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. 2022 Dec 30;20(1):677.
doi: 10.3390/ijerph20010677.

Comprehensive Dental Treatment under General Anesthesia Improves Mastication Capability in Children with Early Childhood Caries-A One-Year Follow-Up Study

Natacha Linas  1   2 , Marie-Agnès Peyron  1   3 , Pierre-Yves Cousson  1   2 , Nicolas Decerle  1   2 , Martine Hennequin  1   2 , Caroline Eschevins  1 , Emmanuel Nicolas  1   2 , Valérie Collado  1   2
Affiliations

Comprehensive Dental Treatment under General Anesthesia Improves Mastication Capability in Children with Early Childhood Caries-A One-Year Follow-Up Study

Natacha Linas et al. Int J Environ Res Public Health. .

Abstract

Background: Using the granulometry of ready-to-swallow food boluses, this study investigated the evolution of masticatory capability of children with Early Childhood Caries (ECC) after comprehensive dental treatment under general anesthesia (GA).

Methods: Sixteen children with ECC were assessed before and over one year after dental treatment under GA, in comparison with 12 children with a Healthy Oral State (HOS). Oral health criteria, quality of life, body mass index, and frequency of orofacial dysfunctions were recorded. Masticatory kinematic parameters and median food bolus particle size (D50) at swallowing were assessed while masticating raw carrot (CAR), cheese (CHS), and breakfast cereals (CER). The impact of posterior teeth extractions was analyzed.

Results: Quality of life and orofacial functions improved after dental treatment. Chewing frequency for all three foods increased without reaching the values of children with HOS, while D50 values for CAR and CHS decreased. After one year, children with posterior teeth extractions exhibited higher D50 values for CAR and CHS than children with only conservative treatment. One third of children with ECC were overweight or obese.

Conclusions: Comprehensive dental treatment improved children's mastication, and their BMI subsequently increased. Links between mastication and nutrition should be investigated further in children.

Keywords: children; dental caries; dental treatment; general anesthesia; mastication; particle size.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Protocol sequence for both groups of children.
Figure 2
Figure 2
Domain-by-domain orofacial dysfunction frequency throughout the study in both groups of children.
Figure 3
Figure 3
Evolution of mean D50 values at swallowing for the three foods throughout the study period in both groups of children.
See this image and copyright information in PMC

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