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Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study
Purpose The aim of this study was to compare dental-treatment outcomes, oral-hygiene improvement, and patient co-operation during follow-up visits between children treated under general anaesthesia (GA) and non-pharmacological behaviour management (NP). Methods This retrospective study reviewed the...
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| Published in: | European archives of paediatric dentistry 2024-06, Vol.25 (3), p.349-358 |
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| container_end_page | 358 |
| container_issue | 3 |
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| container_title | European archives of paediatric dentistry |
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| creator | Pratyaprateep, N. Jirarattanasopha, V. Smutkeeree, A. |
| description | Purpose
The aim of this study was to compare dental-treatment outcomes, oral-hygiene improvement, and patient co-operation during follow-up visits between children treated under general anaesthesia (GA) and non-pharmacological behaviour management (NP).
Methods
This retrospective study reviewed the dental chart records of healthy patients less than 71-month-old with severe early childhood caries (S-ECC) from 2008 to 2020 with at least a 6-month follow-up. The demographical data, dental-treatment outcomes, oral-hygiene status, and patient behaviour at the follow-up visits were analysed by the Mann–Whitney U test, Pearson’s Chi-square, Fisher’s exact test, Friedman test, and Wilcoxon test with a significance level of 0.05.
Results
This study included 210 GA cases and 210 age-matched control NP cases. The GA group had a significantly higher caries experience, lower patient co-operation, poorer oral hygiene, and higher number of complex dental treatment than the NP group at baseline (
p
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| doi_str_mv | 10.1007/s40368-024-00887-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11233317</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3060382758</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-dea0bcba1665d24cf9e3652fb25db8bc99223ee3c1006177f1056a1c3719978b3</originalsourceid><addsrcrecordid>eNp9kstu1TAQhiMEoqXwAiyQJTZsDHYcX8IGVeUqVWJT1pbjTE5cJfbBTo50XosnZNqUclmw8kjzze-ZX39VPefsNWdMvykNE8pQVjeUMWM0VQ-qU962iraGyYdYG26oEoydVE9KuWZMaqHV4-pEGG3alten1Y_3EBc3kSWDW2asSVoXn2YoJERyNbpA_BimPkPcGOjJkDIpcIAMBFyejvSWGFPqiXc54Ogae8hkBxEyarvooCwjlOCw7klMke5Hl2fn05R2wSPTwegOIa2ZzIjv4GaVt8SRDEtOZQ9-CQcgZVn749Pq0eCmAs_u3rPq28cPVxef6eXXT18uzi-pF1IttAfHOt85rpTs68YPLQgl66GrZd-ZzrdtXQsA4dFLxbUeOJPKcS80WqhNJ86qd5vufu1m6D1uhNfYfQ6zy0ebXLB_d2IY7S4dLOe1EIJrVHh1p5DT9xU9sHMoHqbJRUhrsYIpJkytpUH05T_oNZoR8T6ktJZayqZBqt4oj6aUDMP9NpzZm0zYLRMWM2FvM2EVDr348477kV8hQEBsQMFW3EH-_fd_ZH8CiaXH1g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3077575544</pqid></control><display><type>article</type><title>Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study</title><source>Springer Nature</source><creator>Pratyaprateep, N. ; Jirarattanasopha, V. ; Smutkeeree, A.</creator><creatorcontrib>Pratyaprateep, N. ; Jirarattanasopha, V. ; Smutkeeree, A.</creatorcontrib><description>Purpose
The aim of this study was to compare dental-treatment outcomes, oral-hygiene improvement, and patient co-operation during follow-up visits between children treated under general anaesthesia (GA) and non-pharmacological behaviour management (NP).
Methods
This retrospective study reviewed the dental chart records of healthy patients less than 71-month-old with severe early childhood caries (S-ECC) from 2008 to 2020 with at least a 6-month follow-up. The demographical data, dental-treatment outcomes, oral-hygiene status, and patient behaviour at the follow-up visits were analysed by the Mann–Whitney U test, Pearson’s Chi-square, Fisher’s exact test, Friedman test, and Wilcoxon test with a significance level of 0.05.
