Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, 06100, Sihhiye, Ankara, Turkey.
Division of Pediatric Dentistry, Department of Developmental Sciences, Marquette University School of Dentistry, Milwaukee, WI, USA.
BMC Oral Health. 2024 May 10;24(1):548. doi: 10.1186/s12903-024-04285-8.
To evaluate and compare oral health and behavior scores at the first dental visit and dental treatment need using general anesthesia/sedation (GA/S) of children with systemic diseases (SD) and healthy children.
Data were obtained from healthy children (n = 87) and children with SD (n = 79), aged 4 to 6 years, presenting to a hospital dental clinic for a first dental examination. The total number of decayed, missing and filled teeth (dmft), dental behavior score using Frankl Scale, and dental treatment need using GA/S were recorded. Chi-square / Fisher's exact test and Mann-Whitney U tests were used for statistical analyses.
The patients with SD were diagnosed with cardiac disease (61%), renal disease (9%), and pediatric cancers (30%). The median dmft values of the SD group (3.00) were significantly lower than those of healthy children (5.00) (p = 0.02) and healthy children exhibited significantly more positive behavior (90.8%) than children with SD (73.4%) (p = 0.002). The number of patients needing GA/S for dental treatment did not differ significantly between the two groups (p = 0.185). There was no relationship between dental treatment need with GA/S and dental behavior scores of the patients (p = 0.05). A statistically significant relationship was found between the patients' dmft scores and the need for dental treatment using GA/S; and the cut-off value was found to be dmft > 4 for the overall comparisons.
The presence of chronic disease in children appeared to affect the cooperation negatively at the first dental visit compared to healthy controls, however, it did not affect the oral health negatively. Having a negative behavior score or SD did not necessitate the use of GA/S for dental treatment.
评估和比较患有系统性疾病（SD）和健康儿童在首次牙科就诊时的口腔健康和行为评分以及需要全身麻醉/镇静（GA/S）进行的牙科治疗。
数据来自于因首次牙科检查到医院牙科诊所就诊的 4 至 6 岁健康儿童（n=87）和患有 SD 的儿童（n=79）。记录了总失牙数（dmft）、使用 Frankl 量表的牙科行为评分和使用 GA/S 的牙科治疗需求。使用卡方检验/Fisher 确切检验和曼-惠特尼 U 检验进行统计学分析。
SD 患者诊断为心脏病（61%）、肾病（9%）和儿科癌症（30%）。SD 组的中位数 dmft 值（3.00）明显低于健康儿童（5.00）（p=0.02），健康儿童表现出的积极行为（90.8%）明显多于 SD 儿童（73.4%）（p=0.002）。两组需要 GA/S 进行牙科治疗的患者数量无显著差异（p=0.185）。患者的牙科治疗需求与 GA/S 以及牙科行为评分之间没有关系（p=0.05）。患者的 dmft 评分与需要 GA/S 进行牙科治疗之间存在显著的统计学关系；总体比较的截断值为 dmft>4。
与健康对照组相比，慢性疾病的存在似乎会对儿童首次牙科就诊时的合作产生负面影响，但不会对口腔健康产生负面影响。行为评分较差或患有 SD 并不一定需要 GA/S 进行牙科治疗。
