Schulz-Weidner Nelly, Schlenz Maximiliane Amelie, Jung Linda Giuliana, Uebereck Constanze Friederike, Nehls Agnes, Krämer Norbert
Department of Paediatric Dentistry, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
Department of Prosthodontics, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
J Clin Med. 2022 May 6;11(9):2613. doi: 10.3390/jcm11092613.
The aim of this retrospective study was to evaluate the dental treatments received under general anesthesia (GA) in pre-school children and school children with special healthcare needs (n = 263) compared with healthy controls (n = 62). In order to analyze the impact of pre-existing cofactors on oral health, children were divided into the following groups: heart disease, cancer, syndromic disease, and other diseases as well as in- and outpatient healthy children. Caries experience (dmf-t/DMF-T) before GA (impulse 1), waiting time, and dental treatment under GA (impulse 2) were determined. Pre-school children showed a higher caries experience (mean ± standard deviation; 8.3 ± 4.8) compared to schoolchildren (6.9 ± 4.3). Predominantly, early childhood caries (ECC) of type 1 were detected. From all groups with special healthcare needs, children with cancer revealed the highest Significant Caries Index (17.0 ± 2.0), followed by other diseases (14.6 ± 2.6), syndromic disease (14.3 ± 1.8), and heart disease (13.8 ± 2.7). Overall, 2607 dental procedures were performed under GA with a mean of 8.0 ± 6.5 dental measures per child. Within the limitations of this study, the data exhibited independent of pre-existing cofactors and age high caries risk in all patient groups showing a high need for treatment.
这项回顾性研究的目的是评估有特殊医疗需求的学龄前儿童和学龄儿童（n = 263）与健康对照组（n = 62）在全身麻醉（GA）下接受的牙科治疗。为了分析既往共存因素对口腔健康的影响，将儿童分为以下几组：心脏病、癌症、综合征疾病、其他疾病以及门诊和住院的健康儿童。确定了全身麻醉前（脉冲1）的龋病经历（dmf-t/DMF-T）、等待时间和全身麻醉下的牙科治疗（脉冲2）。与学龄儿童（6.9±4.3）相比，学龄前儿童的龋病经历更高（平均值±标准差；8.3±4.8）。主要检测到的是1型早期儿童龋（ECC）。在所有有特殊医疗需求的组中，癌症患儿的龋病显著指数最高（17.0±2.0），其次是其他疾病（14.6±2.6）、综合征疾病（14.3±1.8）和心脏病（13.8±2.7）。总体而言，在全身麻醉下共进行了2607次牙科手术，每名儿童平均进行了8.0±6.5次牙科治疗。在本研究的局限性范围内，数据显示所有患者组无论既往共存因素和年龄如何，龋病风险都很高，治疗需求也很高。