Results
This study included 210 GA cases and 210 age-matched control NP cases. The GA group had a significantly higher caries experience, lower patient co-operation, poorer oral hygiene, and higher number of complex dental treatment than the NP group at baseline (
p
< 0.001). The number of children who had incomplete dental treatment under non-pharmacological behaviour management was higher than the GA group. After treatment, the number of new carious teeth in the NP group was significantly higher than in the GA group only at the 6-month follow-up. However, there was no significant difference in treatment failure, oral-hygiene improvement, and patient behaviour between groups.
Conclusion
Although patients in the GA group had higher dental and behaviour problems than the NP group, the overall dental-treatment outcomes, including oral hygiene and behaviour improvement, were not significantly different between groups Therefore, regular follow-up and preventive treatment in the maintenance phase are essential for children with severe early-childhood caries.</description><identifier>ISSN: 1818-6300</identifier><identifier>ISSN: 1996-9805</identifier><identifier>EISSN: 1996-9805</identifier><identifier>DOI: 10.1007/s40368-024-00887-6</identifier><identifier>PMID: 38789912</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Anesthesia ; Anesthesia, Dental - methods ; Anesthesia, General ; Anxiety ; Behavior Therapy - methods ; Chi-square test ; Child, Preschool ; Childhood ; Clinical outcomes ; Data collection ; Dental Care for Children - methods ; Dental caries ; Dental Caries - therapy ; Dental insurance ; Dentistry ; Dentists ; Female ; Fluorides ; General anesthesia ; Group dynamics ; Humans ; Infant ; Intervention ; Male ; Medicine ; Oral hygiene ; Oral Hygiene - education ; Original Scientific ; Original Scientific Article ; Patients ; Pediatrics ; Pharmacology ; Retrospective Studies ; Southeast Asian People ; Systematic review ; Teeth ; Thailand ; Treatment Outcome</subject><ispartof>European archives of paediatric dentistry, 2024-06, Vol.25 (3), p.349-358</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-dea0bcba1665d24cf9e3652fb25db8bc99223ee3c1006177f1056a1c3719978b3</cites><orcidid>0000-0001-8670-0259 ; 0000-0002-8326-4321 ; 0009-0006-0949-3747</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38789912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pratyaprateep, N.</creatorcontrib><creatorcontrib>Jirarattanasopha, V.</creatorcontrib><creatorcontrib>Smutkeeree, A.</creatorcontrib><title>Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study</title><title>European archives of paediatric dentistry</title><addtitle>Eur Arch Paediatr Dent</addtitle><addtitle>Eur Arch Paediatr Dent</addtitle><description>Purpose
The aim of this study was to compare dental-treatment outcomes, oral-hygiene improvement, and patient co-operation during follow-up visits between children treated under general anaesthesia (GA) and non-pharmacological behaviour management (NP).
Methods
This retrospective study reviewed the dental chart records of healthy patients less than 71-month-old with severe early childhood caries (S-ECC) from 2008 to 2020 with at least a 6-month follow-up. The demographical data, dental-treatment outcomes, oral-hygiene status, and patient behaviour at the follow-up visits were analysed by the Mann–Whitney U test, Pearson’s Chi-square, Fisher’s exact test, Friedman test, and Wilcoxon test with a significance level of 0.05.
Results
This study included 210 GA cases and 210 age-matched control NP cases. The GA group had a significantly higher caries experience, lower patient co-operation, poorer oral hygiene, and higher number of complex dental treatment than the NP group at baseline (
p
< 0.001). The number of children who had incomplete dental treatment under non-pharmacological behaviour management was higher than the GA group. After treatment, the number of new carious teeth in the NP group was significantly higher than in the GA group only at the 6-month follow-up. However, there was no significant difference in treatment failure, oral-hygiene improvement, and patient behaviour between groups.
