ASSESSMENT OF ORAL HEALTH RELATED QUALITY OF LIFE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AFTER ORAL REHABILITATION UNDER GENERAL ANAESTHESIA (CROSS SECTIONAL STUDY)

Metwally, Mohamed M.; Sharaf, Aly A.; Bakry, Niveen S.

doi:10.21608/adjalexu.2020.122734

ASSESSMENT OF ORAL HEALTH RELATED QUALITY OF LIFE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AFTER ORAL REHABILITATION UNDER GENERAL ANAESTHESIA (CROSS SECTIONAL STUDY)

Document Type : Original Article

Authors

¹ Resident of Pediatric Dentistry, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt.

² Professor of Pediatric Dentistry, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt.

10.21608/adjalexu.2020.122734

Abstract

Introduction: Children with Special Health Care Needs (CSHCN) can be at increased risk of unmet dental services. Dental treatment under General Anesthesia (GA) may be a safe and effective treatment for CSHCN. Assessing Oral Health Related Quality of Life (OHRQoL) of CSHCN could enable the evaluation of the oral health state and treatment efficiency after oral rehabilitation under GA.
Objectives: To assess change in oral health related quality of life among children with special health care needs before and after oral rehabilitation under general anesthesia.
Materials and methods: A cross-sectional study with a sample of 47 parents/caregivers of CSHCN who were scheduled for oral rehabilitation under GA at the Faculty of Dentistry, Alexandria University. Parents/caregivers responded to a self-completed Child Oral Health-Related Quality of Life questionnaire (COHQoL). It consisted of Parental- Caregiver Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS) which, was completed before and at 1 month after the oral rehabilitation.
Results:The impact on OHRQoL was reportedly negative before oral rehabilitation under GA but it improved significantly (p=0.001)in all aspects postoperatively with overall scores for P-CPQ section ranged from 12.0 to 45.0 and a mean of 30.2± 7.7 preoperative and it declined post-operatively to range from 0.0 to 39.0 and a mean of 15.9± 11.4. For FIS section scores ranged from 3.0 to 23.0 and a mean of 13.9± 4.5 preoperative and declined post-operatively to range from 0.0 to 21.0 and a mean of 7.3± 6.0.
Conclusions: Oral rehabilitation of CSHCNs under GA markedly improved their OHRQoL as well as their families.

Keywords

Main Subjects

Pediatric dentistry

References

1- Lee GHM, McGrath C, Yiu CKY, King NM. Sensitivity and responsiveness of the Chinese ECOHIS to dental treatment under general anaesthesia. Community Dent Oral Epidemiol. 2011;39:372-7.

2- Kassebaum NJ, Bernabe' E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94:650-8.

3- Auluck A. Oral health of poor people in rural areas of developing countries. J Can Dent Assoc. 2005;71:753-5.

4- American Academy of Pediatric Dentistry. Definition of special health care needs. Pediatr Dent. 2017;38:16.

5- Goldson E, Louch G, Washington K, Scheu H. Guidelines for the care of the child with special health care needs. Adv Pediatr. 2006;53:165-82.

6- World Health Organization (WHO). World report on disability: World Health Organization. WHO Press, available at:https://www.who.int/disabilities/world_report/2011/report.pdf?ua=1; 2011.

1- Wahdan IH, El-Nimr NA. Identifying children with Special Health Care Needs in Alexandria, Egypt. Pediatr Res. 2018;84:57-61.

2- Baens-Ferrer C, Roseman MM, Dumas HM, Haley SM. Parental perceptions of oral health-related quality of life for children with special needs: impact of oral rehabilitation under general anesthesia. Pediatr Dent. 2005;27:137-42.

3- Atar M, Krperich EJ. Systemic disorders and their influence on the development of dental hard tissues: a literature review. J Dent Educ. 2010;38:296-306.

4- Desai M, Messer LB, Calache H. A study of the dental treatment needs of children with disabilities in Melbourne, Australia. Aust Dent J. 2001;46:41-50.

