A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health

Nicolas Decerle, Pierre-Yves Cousson, Emmanuel Nicolas and Martine Hennequin
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Nicolas Decerle: Université Clermont Auvergne, Centre de Recherche en Odontologie Clinique (CROC), F-63000 Clermont-Ferrand, France
Pierre-Yves Cousson: Université Clermont Auvergne, Centre de Recherche en Odontologie Clinique (CROC), F-63000 Clermont-Ferrand, France
Emmanuel Nicolas: Université Clermont Auvergne, Centre de Recherche en Odontologie Clinique (CROC), F-63000 Clermont-Ferrand, France
Martine Hennequin: Université Clermont Auvergne, Centre de Recherche en Odontologie Clinique (CROC), F-63000 Clermont-Ferrand, France

IJERPH, 2020, vol. 17, issue 19, 1-15

Abstract: Access to dental treatment could be difficult for some patients due to dental phobia or anxiety, cognitive or sensorial disabilities, systemic disorders, or social difficulties. General anesthesia (GA) was often indicated for dental surgery, and there is almost no available data on adapted procedures and materials that can be applied during GA for maintaining functional teeth on the arches and limiting oral dysfunctions. This study evaluates changes in oral health-related quality of life and mastication in a cohort of uncooperative patients treated under GA according to a comprehensive and conservative dental treatment approach. Dental status, oral health-related quality of life, chewed bolus granulometry, kinematic parameters of mastication, and food refusals were evaluated one month preoperatively (T0), and then one month (T1) and six months post-operatively (T2). One hundred and two adult patients (mean age ± SD: 32.2 ± 9.9 years; range: 18–57.7) participated in the preoperative evaluation, 87 were treated under GA of which 36 participated in the evaluation at T1 and 15 were evaluated at T2. Preoperative and postoperative data comparisons demonstrated that oral rehabilitation under GA helped increase chewing activity and oral health-related quality of life. The conditions for providing dental treatment under GA could be arranged to limit dental extractions in uncooperative patients.

Keywords: access to care; oral rehabilitation; general anesthesia; oral health related quality of life; mastication (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:19:p:7336-:d:424837

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