J Dent Anesth Pain Med.  2019 Dec;19(6):313-322. 10.17245/jdapm.2019.19.6.313.

General anesthesia in the management of early childhood caries: an overview

• Oubenyahya H
• Bouhabba N

• KMID: 2466647
• DOI: http://doi.org/10.17245/jdapm.2019.19.6.313

Abstract

Early childhood caries is a global healthcare concern in developing and industrialized countries. If left untreated, it leads to immediate and long-term complications that affect the well-being and quality of life of concerned families. Therefore, many preventive and treatment approaches are available to the healthcare provider to curb this virulent form of caries. After behavioral interventions, general anesthesia is used in specific settings when a young patient presents with extensive teeth damage and exhibits a lack of cooperation that is incompatible with conventional dental office care. However, without proper follow-up, any positive results might be lost over time.

Keyword

Child, Preschool; Dental Caries; General Anesthesia; Oral Health; Quality of Life

MeSH Terms

Anesthesia, General*
Child, Preschool
Delivery of Health Care
Dental Caries
Dental Offices
Developed Countries
Follow-Up Studies
Health Personnel
Humans
Oral Health
Quality of Life
Tooth

Reference

1. Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. a pending public health crisis. Am J Dent. 2009; 22:3–8. PMID: 19281105.

2. Meyer F, Enax J. Early childhood caries: epidemiology, aetiology, and prevention. Int J Dent. 2018; 2018:1415873. PMID: 29951094.

3. National Institute of Dental and Craniofacial Research (U.S.), and United States. Dept. of Health and Human Services. Oral Health In America: a Report of the Surgeon General. Rockville, Md.: U.S. Public Health Service, Dept. of Health and Human Services;2000.

4. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015; 94:650–658. PMID: 25740856.

5. American Academy on Pediatric Dentistry; American Academy of Pediatrics. >Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. Reference Manual. 2016; 39:617.

6. Neves ÉTB, Firmino RT, de FrançaPerazzo M, et al. Absenteeism among preschool children due to oral problems. J Public Health. 2016; 24:65–72.

7. Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011; 4. 39:105–114. PMID: 21029148.

8. Edem Arzu Pinar. Early Childhood Caries Update. Dental Caries - Diagnosis, Prevention and Management. 2018.

9. Duangthip D, Jiang M, Chu CH, Lo EC. Restorative approaches to treat dentin caries in preschool children: systematic review. Eur J Paediatr Dent. 2016; 17:113–121. PMID: 27377109.

10. Roberts JF, Curzon ME, Koch G, Martens LC. Review: behaviour management techniques in paediatric dentistry. Eur Arch Paediatr Dent. 2010; 11:166–174. PMID: 20840826.

11. Clinical Affairs Committee - Behavior Management Subcommittee. American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2015; 37:57–70. PMID: 26531077.

12. Knape JT, Adriaensen H, van Aken H, Blunnie WP, Carlsson C, Dupont M, et al. Guidelines for sedation and/or analgesia by non-anaesthesiology doctors. Eur J Anaesthesiol. 2007; 24:563–567. PMID: 17568472.

13. Committee on Quality Management and Departmental Administration. Continuum of Depth of Sedation: Definition of General Anaesthesia and levels of Sedation/Analgesia Last Amended. 15 October, 2014.

14. Davies C, Harrison M, Roberts G. Guideline for the use of general anaesthesia (GA) in paediatric dentistry. The Royal College of Surgeons of England. 2008.

15. Gonzalez LP, Pignaton W, Kusano PS, Módolo NS, Braz JR, Braz LG. Anesthesia-related mortality in pediatric patients: a systematic review. Clinics (São Paulo). 2012; 67:381–387. PMID: 22522764.

16. Lee JY, Roberts MW. Mortality risks associated with pediatric dental care using general anesthesia in a hospital setting. J Clin Pediatr Dent. 2003; 27:381–383. PMID: 12924740.

17. Lee HH, Milgrom P, Starks H, Burke W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth. 2013; 23:741–746. PMID: 23763673.

18. Keenan RL. Anesthetic morbidity and mortality studies. In : 41st Annual Meeting of the American Dental Society of Anesthesiology Syllabus; 1994. 41:p. 160–173.

