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The Effect of Dental Treatment under General Anesthesia on Quality of Life and Growth and Blood Chemistry Parameters in Uncooperative Pediatric Patients with Compromised Oral Health: A Pilot Study

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  • Gianmaria F. Ferrazzano

    (Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples, Federico II, 80100 Naples, Italy
    Staff Member of Unesco Chair on Health Education and Sustainable Development, University of Naples, Federico II, 80121 Naples, Italy)

  • Claudia Salerno

    (Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples, Federico II, 80100 Naples, Italy
    Department of Biomedical, Surgical and Dental Sciences, School of Specialization in Pediatric Dentistry, University of Milan, 20142 Milan, Italy)

  • Giancarla Sangianantoni

    (Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples, Federico II, 80100 Naples, Italy)

  • Silvia Caruso

    (Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy)

  • Aniello Ingenito

    (Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples, Federico II, 80100 Naples, Italy)

  • Tiziana Cantile

    (Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples, Federico II, 80100 Naples, Italy)

Abstract

Background: The effect of untreated dental caries and their treatment under general anesthesia (GA) on the quality of life, growth, and blood chemistry parameters in uncooperative pediatric patients has not been extensively elucidated. The aims are to evaluate the impact of dental treatment under GA on oral health-related quality of life (OHRQoL) in uncooperative pediatric patients with severe dental caries and to assess the effect of dental treatment under GA on children’s weight (Wt), height (Ht), Body Mass Index (BMI), and blood chemistry parameters. Methods: Forty-three uncooperative children aged 3–14 years were selected. OHRQoL, through ECOHIS (Early Childhood Oral Health Impact Scale) and COHRQoL (Child Oral Health-Related Quality of Life) questionnaires, Wt, Ht, BMI, and blood chemistry parameters were measured at baseline and eight months after dental treatment under GA. Results: At follow up, the reductions in the ECHOIS and the COHRQoL components were statistically significant ( p < 0.0001), there was significant improvement in the anthropometric measures: 76.5% of children increased the percentile curves for weight, 68.6% for height, and 51.4% for BMI; for the blood chemistry parameters: ferritin improved in 68.6% of the samples, PCR in 65.7%, ESR in 68.6%, Vitamin D in 68.6%, and IGF-1 in 65.7%. Conclusions: Oral health status significantly influences OHRQoL, growth, and blood chemistry parameters in uncooperative pediatric patients.

Suggested Citation

  • Gianmaria F. Ferrazzano & Claudia Salerno & Giancarla Sangianantoni & Silvia Caruso & Aniello Ingenito & Tiziana Cantile, 2020. "The Effect of Dental Treatment under General Anesthesia on Quality of Life and Growth and Blood Chemistry Parameters in Uncooperative Pediatric Patients with Compromised Oral Health: A Pilot Study," IJERPH, MDPI, vol. 17(12), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4407-:d:373725
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    References listed on IDEAS

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    1. Gift, H.C. & Reisine, S.T. & Larach, D.C., 1992. "The social impact of dental problems and visits," American Journal of Public Health, American Public Health Association, vol. 82(12), pages 1663-1668.
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    Cited by:

    1. Natacha Linas & Marie-Agnès Peyron & Pierre-Yves Cousson & Nicolas Decerle & Martine Hennequin & Caroline Eschevins & Emmanuel Nicolas & Valérie Collado, 2022. "Comprehensive Dental Treatment under General Anesthesia Improves Mastication Capability in Children with Early Childhood Caries—A One-Year Follow-Up Study," IJERPH, MDPI, vol. 20(1), pages 1-17, December.

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