title: Changes in the oral health-related quality of life in children following comprehensive oral rehabilitation under general anaesthesia.
abstract: OBJECTIVE
  To assess changes in the oral health-related quality of life (OHRQoL), after comprehensive oral rehabilitation under general anaesthesia (CORGA), among children (i) <6 years using the Early Childhood Oral Health Impact Scale (ECOHIS) and (ii) aged 6-14 years using the child oral health-related quality of life (COHRQoL) instrument.
  
  
  METHODS
  A total of 136 healthy children who had CORGA were recruited over a period of 12 months. The parent or caregiver of the study participants completed the age-appropriate questionnaire prior to the dental treatment and at the subsequent follow-up appointments (2 weeks and 3 months). Data were analysed using repeated-measures anova and Bonferroni tests.
  
  
  RESULTS
  The overall ECOHIS scores decreased significantly (P < 0.001) demonstrating large effect sizes. The greatest decreases were for the domains of child oral symptoms (57.5%) and psychology (38.7%) in the child impact section (CIS) and for the domain of parental distress (38.9%) and family function (40%) in the family impact section (FIS). For COHRQoL, the overall P-CPQ and FIS scores decreased significantly for all items (P < 0.001), demonstrating large effect sizes. The greatest decreases were for the domains of oral symptoms (77.7%), functional limitations (74.3%), and the FIS (80.1%).
  
  
  CONCLUSIONS
  The OHRQoL of children in both age groups (<6 and 6-14 years) was significantly improved after CORGA.
authors.affiliation: Paediatric Dentistry, School of Dentistry, University of Western Australia, Perth, WA, Australia.
authors.forename: Rana
authors.initials: R
authors.lastname: Yawary
authors.affiliation: Paediatric Dentistry, School of Dentistry, University of Western Australia, Perth, WA, Australia.
authors.forename: Robert P
authors.initials: RP
authors.lastname: Anthonappa
authors.affiliation: Department of Paediatric Dentistry, Faculty of Dentistry, The Univeristy of Hong Kong, Hong Kong (SAR), China.
authors.forename: Manikandan
authors.initials: M
authors.lastname: Ekambaram
authors.affiliation: Department of Public Health Dentistry, Faculty of Dentistry, The Univeristy of Hong Kong, Hong Kong (SAR), China.
authors.forename: Colman
authors.initials: C
authors.lastname: McGrath
authors.affiliation: Paediatric Dentistry, School of Dentistry, University of Western Australia, Perth, WA, Australia.
authors.forename: Nigel M
authors.initials: NM
authors.lastname: King
mesh_terms: D000293:Adolescent; D000766:Anesthesia, Dental; D000768:Anesthesia, General; D001315:Australia; D017028:Caregivers / Q000523:psychology; D002648:Child; D019140:Dental Care for Children / Q000523:psychology*; D003731:Dental Caries / Q000628:therapy; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health; D010290:Parents / Q000523:psychology; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D012046:Rehabilitation; D011795:Surveys and Questionnaires / Q000592:standards