Changes in aspects of children's oral-health-related quality of life following dental treatment under general anaesthesia.
OBJECTIVE
This study was intended to examine the treatment-associated change in aspects of oral-health-related quality of life (QoL) among children (and their families) undergoing dental rehabilitation under general anaesthesia (GA).


METHODS
The parents or caregivers of a consecutive clinical sample of children receiving comprehensive dental treatment under GA at the University of Otago School of Dentistry, Dunedin, and the Christchurch Oral Health Centre, Christchurch, New Zealand, were interviewed by telephone before and after the treatment. Questions were asked relating to the impact of the condition on the child and the family. The post-treatment questionnaire also sought information related to parental satisfaction with the care provided under GA.


RESULTS
The parents or caregivers of 95 children participated in the study: 49 had treatment completed at the University of Otago School of Dentistry; and 46 were treated at the Christchurch Oral Health Centre. The child sample comprised 55.8% males and 44.2% females with a mean age of 5.1 years. Their mean dmft was 8.2. A consistent pattern of improvement was found with each indicator used. Complaints of pain, problems with eating and sleeping, and behaviour concerns showed significant improvements, with 100% improvement for children for whom frequent pre-GA problems associated with eating, sleeping and behaviour were reported. Sixty-six parents had to arrange time away from employment on the day of the GA and almost half of those incurred a loss of income. The majority of parents reported a high degree of satisfaction with the care received.


CONCLUSIONS
Treating young children with high disease experience in a single session under GA results in immediate improvement in oral health and aspects of their QoL for both the children and their families.
Department of Oral Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand.
H K
HK
Anderson
B K
BK
Drummond
W M
WM
Thomson
D000766:Anesthesia, Dental; D000768:Anesthesia, General; D001294:Attitude to Health; D002652:Child Behavior; D002675:Child, Preschool; D003190:Comprehensive Dental Care; D003442:Crowns; D004245:DMF Index; D019140:Dental Care for Children; D003793:Dental Restoration, Permanent; D004435:Eating / Q000502:physiology; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health; D010290:Parents / Q000523:psychology; D010549:Personal Satisfaction; D011788:Quality of Life; D012890:Sleep / Q000502:physiology; D014081:Tooth Extraction; D014098:Toothache / Q000628:therapy