Baty Haneen, Alzain Ibtesam, Abdulla Medhat, Baghlaf Khlood
Ministry of Health, Tabouk 47913, Saudi Arabia.
Pediatric Dentistry Department, King Abdulaziz University, Jeddah 22254, Saudi Arabia.
Dent J (Basel). 2025 May 1;13(5):202. doi: 10.3390/dj13050202.
Children who undergo several dental extractions with general anesthesia (GA) may face considerable changes in their oral health-related quality of life (OHRQoL), but there is a lack of research on this issue in the Middle East. This study aimed to assess how the number of dental extractions performed under general anaesthesia due to caries impacts the oral health-related quality of life (OHRQoL) in children aged from three to six years. This prospective, single-center cohort study included parents of children aged 3-6 years undergoing dental treatment under general anaesthesia in Jeddah, Saudi Arabia. Parents completed the validated Arabic Early Childhood Oral Health Impact Scale (A-ECOHIS) before and after treatment to assess changes in OHRQoL. The number of extractions was recorded, and patients were grouped based on extraction frequency: high (≥mean) and low (<mean). Pearson's correlation was used to evaluate the relationship between the number of extractions and the effect size of OHRQoL. Ninety-three participants met the inclusion criteria and agreed to participate in this study. The mean age of the children was 4.88 years (SD ± 1.06). The most common procedure performed was extraction, with a mean of 5.34 (SD ± 5.53), followed by stainless-steel crown application, with a mean of 4.03 (SD ± 2.01). No correlation between the number of extractions and the effect size in the change in OHRQoL was noted (Pearson r = -0.002, -value = 0.98). Dental extractions were the most common procedure performed under GA. While multiple extractions showed no significant association with the effect size of OHRQoL, overall treatment under GA led to significant improvement. These findings highlight the need for timely intervention, parental education, and comprehensive treatment protocols. Utilizing tools like ECOHIS may aid in prioritizing high-risk cases and optimizing resource allocation in pediatric dental care.
接受多次全身麻醉（GA）下牙齿拔除术的儿童，其口腔健康相关生活质量（OHRQoL）可能会面临显著变化，但中东地区在这一问题上缺乏相关研究。本研究旨在评估因龋齿在全身麻醉下进行的牙齿拔除数量如何影响3至6岁儿童的口腔健康相关生活质量（OHRQoL）。这项前瞻性、单中心队列研究纳入了沙特阿拉伯吉达接受全身麻醉下牙科治疗的3至6岁儿童的父母。父母在治疗前后完成经过验证的阿拉伯语幼儿口腔健康影响量表（A-ECOHIS），以评估OHRQoL的变化。记录拔牙数量，并根据拔牙频率将患者分组：高（≥平均值）和低（<平均值）。采用Pearson相关性分析来评估拔牙数量与OHRQoL效应大小之间的关系。93名参与者符合纳入标准并同意参与本研究。儿童的平均年龄为4.88岁（标准差±1.06）。最常见的手术是拔牙，平均为5.34次（标准差±5.53），其次是应用不锈钢冠，平均为4.03次（标准差±2.01）。未观察到拔牙数量与OHRQoL变化效应大小之间存在相关性（Pearson相关系数r = -0.002，P值 = 0.98）。牙齿拔除术是全身麻醉下最常见的手术。虽然多次拔牙与OHRQoL效应大小无显著关联，但全身麻醉下的总体治疗导致了显著改善。这些发现凸显了及时干预、家长教育和综合治疗方案的必要性。使用ECOHIS等工具可能有助于确定高风险病例的优先级，并优化儿童牙科护理中的资源分配。
