牙科全身麻醉治疗重度低龄儿童龋的效果、安全性及对术后患龋风险的影响OA

Objective:To explore the efficacy and safety of general anesthesia treatment for children with severe caries in young children(S-ECC)and its impact on the risk of postoperative caries.Methods:260 children with S-ECC were selected as the research subjects and divided into general anesthesia group(n=156)and control group(n=104)according to different treatment methods.Children in the general anesthesia group were treated under general anesthesia,the control group of children received treatment under protective immobilization.Oral hygiene,dietary habits,oral health-related quality of life[Chinese version of the Early Childhood Oral Health Impact Scale(ECOHIS)and Cariostat caries susceptibility detection technology]and predict the caries risk of the children before and 1 month after treatment were compared between the two groups.Results:After 1 month of treatment,the proportion of children who brushed their teeth in the morning and evening,used fluoride toothpaste,and brushed their teeth for≥2 minutes in both groups were higher than those of before treatment(P<0.05).The control group was higher than the general anesthesia group(P<0.05).There was no statistically significant difference in the proportion of children with certain dietary habits(drinking sweet water>1 time/day,eating desserts>1 time/day,drinking sweetened formula milk>1 time/day,eating puffed food>1 time/day)1 month after treatment compared with before treatment(P>0.05).The plaque index and the cariostat caries susceptibility of both groups 1 month after treatment were lower than those before treatment(P<0.05),and the general anesthesia group was lower than the control group(P<0.05).The scores and total scores of children impact(oral function,oral symptoms,psychological and social relationships),the impact on families(parental guilt,family economic impact),and the ECOHIS total score were all lower 1 month after treatment than before treatment(P<0.05).The oral function,oral symptom score and total score,parental guilt score and total score,and ECOHIS total score of the general anesthesia group were lower than those of the control group(P<0.05).Conclusion:General anesthesia treatment for children with S-ECC is safe and effective.It can improve oral conditions in the near future,reduce the risk of dental caries,and enhance the quality of life.However,after the treatment,health education on oral hygiene should be strengthened to help children develop good oral hygiene habits.