title: Impact of dental treatment under general anesthesia on the oral health-related quality of life of adolescents and adults with special needs.
abstract: This study aimed to assess the perception of the family's primary caregiver on the oral health-related quality of life (OHRQoL), and the impact on family dynamics, of dental treatment under general anesthesia (GA) in adolescent and adult patients with intellectual and developmental disabilities (IDD) and neurocognitive disorders. Self-administered questionnaires were completed, before dental treatment, by 116 primary family caregivers of patients who received dental treatment under GA, and 102 (88%) of these caregivers completed the same questionnaires within 4 wk after treatment. The Child Oral Health Impact Profile (COHIP) and the Family Impact Scale (FIS) were shortened to a 14-item COHIP (COHIP-14) and a 12-item FIS (FIS-12) based on the limitations of patients' communication. The COHIP-14 and FIS-12 scores and each subscale improved after treatment. The baseline scores varied based on certain characteristics of the patients, such as age, disabilities, medications, caregivers, meal types, cooperation levels, and treatment needs. The postoperative improvement in OHRQoL was significant in the patients who were older than 30 yr of age, originally eating soft meals, displaying no or very low levels of cooperation, or receiving endodontic treatment. Based on the primary caregiver perceptions, the OHRQoL of adolescents and adults with IDD and neurocognitive disorders was improved by dental treatment under GA.
authors.affiliation: Clinic for Persons with Disabilities, Seoul National University Dental Hospital, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
authors.forename: Juhea
authors.initials: J
authors.lastname: Chang
authors.forename: Lauren L
authors.initials: LL
authors.lastname: Patton
authors.forename: Hae-Young
authors.initials: HY
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000766:Anesthesia, Dental / Q000523:psychology*; D000768:Anesthesia, General / Q000523:psychology*; D017028:Caregivers; D003072:Cognition Disorders / Q000523:psychology; D003142:Communication; D003299:Cooperative Behavior; D003730:Dental Care for Persons with Disabilities / Q000523:psychology*; D002658:Developmental Disabilities / Q000523:psychology; D004358:Drug Therapy; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology; D008297:Male; D062407:Meals; D020380:Needs Assessment; D019636:Neurodegenerative Diseases / Q000523:psychology; D009909:Oral Health; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: child oral health impact profile; family impact scale; general anesthesia; oral health related quality of life; special needs