Dental treatment and caries prevention preceding treatment under general anaesthesia in healthy children and adolescents: a retrospective cohort study

被引：9
作者：
Grindefjord M. [1 ,2 ,3 ]
Persson J. [1 ,3 ]
Jansson L. [4 ,5 ]
Tsilingaridis G. [1 ,2 ,3 ]
机构：
[1] Department of Pediatric Dentistry, Public Dental Health Services, Eastmaninstitutet, Dalagatan 11, Stockholm
[2] Division of Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm
[3] Center of Pediatric Oral Health, Stockholm
[4] Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge
[5] Department of Periodontology, Public Dental Health Services, Eastmaninstitutet, Stockholm
来源：
European Archives of Paediatric Dentistry | 2018年 / 19卷 / 2期
关键词：
Adolescents; Caries; Children; General anesthesia; Prevention;
D O I：
10.1007/s40368-018-0332-1
中图分类号：
学科分类号：
摘要：
Aim: This was to examine healthy children and adolescents treated under general anaesthesia (GA) and a matched control group not receiving GA to compare treatment and preventive care received prior to GA treatment. Methods: This retrospective cohort study included 71 healthy subjects and 213 age- and gender-matched control subjects. The treatment group had been consecutively referred from the Public Dental Health Service (PDS) in Stockholm to the Department of Paediatric Dentistry, Eastman Institute, Stockholm during 2006–2007. Data was extracted from the patient records at the PDS, including variables such as number of dental visits, treatment/prophylaxis prior to GA, number of missed and cancelled appointments, and number of decayed teeth. Results: On average, the treatment group had significantly more decayed teeth (p < 0.001) than the control group. Furthermore, the treatment group had significantly more restorations (p < 0.01), had visited the dentist significantly more often (p < 0.001), and had undergone significantly more behaviour management treatment and preventive treatment (p < 0.001). In the treatment group 65% of the children and adolescents, had received no behaviour management treatment and 48%, no preventive treatment. Conclusions: In the Stockholm PDS, over half of the children and adolescents referred by general dentists to paediatric specialists had no behaviour management treatment and nearly half, no preventive treatment, despite receiving significantly more operative treatment compared with matched controls. General dentists should target high caries-risk patients for additional behaviour management and preventive care to reduce the need for treatment under GA. © 2018, The Author(s).
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页码：99 / 105
页数：6
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