Conclusion
Although patients in the GA group had higher dental and behaviour problems than the NP group, the overall dental-treatment outcomes, including oral hygiene and behaviour improvement, were not significantly different between groups Therefore, regular follow-up and preventive treatment in the maintenance phase are essential for children with severe early-childhood caries.</description><subject>Age</subject><subject>Anesthesia</subject><subject>Anesthesia, Dental - methods</subject><subject>Anesthesia, General</subject><subject>Anxiety</subject><subject>Behavior Therapy - methods</subject><subject>Chi-square test</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Clinical outcomes</subject><subject>Data collection</subject><subject>Dental Care for Children - methods</subject><subject>Dental caries</subject><subject>Dental Caries - therapy</subject><subject>Dental insurance</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Female</subject><subject>Fluorides</subject><subject>General anesthesia</subject><subject>Group dynamics</subject><subject>Humans</subject><subject>Infant</subject><subject>Intervention</subject><subject>Male</subject><subject>Medicine</subject><subject>Oral hygiene</subject><subject>Oral Hygiene - education</subject><subject>Original Scientific</subject><subject>Original Scientific Article</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pharmacology</subject><subject>Retrospective Studies</subject><subject>Southeast Asian People</subject><subject>Systematic review</subject><subject>Teeth</subject><subject>Thailand</subject><subject>Treatment Outcome</subject><issn>1818-6300</issn><issn>1996-9805</issn><issn>1996-9805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kstu1TAQhiMEoqXwAiyQJTZsDHYcX8IGVeUqVWJT1pbjTE5cJfbBTo50XosnZNqUclmw8kjzze-ZX39VPefsNWdMvykNE8pQVjeUMWM0VQ-qU962iraGyYdYG26oEoydVE9KuWZMaqHV4-pEGG3alten1Y_3EBc3kSWDW2asSVoXn2YoJERyNbpA_BimPkPcGOjJkDIpcIAMBFyejvSWGFPqiXc54Ogae8hkBxEyarvooCwjlOCw7klMke5Hl2fn05R2wSPTwegOIa2ZzIjv4GaVt8SRDEtOZQ9-CQcgZVn749Pq0eCmAs_u3rPq28cPVxef6eXXT18uzi-pF1IttAfHOt85rpTs68YPLQgl66GrZd-ZzrdtXQsA4dFLxbUeOJPKcS80WqhNJ86qd5vufu1m6D1uhNfYfQ6zy0ebXLB_d2IY7S4dLOe1EIJrVHh1p5DT9xU9sHMoHqbJRUhrsYIpJkytpUH05T_oNZoR8T6ktJZayqZBqt4oj6aUDMP9NpzZm0zYLRMWM2FvM2EVDr348477kV8hQEBsQMFW3EH-_fd_ZH8CiaXH1g</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Pratyaprateep, N.</creator><creator>Jirarattanasopha, V.</creator><creator>Smutkeeree, A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8670-0259</orcidid><orcidid>https://orcid.org/0000-0002-8326-4321</orcidid><orcidid>https://orcid.org/0009-0006-0949-3747</orcidid></search><sort><creationdate>20240601</creationdate><title>Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study</title><author>Pratyaprateep, N. ; Jirarattanasopha, V. ; Smutkeeree, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-dea0bcba1665d24cf9e3652fb25db8bc99223ee3c1006177f1056a1c3719978b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Anesthesia</topic><topic>Anesthesia, Dental - methods</topic><topic>Anesthesia, General</topic><topic>Anxiety</topic><topic>Behavior Therapy - methods</topic><topic>Chi-square test</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>Clinical outcomes</topic><topic>Data collection</topic><topic>Dental Care for Children - methods</topic><topic>Dental caries</topic><topic>Dental Caries - therapy</topic><topic>Dental insurance</topic><topic>Dentistry</topic><topic>Dentists</topic><topic>Female</topic><topic>Fluorides</topic><topic>General anesthesia</topic><topic>Group dynamics</topic><topic>Humans</topic><topic>Infant</topic><topic>Intervention</topic><topic>Male</topic><topic>Medicine</topic><topic>Oral hygiene</topic><topic>Oral Hygiene - education</topic><topic>Original Scientific</topic><topic>Original Scientific Article</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pharmacology</topic><topic>Retrospective Studies</topic><topic>Southeast Asian People</topic><topic>Systematic review</topic><topic>Teeth</topic><topic>Thailand</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pratyaprateep, N.