Assessment of ratio of parents preferring general anesthesia in treating children more than 5 years indicated for full mouth rehabilitation
Keywords:
Full mouth rehabilitation; General anesthesia; Innovation; Local anaesthesia; Oral health; Parent preferenceAbstract
When it comes to pediatric patients, the challenge is greater in terms of compliance of the patient, as patient satisfaction is directly related to quality of care while efficiently managing the fear and anxiety of the child. Sometimes, children require treatment for dental caries to be carried out under general anaesthetic (GA) in a hospital setting. Many parents view DGA (Dental general anaesthesia) as an acceptable and often convenient method of treatment to address their child’s oral health needs. The aim of this study was to evaluate parent’s preference for general or local anesthesia in their children’s dental treatments. This was a retrospective study conducted by evaluating data of 1005 patients who underwent invasive treatments in a private dental college between June 2019 to March 2020. To fulfil the inclusion criteria, patients between the age group of 1-17 years (pediatric patients) should have been provided with dental treatment like pulpectomy, SS crowns or strip crowns or FMR etc. The coding was done in MS excel. The data was transferred to a host computer and processed using SPSS software version 20.0 (SPSS Inc., Chicago, IL, USA) by tabulation and graphical illustration. Descriptive statistics was used to study the data collected and to analyse frequency and percentage distribution. Chi square test was used to assess association at 5% significance level (P< 0.05). The results showed that within the limitations of the study, it can be concluded that strong association is seen between age and preference for full mouth rehabilitation under GA. There is however no significant association between gender and preference for full mouth rehabilitation under GA. Of those who underwent FMR under GA, 80% were male and 51% belonged to the 5 years and above age group showing a new trend where patients above 5 years are increasingly opting for treatment under GA.
References
Abdul Wahab, P. U. et al. (2017) ‘Risk Factors for Post-operative Infection Following Single Piece Osteotomy’, Journal of maxillofacial and oral surgery, 16(3), pp. 328–332.
Alcaino, E., Kilpatrick, N. M. and Kingsford Smith, E. D. (2001) ‘Utilization of day stay general anaesthesia for the provision of dental treatment to children in New South Wales, Australia’, International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 10(3), pp. 206–212.
Almaz, M. E., Oba, A. A. and Sonmez, I. S. (2019) ‘Postoperative morbidity in pediatric patients following dental treatment under general anesthesia’, European Oral Research, pp. 113–118. doi: 10.26650/eor.20190023.
Almeida, A. G. et al. (2000) ‘Future caries susceptibility in children with early childhood caries following treatment under general anesthesia’, Pediatric dentistry. Available at: https://www.aapd.org/globalassets/media/publications/archives/almeida-22-04.pdf.
Anderson, H. K., Drummond, B. K. and Thomson, W. M. (2004) ‘Changes in aspects of children’s oral- health-related quality of life following dental treatment under general anaesthesia’, International Journal of Paediatric Dentistry, pp. 317–325. doi: 10.1111/j.1365-263x.2004.00572.x.
Ashok, B. S., Ajith, T. A. and Sivanesan, S. (2017) ‘Hypoxia-inducible factors as neuroprotective agent in Alzheimer’s disease’, Clinical and experimental pharmacology & physiology, 44(3), pp. 327–334.
Brill, W. (2002) ‘Behavior of pediatric dental patients throughout the course of restorative dental treatment in a private pediatric dental practice’, Journal of Clinical Pediatric Dentistry, pp. 55–60. doi: 10.17796/jcpd.26.1.5657p372502l5180.
Christabel, S. L. and Linda Christabel, S. (2015) ‘Prevalence of Type of Frenal Attachment and Morphology of Frenum in Children, Chennai, Tamil Nadu’, World Journal of Dentistry, pp. 203–207. doi: 10.5005/jp-journals-10015-1343.
Danda, A. K. (2010) ‘Comparison of a single noncompression miniplate versus 2 noncompression miniplates in the treatment of mandibular angle fractures: a prospective, randomized clinical trial’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 68(7), pp. 1565–1567.
Devi, V. S. and Gnanavel, B. K. (2014) ‘Properties of Concrete Manufactured Using Steel Slag’, Procedia Engineering, 97, pp. 95–104.