19. Paterson N, Waterhouse P. Risk in pediatric anesthesia. Paediatr Anaesth. 2011; 21:848–857. PMID: 20723093.

20. Erkmen Almaz M, Akbay Oba A, Saroglu Sonmez I. Postoperative morbidity in pediatric patients following dental treatment under general anesthesia. Eur Oral Res. 2019; 53:113–118. PMID: 31579891.

21. Farsi N, Ba’akdah R, Boker A, Almushayt A. Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health. 2009; 9:6. PMID: 19228406.

22. Eaton JJ, McTigue DJ, Fields HW Jr, Beck M. Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry. Pediatr Dent. 2005; 27:107–113.

23. Hicks CG, Jones JE, Saxen MA, Maupome G, Sanders BJ, Walker LA, et al. Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists: a survey of directors of dentist anesthesiologist and pediatric dentistry residencies. Anesth Prog. 2012; 59:3–11. PMID: 22428968.

24. Hunt GR, Foster Page LA, Thomson WM. Dental treatment of children under general anaesthesia in District Health Boards in New Zealand. N Z Dent J. 2008; 114:156–163.

25. NHS Digital. Hospital Episode Statistics, Admitted Patient Care - England, 2015-16. Leeds. 2016.

26. Cantekin K, Dogan S, Aydinbelge M, Canpolat DG, Yildirim MD, Avci S. Analysis of comprehensive dental rehabilitation under general anesthesia at a dental hospital in Turkey. J Pediatr Dent. 2014; 2:49–55.

27. Jiang H, Shen L, Qin D, et al. Effects of dental general anaesthesia treatment on early childhood caries: a prospective cohort study in China. BMJ Open. 2019; 9:e028931.

28. Ferrazzano GF, Sangianantoni S, Mitrano RL, Ingenito A, Alcidi B, Cantile T. Assessing changes in oral health-related quality of life and body growth in 3-5 years old children following dental treatment under general anaesthesia due to severe dental caries. Eur J Paediatr Dent. 2019; 20:214–218. PMID: 31489821.

29. Jiang HF, Qin D, He SL, Wang JH. OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia. Clin Oral Investig. 2019.

30. Grant CG, Daymont C, Rodd C, Mittermuller BA, Pierce A, Kennedy T, et al. Oral health-related quality of life of Canadian preschoolers with severe caries after dental rehabilitation under general anesthesia. Pediatr Dent. 2019; 41:221–228. PMID: 31171075.

31. Farsi DJ, Farsi NJ, El-Housseiny AA, Turkistani JM, Farsi NM. Impact of dental rehabilitation on oral health related quality-of-life in healthy children and those with special health care needs. J Contemp Dent Pract. 2018; 19:367–374. PMID: 29728538.

32. Collado V, Pichot H, Delfosse C, Eschevins C, Nicolas E, Hennequin M. Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life : A prospective comparative study. Med Oral Patol Oral Cir Bucal. 2017; 22:e333–ee41. PMID: 28390125.

33. Rane JV, Winnier J, Bhatia R. CComparative assessment of oral health related quality of life of children before and after full mouth rehabilitation under general anaesthesia and local anaesthesia. J Clin Diagn Res. 2017; 11:ZC23–ZC26. PMID: 28274038.

34. Chao Z, GuiJin H, Cong Y. The effect of general anesthesia for ambulatory dental treatment on children in Chongqing, Southwest China. Paediatr Anaesth. 2017; 27:98–105. PMID: 27779347.

35. Amin M, Nouri MR, Hulland S, ElSalhy M, Azarpazhooh A. Success rate of treatments provided for early childhood caries under general anesthesia: a retrospective cohort study. Pediatr Dent. 2016; 38:317–324. PMID: 27557921.

36. Wong S, Anthonappa RP, Ekambaram M, McGrath C, King NM, Winters JC. Quality of life changes in children following emergency dental extractions under general anaesthesia. Int J Paediatr Dent. 2017; 27:80–86. PMID: 27289386.

37. De Souza MC, Harrison M, Marshman Z. Oral healthrelated quality of life following dental treatment under general anaesthesia for early childhood caries - a UK-based study. Int J Paediatr Dent. 2017; 27:30–36. PMID: 26774559.

