General anesthesia versus deep sedation for dental treatment in children: comparison of parental acceptance, oral health-related quality of life, and treatment efficacy.
10.12122/j.issn.1673-4254.2023.04.14
- Author:
Qingbo FENG
1
;
Chunmei LUO
1
;
Xianghong LIU
2
;
Ting XU
3
;
Qin DU
1
Author Information
1. Department of Stomatology, Sichuan Provincial People's Hospital, Chengdu 610072, China.
2. Department of Stomatology of East Hospital, Sichuan Provincial People's Hospital, Chengdu 610072, China.
3. Department of Anesthesiology, Sichuan Provincial People's Hospital, Chengdu 610072, China.
- Publication Type:Journal Article
- Keywords:
deep sedation;
dental caries;
dental phobia;
general anesthesia
- MeSH:
Humans;
Child;
Quality of Life;
Deep Sedation;
Child Behavior;
Treatment Outcome;
Anesthesia, General;
Parents;
Pain;
Dental Care;
Dental Caries
- From:
Journal of Southern Medical University
2023;43(4):604-610
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the parental acceptance of dental treatment under general anesthesia and deep sedation in children and assess the changes in postoperative oral health-related quality of life and treatment efficacy.
METHODS:The parents of 131 children undergoing dental treatment in the Department of Stomatology of Sichuan Provincial People's Hospital from January, 2022 to June, 2022 were surveyed using a questionnaire of children's advanced oral behavior management, and 83 children receiving general anesthesia or deep sedation for dental treatment between January, 2018 and December, 2021 were also investigated for changes in quality of life after the treatment using a questionnaire. The treatment efficacy was assessed at the 1-year follow-up visit in 149 children who received dental treatment under general anesthesia or deep sedation during the same period.
RESULTS:The survey of perantal acceptance showed that 62.6% of the parents preferred deep sedation, 29.01% preferred general anesthesia, and 8.4% preferred compulsory treatment. Dental treatments under general anesthesia and deep sedation both significantly improved oral health-related quality of life of the children. While dental surgeries under general anesthesia resulted in the most significant improvement of pain symptoms, deep sedation was associated with both obvious relief of the children's pain symptoms and reduction of the parents' pressure level. No significant difference was found in the efficacy of treatments under general anesthesia and deep sedation at the 1-year follow-up.
CONCLUSION:Dental treatment in children under deep sedation has the highest parental acceptance, followed by treatment under general anesthesia, and the acceptance of compulsory treatment is the lowest. The treatments under general anesthesia and deep sedation significantly improve the quality of life of the children and their parents and both have good treatment efficacy.