Duangthip, D. et al. (2016) ‘approaches to treat dentin caries in preschool children: systematic review’, European journal of paediatric dentistry: official journal of European Academy of Paediatric Dentistry, 17, p. 113.
Eapen, B. V., Baig, M. F. and Avinash, S. (2017) ‘An Assessment of the Incidence of Prolonged Postoperative Bleeding After Dental Extraction Among Patients on Uninterrupted Low Dose Aspirin Therapy and to Evaluate the Need to Stop Such Medication Prior to Dental Extractions’, Journal of maxillofacial and oral surgery, 16(1), pp. 48–52.
Eaton, J. J. et al. (2005) ‘Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry’, Pediatric dentistry. Available at: https://www.ingentaconnect.com/content/aapd/pd/2005/00000027/00000002/art00004.
Eidelman, E., Faibis, S. and Peretz, B. (2000) ‘A comparison of restorations for children with early childhood caries treated under general anesthesia or conscious sedation’, Pediatric dentistry. Available at: https://europepmc.org/abstract/med/10730284.
Enger, D. J. and Mourino, A. P. (1985) ‘A survey of 200 pediatric dental general anesthesia cases’, ASDC journal of dentistry for children. Available at: https://www.ncbi.nlm.nih.gov/pubmed/3856585.
Farsi, N. et al. (2009) ‘Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia’, BMC oral health. Available at: https://link.springer.com/article/10.1186/1472-6831-9-6.
‘Fluoride, Fluoridated Toothpaste Efficacy And Its Safety In Children - Review’ (2018) International Journal of Pharmaceutical Research. doi: 10.31838/ijpr/2018.10.04.017.
Gopalakannan, S., Senthilvelan, T. and Ranganathan, S. (2012) ‘Modeling and Optimization of EDM Process Parameters on Machining of Al 7075-B4C MMC Using RSM’, Procedia Engineering, 38, pp. 685– 690.
GovinDaraju, L. and Gurunathan, D. (2017) ‘Effectiveness of Chewable Tooth Brush in Children-A Prospective Clinical Study’, Journal of clinical and diagnostic research: JCDR. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427431/.
Govindaraju, L. and Jeevanandan, G. (2017a) ‘Clinical evaluation of quality of obturation and instrumentation time using two modified rotary file systems with manual instrumentation in primary teeth’, Journal of clinical and. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713856/.
Govindaraju, L. and Jeevanandan, G. (2017b) ‘Knowledge and practice of rotary instrumentation in primary teeth among indian dentists: A questionnaire survey’, Journal of International. Available at: http://www.jioh.org/article.asp?issn=0976- 7428;year=2017;volume=9;issue=2;spage=45;epage=48;aulast=Govindaraju.
Govindaraju, L., Jeevanandan, G. and Subramanian, E. M. G. (2017) ‘Comparison of quality of obturation and instrumentation time using hand files and two rotary file systems in primary molars: A single-blinded randomized controlled trial’, European Journal of Dentistry, pp. 376–379. doi: 10.4103/ejd.ejd_345_16.
Govindaraju, L., Neelakantan, P. and Gutmann, J. L. (2017) ‘Effect of root canal irrigating solutions on the compressive strength of tricalcium silicate cements’, Clinical oral investigations, 21(2), pp. 567–571.
Gurunathan, D. and Shanmugaavel, A. K. (2016) ‘Dental neglect among children in Chennai’, Journal of the Indian Society of Pedodontics and Preventive Dentistry. Available at: http://www.jisppd.com/article.asp?issn=0970- 4388;year=2016;volume=34;issue=4;spage=364;epage=369;aulast=Gurunathan.
Hicks, C. G. et al. (2012) ‘Demand in Pediatric Dentistry for Sedation and General Anesthesia by Dentist Anesthesiologists: A Survey of Directors of Dentist Anesthesiologist and Pediatric Dentistry Residencies’, Anesthesia Progress, pp. 3–11. doi: 10.2344/11-17.1.
Jeevanandan, G. and Govindaraju, L. (2018a) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European Archives of Paediatric Dentistry, pp. 273–278. doi: 10.1007/s40368-018-0356-6.
