，47.9%的患者为 GS，52.1%为非 GS 或 GS 或非 GS 父母。在总样本中，修复了 5（IQR 3-7）颗乳牙，拔除了 4（IQR 4-7）颗乳牙。亚组分析显示，患有和不患有系统性疾病或残疾的儿童之间的拔牙数量存在统计学显著差异-3（IQR 1-5）与 4（IQR 2-7）-以及 GS 和非 GS 父母的儿童之间的差异-4（IQR 2-6）与 5（IQR 3-7.8）。零（IQR 0-0）颗第一磨牙被填充和拔除。
在所研究的口腔健康状况较差的儿童群体中，非 GS 家庭的子女（与他们在总人口中的比例相比）比例过高，并且与 GS 父母的子女相比，深龋的患病率更高。通过加强和专门针对非 GS 人群的预防措施，并促进父母对口腔卫生和定期牙科就诊重要性的认识，计划性全麻下牙科治疗的需求可能会大大减少。在因严重疾病或残疾而无法配合家庭护理或牙科治疗的少数儿童中，全麻下牙科治疗仍将是首选治疗方法。