38. Yawary R, Anthonappa RP, Ekambaram M, McGrath C, King NM. Changes in the oral health-related quality of life in children following comprehensive oral rehabilitation under general anaesthesia. Int J Paediatr Dent. 2016; 26:322–329. PMID: 26370769.

39. Amin M, Nouri R, ElSalhy M, Shah P, Azarpazhooh A. Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. Eur Arch Paediatr Dent. 2015; 16:325–331. PMID: 25619862.

40. El Batawi HY, Panigrahi P, Awad MA. Perceived outcomes and satisfaction of Saudi parents and their children following dental rehabilitation under general anesthesia: A 2-year follow-up. J Int Soc Prev Community Dent. 2014; 4:S153–S160. PMID: 25625072.

41. EzEldeen M, Gizani S, Declerck D. Long-term outcome of oral health in patients with early childhood caries treated under general anaesthesia. Eur Arch Paediatr Dent. 2015; 16:333–340. PMID: 25526934.

42. Jankauskiene B, Virtanen JI, Kubilius R, Narbutaite J. Oral health-related quality of life after dental general anaesthesia treatment among children: a follow-up study. BMC Oral Health. 2014; 14:81. PMID: 24984901.

43. Cantekin K, Yildirim MD, Cantekin I. Assessing change in quality of life and dental anxiety in young children following dental rehabilitation under general anesthesia. Pediatr Dent. 2014; 36:12E–17E.

44. El Batawi HY. Factors affecting clinical outcome following treatment of early childhood caries under general anaesthesia: a two-year follow-up. Eur Arch Paediatr Dent. 2014; 15:183–189. PMID: 24030856.

45. Peerbhay F, Barrie RB. implications for prevention. SADJ. 2012; 67:14–16. 18–19. PMID: 23189901.

46. Amin MS, Bedard D, Gamble J. Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia. Eur Arch Paediatr Dent. 2010; 11:269–273. PMID: 21108916.

47. Klaassen MA, Veerkamp JS, Hoogstraten J. Young children's oral health-related quality of life and dental fear after treatment under general anaesthesia: a randomized controlled trial. Eur J Oral Sci. 2009; 117:273–278. PMID: 19583755.

48. Petersen PE. The world oral health report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2003; 31:3–23. PMID: 15015736.

49. Sischo L, Broder HL. Oral health-related quality of life: What, why, how, and future implications. J Dent Res. 2011; 90:1264–1270. PMID: 21422477.

50. O'Sullivan EA, Curzon ME. The efficacy of comprehensive dental care for children under general anesthesia. Br Dent J. 1991; 171:56–58. PMID: 1873095.

51. AL-Eheideb AA, Herman NG. Outcomes of dental procedures performed on children under general anesthesia. J Clin Pediatr Dent. 2003; 27:181–183. PMID: 12597693.

52. Tate AR, Ng MW, Needleman HL, Acs G. Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent. 2002; 24:69–71. PMID: 11874065.

53. Eidelman E, Faibis S, Peretz B. A comparison of restorations for children with early childhood cariestreated under general anesthesia or conscious sedation. Pediatr Dent. 2000; 22:33–37. PMID: 10730284.

54. Almeida AG, Roseman MM, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatr Dent. 2000; 22:302–306. PMID: 10969437.

55. Kakaounaki E, Tahmassebi JF, Fayle SA. Repeat general anaesthesia, a 6-year follow up. Int J Paediatr Dent. 2011; 21:126–131. PMID: 20738431.

56. Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anesthesia. ASDC J Dent Child. 1997; 64:210–211. 228PMID: 9262804.

57. Foster T, Perinpanayagam H, Pfaffenbach A, Certo M. Recurrence of early childhood caries after comprehensive treatment with general anaesthesia and follow-up. J Dent Child (Chic). 2006; 73:25–30. PMID: 16734310.

58. Graves CE, Berkowitz RJ, Proskin HM, Chase I, Weinstein P, Billings R. Clinical outcomes for early childhood caries: influence of aggressive dental surgery. J Dent Child (Chic). 2004; 71:114–117. PMID: 15587091.

59. Yengopal V, Harneker SY, Patel N, Siegfried N. Dental fillings for the treatment of caries in the primary dentition. Cochrane Database Syst Rev. 2009; 15:CD004483.