DENTAL REHABILITATION UNDER GENERAL ANESTHESIA: A QUALITATIVE ANALYSIS OF ITS IMPACT ON CHILDREN’S ORAL HEALTH-RELATED QUALITY OF LIFE.
DOI:
https://doi.org/10.55519/JAMC-01-14123Keywords:
Early Childhood Caries (ECC), Dental Rehabilitation under General Anesthesia (DRGA), Oral Health-Related Quality of Life (OHRQoL)Abstract
Background: Early childhood caries is a widespread condition in the developing world, considerably affecting children’s oral health-related quality of life by causing pain, discomfort, and functional impairments. Dental rehabilitation under general anesthesia is a beneficial intervention for severe early childhood caries, offering substantial relief and marked improvements in oral health-related quality of life. This study explores the impact of dental rehabilitation under general anesthesia on the emotional and social well-being of affected children and their families. Methods: A qualitative study was conducted at the Department of Pediatric Dentistry, Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad. Out of 40 children who underwent comprehensive dental treatment under general anesthesia, the parents of 15 children agreed to participate in focus group discussions and in-depth interviews. Two focal group discussions (with five parents each) and five in-depth interviews were conducted and thematic analysis synthesized data into a comprehensive picture of the participants’ experiences. Results: Before dental rehabilitation under general anesthesia, children experienced pain, sleep issues, behavioral problems, poor academics, and social withdrawal, causing emotional and financial stress for families. After treatment, children showed improved behavior, school performance, and well-being. Parents reported enhanced family dynamics and reduced financial burdens, significantly improving overall quality of life. Conclusion: Dental Rehabilitation treatment under general anesthesia, substantially improves children’s oral and functional health, emotional stability, and social interaction, while positively influencing family well-being. Parents expressed high levels of satisfaction, highlighting it as a valuable intervention for managing extensive forms of early childhood caries and enhancing overall quality of life.
References
1. Oubenyahya H, Bouhabba N. General anesthesia in the management of early childhood caries: an overview. J Dent Anesth Pain Med. 2019; 19(6):313–22.
2. Edem AP. Early childhood caries update. Dent Caries-Diagn Prev Manag. 2018; 79–96.
3. World Health Organization. WHO expert consultation on public health intervention against early childhood caries: report of a meeting, Bangkok, Thailand, 26-28 January 2016. World Health Organization; 2017.
4. Anil S, Anand PS. Early childhood caries: prevalence, risk factors, and prevention. Front Pediatr. 2017; 5:157.
5. Chen KJ, Gao SS, Duangthip D, Lo EC, Chu CH. Prevalence of early childhood caries among 5‐year‐old children: a systematic review. J Investig Clin Dent. 2019; 10(1):e12376.
6. Li L, Wang H, Han X. Oral health-related quality of life in pediatric patients under general anesthesia: A prospective study. Medicine (Baltimore). 2017; 96(2):e5596.
7. Watt RG, Mathur MR, Aida J, Bönecker M, Venturelli R, Gansky SA. Oral health disparities in children: a canary in the coalmine? Pediatr Clin. 2018; 65(5):965–79.
8. Mallineni SK, Bhumireddy J, Mohammed AM, Mukthineni V. A survey on dental treatments provided under general anesthesia for pediatric patients: A hospital based retrospective audit. Contemp Pediatr Dent. 2021; 2:35–40.
9. Bagher SM, Felemban OM, Alsabbagh GA, Aljuaid NA. The Effect of Using a Camouflaged Dental Syringe on Children’s Anxiety and Behavioral Pain. Cureus. 2023; 15(12).
10. Abdalhai R, Kouchaji C, Alkhatib R. The effect of aromatherapy with Lavender-Neroli oil and music in management of pediatric dental anxiety: a randomized control trial. BDJ Open. 2024; 10(1):5.
11. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. Ref Man Pediatr Dent Chic Ill Am Acad Pediatr Dent. 2020; 292–310.
12. American Academy of Pediatric Dentistry. Oral health care for the pregnant pediatric dental patient. Ref Man Pediatr Dent. 2021; 277–86.
13. Metwally MM, Sharaf AA, Bakry NS. ASSESSMENT OF ORAL HEALTH-RELATED QUALITY OF LIFE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AFTER ORAL REHABILITATION UNDER GENERAL ANAESTHESIA (CROSS-SECTIONAL STUDY). Alex Dent J. 2020; 45(3):12–7.
14. Hu YH, Tsai A, Ou-Yang LW, Chuang LC, Chang PC. Postoperative dental morbidity in children following dental treatment under general anesthesia. BMC Oral Health. 2018; 18:1–7.
15. Berat PJ, Jacq R, Villain C, Vital S, Germa A. Development and Validation of the SCAN-Score to Indicate General Anesthesia for Dental Care in Children. J Clin Med. 2024; 13(6):1640.
16. OZ E, KIRZIOGLU Z. THE ORAL HEALTH-RELATED QUALITY OF LIFE IN PRESCHOOL CHILDREN FOLLOWING DENTAL TREATMENTS UNDER GENERAL ANESTHESIA. Int J Med Dent. 2020; 24(2).
17. de Souza MC, Harrison M, Marshman Z. Oral health‐related quality of life following dental treatment under general anesthesia for early childhood caries–a UK‐based study. Int J Paediatr Dent. 2017; 27(1):30–6.
18. Ahswnee AAA, Mohd Noor SNF. Factors Influencing Parental Acceptance of Paediatric Dental General Anaesthesia: A Systematic Review. Malays J Med Health Sci. 2024; 20(4).
19. Almajed OS, Aljouie AA, Alharbi MS, Alsulaimi LM. The Impact of Socioeconomic Factors on Pediatric Oral Health: A Review. Cureus. 2024; 16(2).
20. Irfan A, Khan A, Irfan A, Mehmood Z, Tahir R. Effects of Parental Oral Health knowledge on Early Childhood Caries and Oral Health Status of Children 3-5 Years of Age in Abbottabad: Parental Oral Health knowledge on Early Childhood Caries. Pak J Health Sci. 2023; 76–80.
21. Thomson WM. Public health aspects of pediatric dental treatment under general anesthetic. Dent J. 2016; 4(2):20.
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