5- Mitsea A, Karidis A, Donta-Bakoyianni C, Spyropoulos N. Oral health status in Greek children and teenagers, with disabilities. J Clin Pediatr Dent. 2002;26:111-8.

6- Bradley C, McAlister T. The oral health of children with down syndrome in Ireland. Spec Care Dentist. 2004;24:55-60.

7- Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 2010;30:110-7.

8- Oredugba FA, Akindayomi Y. Oral health status and treatment needs of children and young adults attending a day centre for individuals with special health care needs. BMC Oral Health. 2008;8:1-8.

9- Uo W. Oral Health Guidance for Dental Professionals children with special health care needs & their caregivers. 2012. Available at: http://dental.washington.edu/wp-content/media/sp_need_pdfs/Guidance-Dental.pdf.

10-Owens PL, Kerker BD, Zigler E, Horwitz SM. Vision and oral health needs of individuals with intellectual disability. Ment Retard Dev Disabil Res Rev. 2006;12:28-40.

11-Baghdadi ZD. Effects of dental rehabilitation under general anesthesia on children's oral health-related quality of life using proxy short versions of OHRQoL instruments. Scientific World Journal. 2014;23:1-5.

12-O'Sullivan EA, Curzon ME. The efficacy of comprehensive dental care for children under general anesthesia. Br Dent J. 1991;171:56-8.

13-Jamjoom MM, AlMalik MI, Holt RD, ElNassry A. Dental treatment under general anaesthesia at a hospital in Jeddah, Saudi Arabia. Int J Paediatr Dent. 2001;11:110-6.

14-El-Meligy O, Maashi M, Al-Mushayt A, Al-Nowaiser A, Al-Mubark S. The effect of full-mouth rehabilitation on oral health-related quality of life for children with special health care needs. J Clin Pediatr Dent. 2016;40:53-61.

15-Jokovic A, Locker D, Stephens M, Guyatt G. Agreement between mothers and children aged 11-14 years in rating child oral health-related quality of life. Community Dent Oral Epidemiol. 2003;31:335-43.

16-Locker D, Jokovic A, Stephens M, Kenny D, Tompson B, Guyatt G. Family impact of child oral and oro-facial conditions. Community Dent Oral Epidemiol. 2002;30:438-48.

17-Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Measuring parental perceptions of child oral health related quality of life. J Public Health Dent. 2003;63:67-72.

18-Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002;81:459-63.

19-Klaassen MA, Veerkamp JSJ, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children's oral-health-related quality of life. Eur Arch Paediatr Dent. 2008;9:130-7.

20-Lotfy H. Assessment of oral health related quality of life for children after full mouth rehabilitation under general anesthesia [master's thesis]. Alexandria: Alexandria University; 2014.

21-Daabiss M. American Society of Anaesthesiologists physical status classification. Indian J Anaesth. 2011;55:111-5.

22-World Health Organization. Oral health surveys: basic methods [e-book]. 5th ed. World Health Organization; 2013. Available from: https:// www.who.int/oral_health/publications/9789241548649/en/

23-Wilcoxon F. Individual comparisons by ranking methods. Biometrics Bulletin. 1945;1:80-3.

24-Farsi DJ, Farsi NJ, El-Housseiny AA, Turkistani JM, Farsi NM. Impact of dental rehabilitation on oral health-related quality-of-life in healthy children and those with special health care needs. J Contemp Dent Pract. 2018;19:367-74.

25-Thomson WM, Foster Page LA, Gaynor WN, Malden PE. Short‐form versions of the Parental‐Caregivers Perceptions Questionnaire and the Family Impact Scale. Community Dent Oral Epidemiol. 2013;41:441-50.

26-Unkel JH, Fenton SJ, Hobbs JG, Frere CL. Toothbrushing ability is related to age in children. ASDC J Dent Child. 1995;62:346-8.

27-Malden PE, Thomson WM, Jokovic A, Locker D. Changes in parent-assessed oral health-related quality of life among young children following dental treatment under general anaesthetic. Community Dent Oral Epidemiol. 2008;36:108-17.