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Oral health-related quality of life changes in children following dental treatment under general anaesthesia: a meta-analysis

  • Joon Soo Park
  • Robert P. Anthonappa
  • Rana Yawary
  • Nigel M. King
  • Luc C. Martens
Original Article
  • 217 Downloads

Abstract

Objective

To conduct a meta-analysis of studies that have employed the Early Childhood Oral Health Impact Scale (ECOHIS) and Child Oral Health-Related Quality of Life (COHRQoL) instruments, to evaluate the oral health-related quality of life (OHRQoL) changes in children following dental treatment under general anaesthesia (DGA).

Method

A systematic search of 5 databases was conducted in accordance with the PRISMA guidelines. The inclusion criteria were use of ECOHIS and COHRQoL, pre-and post-operative assessments, patients aged between 0 and 16 years, no restrictions on the follow-up period and DGA. The primary outcome measure was changes in quality of life for both the children, which was based on mean difference (MD). Twenty-two articles were included in the meta-analysis.

Results

A favourable outcome in OHRQoL was identified in all studies. The combined MD for ECOHIS and COHRQoL were 1.62 [95% CI 1.52–1.71; P < 0.00001; I2 = 0%] and 0.86 [95% CI 0.74–0.99; P < 0.00001; I2 = 0%], respectively, both with no evidence of heterogeneity.

Conclusion

There is evidence to support that the OHRQoL of children was improved, with large effect size, in the short-term following DGA.

Clinical Relevance

Dental treatment under GA significantly improved the OHRQoL of children.

Keywords

Children Dental treatment Impact General anaesthesia Quality of life 

Notes

Acknowledgments

The authors would like to acknowledge Dr. Matthew Payne for his assistance.

Funding

The authors certify that there are no financial organisations associated in relation to this study.

Compliance with ethical standards

Conflict of interest

The authors declare that there they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Joon Soo Park
    • 1
  • Robert P. Anthonappa
    • 1
  • Rana Yawary
    • 1
  • Nigel M. King
    • 1
  • Luc C. Martens
    • 2
  1. 1.Paediatric Oral Health Research Group, School of DentistryThe University of Western AustraliaNedlandsAustralia
  2. 2.PAECOMEDIS Research Cluster, Section Paediatric DentistryThe University of GhentGhentBelgium

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