title: Dental treatment need and dental general anesthetics among preschool-age children with cleft lip and palate in northern Finland.
abstract: Cleft lip and palate incidence is high in northern Finland. This study aimed to investigate the proportion of children in need of restorative dental treatment among cleft lip and palate patients in northern Finland, as well as their need for dental treatment under general anesthesia. The records of 183 cleft lip and palate patients, treated in Oulu University Hospital from 1997 to 2013, were reviewed. Data on dental caries were analyzed in association with cleft type, considering also the presence of syndromes. The frequency of dental general anesthetic (DGA) use, and of treatments, were also analyzed. Dental treatment need was most frequently observed, in this rather limited study population, in patients with the most severe deformities, namely bilateral cleft lip and palate, of whom 60% had caries. Among the study population, 11.5% (n = 21) had a syndrome. Of those, 57.1% had dental caries at the age of 3 or 6 yr, and only four could be treated without a DGA. Dental treatment under general anesthesia was performed in 14.8% of cleft patients without a syndrome, but in 38.1% of those with a syndrome. General anaesthesia is required for the provision of dental care more often in cleft (17.5%) than in non-cleft (0.2%) patients, and especially for those with a syndrome.
authors.affiliation: Department of Cariology, Paedodontics and Endodontology, Institute of Dentistry, University of Oulu, Oulu, Finland.
authors.forename: Ville
authors.initials: V
authors.lastname: Lehtonen
authors.affiliation: Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu, Finland.|Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
authors.forename: George K
authors.initials: GK
authors.lastname: Sándor
authors.affiliation: Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu, Finland.|Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
authors.forename: Leena P
authors.initials: LP
authors.lastname: Ylikontiola
authors.affiliation: Oulu University Hospital, Oulu, Finland.
authors.forename: Sari
authors.initials: S
authors.lastname: Koskinen
authors.affiliation: Institute of Dentistry, University of Oulu, Oulu, Finland.
authors.forename: Paula
authors.initials: P
authors.lastname: Pesonen
authors.affiliation: Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.|Department of Oral Development and Orthodontics, Institute of Dentistry, University of Oulu, Oulu, Finland.
authors.forename: Virpi
authors.initials: V
authors.lastname: Harila
authors.affiliation: Department of Cariology, Paedodontics and Endodontology, Institute of Dentistry, University of Oulu, Oulu, Finland.|Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
authors.forename: Vuokko
authors.initials: V
authors.lastname: Anttonen
mesh_terms: D000766:Anesthesia, Dental / Q000706:statistics & numerical data*; D000768:Anesthesia, General / Q000706:statistics & numerical data; D018681:Anesthetics, General / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000145:classification / Q000150:complications*; D002972:Cleft Palate / Q000145:classification / Q000150:complications*; D003442:Crowns / Q000706:statistics & numerical data; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000150:complications / Q000628:therapy; D003777:Dental Prophylaxis / Q000706:statistics & numerical data; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D012189:Retrospective Studies; D013577:Syndrome; D014081:Tooth Extraction / Q000706:statistics & numerical data
chemical_list: D018681:Anesthetics, General; D010895:Pit and Fissure Sealants
keywords: cleft; dental caries; dental general anaesthesia; dental treatment