Changes in oral health-related quality of life among Austrian preschool children following dental treatment under genera
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ORIGINAL ARTICLE
Changes in oral health-related quality of life among Austrian preschool children following dental treatment under general anaesthesia Sarra Boukhobza 1 & Tanja Stamm 2 & Johannes Glatthor 1 & Nicola Meißner 3 & Katrin Bekes 1 Received: 13 August 2020 / Accepted: 15 September 2020 # The Author(s) 2020
Abstract Objectives To analyse possible changes in oral health-related quality of life (OHRQoL) before and after dental treatment under dental general anaesthesia (DGA) among Austrian preschool children. Methods A consecutive sample of 89 parents of children aged 2 to 5 years, suffering from early childhood caries (ECC) and scheduled for DGA, were recruited from two locations in Austria (Vienna and Salzburg). Parents self-completed the German version of the ECOHIS before (baseline) and 4 weeks (T4) after their child’s dental treatment. The ECOHIS consists of 13 questions and is divided into two main parts, namely, the child impact section (9 items) and the family impact section (4 items). Results A total of 80 children (89%) completed a sufficient number ECOHIS questions at baseline and the follow-up assessment after 4 weeks. “Pain in the teeth, mouth, and jaws” and “difficulty eating some foods” from the child section and parents’ ratings of “feeling upset” and “guilty” were the most frequently reported impacts at baseline. The ECOHIS total score decreased significantly from a mean of 14.60 to 9.89 (p < 0.001) after DGA treatment, revealing a large effect size for the child (0.8) section, family (0.6) section, and the total score (0.8). Parents rated their child’s overall and oral health significantly higher after the DGA treatment (p < 0.001). Conclusions Significant improvements in oral health-related quality of life were observed 4 weeks after DGA in children suffering from ECC. Clinical relevance ECC has an impact on OHRQoL. Rehabilitation under general anaesthesia makes a sustainable improvement. Keywords Oral health-related quality of life (OHRQoL) . Early Childhood Oral Health Impact Scale (ECOHIS) . General anaesthesia . Oral rehabilitation
Introduction Despite improvements in efforts regarding dental health education, the percentage of children with decayed deciduous teeth remains startling high [1]. Early childhood caries Sarra Boukhobza and Tanja Stamm contributed equally to this work. * Katrin Bekes [email protected] 1
Department of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, 1090 Vienna, Austria
2
Center for Medical Statistics, Informatics, and Intelligent Systems, Section for Outcomes Research, Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria
3
Salzburg, Austria
(ECC) is still one of the most common diseases worldwide affecting 621 million children [2]. A recent representative study in Austria found that 45% of 5- to 6-year-old children have caries experience [3]. In addition to this quandary, the treatment of young children is often a challenging task. Although behaviour management techniques
