Dental Anxiety and Oral Health-Related Quality of Life in Children Following Dental Rehabilitation under General Anesthesia or Intravenous Sedation: A Prospective Cross-Sectional Study


Guney S. E., Araz C., Tirali R. E., Cehreli S. B.

NIGERIAN JOURNAL OF CLINICAL PRACTICE, vol.21, no.10, pp.1304-1310, 2018 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 10
  • Publication Date: 2018
  • Doi Number: 10.4103/njcp.njcp_150_18
  • Journal Name: NIGERIAN JOURNAL OF CLINICAL PRACTICE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Page Numbers: pp.1304-1310
  • Keywords: Dental treatment, general anesthesia, intravenous sedation, oral health-related quality of life, BEHAVIOR MANAGEMENT PROBLEMS, FEAR SURVEY SCHEDULE, ADOLESCENTS, PREVALENCE, VALIDITY, VERSION, SCALE
  • Dokuz Eylül University Affiliated: No

Abstract

Purpose: The study aimed to investigate dental anxiety and oral health-related quality of life among children undergoing dental rehabilitation under general anesthesia (GA) and intravenous sedation (IVS). Materials and Methods: Participants were 99 healthy children aged 3-5 or 6-12 years operated under GA or IVS. Dental anxiety before treatment and 1 month postoperatively were measured using the Frankl behavior scale (FBS), the venham picture test (VPT), the early childhood oral health impact scale (ECOHIS), and the children's fear survey schedule-dental subscale (CFSS-DS). Data were analyzed using Student's t-test and Mann-Whitney U-test. Results: ECOHIS scores decreased in all groups. VPT scores increased in the 3-5-year-olds treated under GA (P = 0.003). Postoperative CFSS-DS anxiety scores were lower in IVS groups. FBS scores were significantly higher for both age groups (P < 0.001). There was no effect of numbers of extracted or treated teeth. Conclusions: Dental rehabilitation under GA and IVS improved the quality of life and dental behavior. In the 6-12-year-olds, there was no statistically significant difference between children undergoing dental operations under GA and those undergoing dental operations under IVS. Dental anxiety decreased in 3-5-year-olds after treatment under GA but not after IVS.