</creatorcontrib><creatorcontrib>Jirarattanasopha, V.</creatorcontrib><creatorcontrib>Smutkeeree, A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European archives of paediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pratyaprateep, N.</au><au>Jirarattanasopha, V.</au><au>Smutkeeree, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study</atitle><jtitle>European archives of paediatric dentistry</jtitle><stitle>Eur Arch Paediatr Dent</stitle><addtitle>Eur Arch Paediatr Dent</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>25</volume><issue>3</issue><spage>349</spage><epage>358</epage><pages>349-358</pages><issn>1818-6300</issn><issn>1996-9805</issn><eissn>1996-9805</eissn><abstract>Purpose
The aim of this study was to compare dental-treatment outcomes, oral-hygiene improvement, and patient co-operation during follow-up visits between children treated under general anaesthesia (GA) and non-pharmacological behaviour management (NP).
Methods
This retrospective study reviewed the dental chart records of healthy patients less than 71-month-old with severe early childhood caries (S-ECC) from 2008 to 2020 with at least a 6-month follow-up. The demographical data, dental-treatment outcomes, oral-hygiene status, and patient behaviour at the follow-up visits were analysed by the Mann–Whitney U test, Pearson’s Chi-square, Fisher’s exact test, Friedman test, and Wilcoxon test with a significance level of 0.05.
Results
This study included 210 GA cases and 210 age-matched control NP cases. The GA group had a significantly higher caries experience, lower patient co-operation, poorer oral hygiene, and higher number of complex dental treatment than the NP group at baseline (
p
< 0.001). The number of children who had incomplete dental treatment under non-pharmacological behaviour management was higher than the GA group. After treatment, the number of new carious teeth in the NP group was significantly higher than in the GA group only at the 6-month follow-up. However, there was no significant difference in treatment failure, oral-hygiene improvement, and patient behaviour between groups.
Conclusion
Although patients in the GA group had higher dental and behaviour problems than the NP group, the overall dental-treatment outcomes, including oral hygiene and behaviour improvement, were not significantly different between groups Therefore, regular follow-up and preventive treatment in the maintenance phase are essential for children with severe early-childhood caries.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38789912</pmid><doi>10.1007/s40368-024-00887-6</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8670-0259</orcidid><orcidid>https://orcid.org/0000-0002-8326-4321</orcidid><orcidid>https://orcid.org/0009-0006-0949-3747</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1818-6300 |
| ispartof | European archives of paediatric dentistry, 2024-06, Vol.25 (3), p.349-358 |
| issn | 1818-6300 1996-9805 1996-9805 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11233317 |
| source | Springer Nature |
| subjects | Age Anesthesia Anesthesia, Dental - methods Anesthesia, General Anxiety Behavior Therapy - methods Chi-square test Child, Preschool Childhood Clinical outcomes Data collection Dental Care for Children - methods Dental caries Dental Caries - therapy Dental insurance Dentistry Dentists Female Fluorides General anesthesia Group dynamics Humans Infant Intervention Male Medicine Oral hygiene Oral Hygiene - education Original Scientific Original Scientific Article Patients Pediatrics Pharmacology Retrospective Studies Southeast Asian People Systematic review Teeth Thailand Treatment Outcome |
| title | Dental treatment outcomes in Thai children treated for severe early-childhood caries under general anaesthesia and non-pharmacological behaviour management: a retrospective study |
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