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. 2022 May 6;11(9):2613.
doi: 10.3390/jcm11092613.

Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study

Nelly Schulz-Weidner  1 , Maximiliane Amelie Schlenz  2 , Linda Giuliana Jung  1 , Constanze Friederike Uebereck  1 , Agnes Nehls  3 , Norbert Krämer  1
Affiliations

Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study

Nelly Schulz-Weidner et al. J Clin Med. .

Abstract

The aim of this retrospective study was to evaluate the dental treatments received under general anesthesia (GA) in pre-school children and school children with special healthcare needs (n = 263) compared with healthy controls (n = 62). In order to analyze the impact of pre-existing cofactors on oral health, children were divided into the following groups: heart disease, cancer, syndromic disease, and other diseases as well as in- and outpatient healthy children. Caries experience (dmf-t/DMF-T) before GA (impulse 1), waiting time, and dental treatment under GA (impulse 2) were determined. Pre-school children showed a higher caries experience (mean ± standard deviation; 8.3 ± 4.8) compared to schoolchildren (6.9 ± 4.3). Predominantly, early childhood caries (ECC) of type 1 were detected. From all groups with special healthcare needs, children with cancer revealed the highest Significant Caries Index (17.0 ± 2.0), followed by other diseases (14.6 ± 2.6), syndromic disease (14.3 ± 1.8), and heart disease (13.8 ± 2.7). Overall, 2607 dental procedures were performed under GA with a mean of 8.0 ± 6.5 dental measures per child. Within the limitations of this study, the data exhibited independent of pre-existing cofactors and age high caries risk in all patient groups showing a high need for treatment.

Keywords: caries prevention; dental treatment; early childhood caries; general anesthesia; oral health; pediatric dentistry; pre-school children; risk factors; special healthcare needs.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mean dmf-t/DMF-T values in the different groups at impulse 1.
Figure 2
Figure 2
Distribution of ECC according to Wyne [38] regarding each group of treated children at baseline.
Figure 3
Figure 3
dmf-t/DMF-T index of pre-school children at first impulse (IMP1-pre-operative assessment) and second impulse (IMP2-dental treatment under GA): decayed (dt), missing (mt), and filled (ft) teeth for sole primary dentitions; decayed (dtDT), missing (mtMT), and filled teeth (ftFT) for mixed dentitions; decayed (DT), missing (MT), and filled (FT) teeth for sole permanent dentitions.
Figure 4
Figure 4
dmf-t/DMF-T index of school children at first impulse (IMP1-pre-operative assessment) and at second impulse (IMP2-dental treatment under GA): decayed (dt), missing (mt), and filled (ft) teeth for sole primary dentitions; decayed (dtDT), missing (mtMT), and filled teeth (ftFT) for mixed dentitions; decayed (DT), missing (MT), and filled (FT) teeth for sole permanent dentitions.
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