The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

Romana Koberova Ivancakova, Jakub Suchanek, Flora Kovacsova, Eva Cermakova and Vlasta Merglova
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Romana Koberova Ivancakova: Department of Dentistry, Faculty of Medicine Charles University and University Hospital, 500 03 Hradec Kralove, Czech Republic
Jakub Suchanek: Department of Dentistry, Faculty of Medicine Charles University and University Hospital, 500 03 Hradec Kralove, Czech Republic
Flora Kovacsova: Department of Dentistry, Faculty of Medicine Charles University and University Hospital, 500 03 Hradec Kralove, Czech Republic
Eva Cermakova: Department of Medical Biophysics, Faculty of Medicine Charles University, 500 03 Hradec Kralove, Czech Republic
Vlasta Merglova: Department of Dentistry, Faculty of Medicine Charles University and University Hospital, 323 00 Pilsen, Czech Republic

IJERPH, 2019, vol. 16, issue 14, 1-6

Abstract: Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) ( p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.

Keywords: dental treatment; general anaesthesia; children; medically compromised (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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