Jeevanandan, G. and Govindaraju, L. (2018b) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry. Available at: https://link.springer.com/article/10.1007/s40368-018-0356-6.
JeevananDan, G. S. (2017) ‘Kedo-S paediatric rotary files for root canal preparation in primary teeth–Case report’, Journal of clinical and diagnostic research: JCDR. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427458/.
Kavitha, M. et al. (2014) ‘Solution combustion synthesis and characterization of strontium substituted hydroxyapatite nanocrystals’, Powder Technology, 253, pp. 129–137.
Lakshmanan, L. et al. (2020) ‘Assessing the quality of obturation and instrumentation time using Kedo-S files, Reciprocating files and Hand K-files’, Brazilian Dental Science. doi: 10.14295/bds.2020.v23i1.1822.
Lee, J. and Roberts, M. (2003) ‘Mortality risks associated with pediatric dental care using general anesthesia in a hospital setting’, The Journal of clinical pediatric dentistry. Available at: https://jocpd.org/doi/abs/10.17796/jcpd.27.4.e3gw10732q917757.
Legault, J. V. (1972) ‘Dental treatment of children in a general anesthesia clinic’, J. Canad. Dent. Assn. Available at: https://ci.nii.ac.jp/naid/10009602421/.
Lekha, L. et al. (2014a) ‘Schiff base complexes of rare earth metal ions: Synthesis, characterization and catalytic activity for the oxidation of aniline and substituted anilines’, Journal of organometallic chemistry, 753, pp. 72–80.
Lekha, L. et al. (2014b) ‘Synthesis, spectroscopic characterization and antibacterial studies of lanthanide(III) Schiff base complexes containing N, O donor atoms’, Journal of Molecular Structure, pp. 307–313. doi: 10.1016/j.molstruc.2013.10.014.
Locker, D. et al. (1999) ‘Age of Onset of Dental Anxiety’, Journal of Dental Research, pp. 790–796. doi:10.1177/00220345990780031201.
Low, W., Tan, S. and Schwartz, S. (1999) ‘The effect of severe caries on the quality of life in young children’, Pediatric dentistry. Available at: https://europepmc.org/abstract/med/10509332.
Malden, P. E. et al. (2008) ‘Changes in parent-assessed oral health-related quality of life among young children following dental treatment under general anaesthetic’, Community Dentistry and Oral Epidemiology, pp. 108–117. doi: 10.1111/j.1600-0528.2007.00374.x.
Menon, S. et al. (2018) ‘Selenium nanoparticles: A potent chemotherapeutic agent and an elucidation of its mechanism’, Colloids and surfaces. B, Biointerfaces, 170, pp. 280–292.
Milgrom, P. et al. (1988) ‘The prevalence and practice management consequences of dental fear in a major US city’, The Journal of the American. Available at: https://www.sciencedirect.com/science/article/pii/S0002817788660132.
Neelakantan, P. et al. (2015) ‘Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro’, International endodontic journal, 48(6), pp. 602–610.
Neelakantan, P. et al. (2015) ‘Influence of Irrigation Sequence on the Adhesion of Root Canal Sealers to Dentin: A Fourier Transform Infrared Spectroscopy and Push-out Bond Strength Analysis’, Journal of endodontia, 41(7), pp. 1108–1111.
Neelakantan, P., Grotra, D. and Sharma, S. (2013) ‘Retreatability of 2 mineral trioxide aggregate-based root canal sealers: a cone-beam computed tomography analysis’, Journal of endodontia, 39(7), pp. 893–896.
Oubenyahya, H. and Bouhabba, N. (2019) ‘General anesthesia in the management of early childhood caries: an overview’, Journal of oral surgery, anesthesia, and hospital dental service. Available at: https://synapse.koreamed.org/search.php?where=aview&id=10.17245/jdapm.2019.19.6.313&code=0223JD APM&vmode=FULL.
Packiri, S. and Gurunathan, D. (2017) ‘Management of paediatric oral ranula: a systematic review’, Journal of clinical and. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713871/.
Panchal, V., Jeevanandan, G. and Subramanian, E. M. G. (2019) ‘Comparison of instrumentation time and obturation quality between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: A randomized controlled trial’, Journal of Indian Society of Pedodontics and Preventive Dentistry, p. 75. doi: 10.4103/jisppd.jisppd_72_18.
