title: Factors affecting clinical outcome following treatment of early childhood caries under general anaesthesia: a two-year follow-up.
abstract: OBJECTIVE
  To investigate factors that might affect the clinical outcome of early childhood caries treatment under dental general anaesthesia (DGA).
  
  
  METHODS
  Retrospective longitudinal study. The medical records of paediatric patients with early childhood caries who underwent full dental rehabilitation under DGA during 2011 in a private medical facility in Jeddah, Saudi Arabia, were investigated. Study parameters were the patient's financial arrangements and compliance with suggested recall plan. Statistical analysis of caries recurrence and the need to repeat the rehabilitation process was also performed.
  
  
  RESULTS
  Eighteen percent failed to attend any post-operative visit. Twenty-six percent did not comply with the post-operative preventive plan. The overall relapse rate was high (58.5%), with the highest percentage (68%) among the non-compliant group. The highest frequency of repeat DGA (10%) was in the non-compliant group.
  
  
  CONCLUSIONS
  Despite the high rate of post-operative caries recurrence, DGA is still an acceptable treatment option as it minimises the need for future dental treatment. Compliance by caregivers with post-operative care plans is as important as the procedure itself. In Saudi Arabia, targeting the actual caregivers with post-operative dental health education presents challenges that might affect the clinical outcome of DGA.
authors.affiliation: Paediatric Dentistry, Sharjah University, Sharjah University City, PO Box 27272, Sharjah, United Arab Emirates, helbatawi@sharjah.ac.ae.
authors.forename: H Y
authors.initials: HY
authors.lastname: El Batawi
mesh_terms: D000766:Anesthesia, Dental; D000768:Anesthesia, General; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D020770:Compomers / Q000737:chemistry; D003442:Crowns; D004245:DMF Index; D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D003793:Dental Restoration, Permanent / Q000379:methods; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007347:Insurance, Dental; D008137:Longitudinal Studies; D008297:Male; D009910:Oral Hygiene / Q000193:education; D010349:Patient Compliance; D010352:Patient Dropouts; D010353:Patient Education as Topic; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D011672:Pulpotomy / Q000379:methods; D012008:Recurrence; D012189:Retrospective Studies; D014081:Tooth Extraction; D016896:Treatment Outcome
chemical_list: D002327:Cariostatic Agents; D020770:Compomers; D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants
references.citation: Int J Paediatr Dent. 1996 Jun;6(2):101-5
references.pmid: 8957848
references.citation: J Dent Child (Chic). 2004 May-Aug;71(2):114-7
references.pmid: 15587091
references.citation: J Dent Child (Chic). 2006 Jan-Apr;73(1):25-30
references.pmid: 16734310
references.citation: Int J Paediatr Dent. 2011 Mar;21(2):126-31
references.pmid: 20738431
references.citation: Br Dent J. 2006 Nov 25;201(10):625-6
references.pmid: 17128231
references.citation: Int J Paediatr Dent. 2001 Sep;11(5):361-4
references.pmid: 11572267
references.citation: Pediatr Dent. 2003 Nov-Dec;25(6):546-52
references.pmid: 14733468
references.citation: Int J Paediatr Dent. 2006 Sep;16(5):309-19
references.pmid: 16879327
references.citation: Int J Paediatr Dent. 2006 Jan;16(1):45-8
references.pmid: 16364092
references.citation: BMC Public Health. 2007 Jul 24;7:167
references.pmid: 17650296
references.citation: Eur Arch Paediatr Dent. 2010 Dec;11(6):269-73
references.pmid: 21108916
references.citation: Pediatr Dent. 2011 Nov-Dec;33(7):510-4
references.pmid: 22353412
references.citation: Pediatr Dent. 2000 Jul-Aug;22(4):302-6
references.pmid: 10969437
references.citation: Eur J Paediatr Dent. 2011 Jun;12(2):103-6
references.pmid: 21668281