Parthasarathy, M. et al. (2016) ‘Effect of hydrogen on ethanol-biodiesel blend on performance and emission characteristics of a direct injection diesel engine’, Ecotoxicology and environmental safety, 134(Pt 2), pp. 433–439.
Patil, S. B. et al. (2017) ‘Comparison of Extended Nasolabial Flap Versus Buccal Fat Pad Graft in the Surgical Management of Oral Submucous Fibrosis: A Prospective Pilot Study’, Journal of maxillofacial and oral surgery, 16(3), pp. 312–321.
PradeepKumar, A. R. et al. (2016) ‘Diagnosis of Vertical Root Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study’, Journal of endodontia, 42(8), pp. 1175– 1180.
Praveen, K. et al. (2001) ‘Hypotensive anaesthesia and blood loss in orthognathic surgery: a clinical study’, The British journal of oral & maxillofacial surgery, 39(2), pp. 138–140.
Putchala, M. C. et al. (2013) ‘Ascorbic acid and its pro-oxidant activity as a therapy for tumours of oral cavity – A systematic review’, Archives of Oral Biology, pp. 563–574. doi: 10.1016/j.archoralbio.2013.01.016.
Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi: 10.4034/pboci.2019.191.61.
Ravikumar, D. and Jeevanandan, G. (2017) ‘Evaluation of knowledge among general dentists in treatment of traumatic injuries in primary teeth: A cross-sectional questionnaire study’, European journal of. Available at: https://www.thieme-connect.com/products/ejournals/html/10.4103/ejd.ejd_357_16.
Reddy, K. et al. (2017) ‘Prevalence of dental caries in school going children of both urban and rural areas in Mahbubnagar district, Telangana state, (India): An epidemiological study’, International Journal of Pedodontic Rehabilitation, p. 7. doi: 10.4103/2468-8932.205468.
Sajan, D. et al. (2011) ‘Molecular structure and vibrational spectra of 2,6-bis(benzylidene)cyclohexanone: a density functional theoretical study’, Spectrochimica acta. Part A, Molecular and biomolecular spectroscopy, 78(1), pp. 113–121.
Savanheimo, N. et al. (2005) ‘Reasons for and parental satisfaction with children’s dental care under general anaesthesia’, International Journal of Paediatric Dentistry, pp. 448–454. doi: 10.1111/j.1365- 263x.2005.00681.x.
Somasundaram, S., Ravi, K. and Rajapandian, K. (2015) ‘Fluoride content of bottled drinking water in Chennai, Tamilnadu’, Journal of clinical and. Available at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625331/.
Subramanyam, D. et al. (2018) ‘Comparative evaluation of salivary malondialdehyde levels as a marker of lipid peroxidation in early childhood caries’, European Journal of Dentistry, pp. 067–070. doi: 10.4103/ejd.ejd_266_17.
Thomas, C. W. and Primosch, R. E. (2002) ‘Changes in incremental weight and well-being of children with rampant caries following complete dental rehabilitation’, Pediatric dentistry. Available at: https://europepmc.org/abstract/med/11991312.
Uthrakumar, R. et al. (2010) ‘Bulk crystal growth and characterization of non-linear optical bisthiourea zinc chloride single crystal by unidirectional growth method’, Current applied physics: the official journal of the Korean Physical Society, 10(2), pp. 548–552.
Vellingiri, S. and Gurunathan, D. (2015) ‘Assessment of Parent’s Preference to General or Local Anesthesia for Children undergoing Dental Treatment’, World Journal of Dentistry, pp. 154–160. doi: 10.5005/jp-journals-10015-1333.
Vijayakumar, G. N. S. et al. (2010) ‘Synthesis of electrospun ZnO/CuO nanocomposite fibers and their dielectric and non-linear optic studies’, Journal of alloys and compounds, 507(1), pp. 225–229.
Vishnu Prasad, S. et al. (2018) ‘Report on oral health status and treatment needs of 5-15 years old children with sensory deficits in Chennai, India’, Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 38(1), pp. 58–59.
Wahab, P. U. A. et al. (2018) ‘Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 76(6), pp. 1160–1164.
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