Journal article

Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study


Authors listSchulz-Weidner, Nelly; Schlenz, Maximiliane Amelie; Jung, Linda Giuliana; Uebereck, Constanze Friederike; Nehls, Agnes; Kramer, Norbert

Publication year2022

JournalJournal of Clinical Medicine

Volume number11

Issue number9

eISSN2077-0383

Open access statusGold

DOI Linkhttps://doi.org/10.3390/jcm11092613

PublisherMDPI


Abstract
The aim of this retrospective study was to evaluate the dental treatments received under general anesthesia (GA) in pre-school children and school children with special healthcare needs (n = 263) compared with healthy controls (n = 62). In order to analyze the impact of pre-existing cofactors on oral health, children were divided into the following groups: heart disease, cancer, syndromic disease, and other diseases as well as in- and outpatient healthy children. Caries experience (dmf-t/DMF-T) before GA (impulse 1), waiting time, and dental treatment under GA (impulse 2) were determined. Pre-school children showed a higher caries experience (mean +/- standard deviation; 8.3 +/- 4.8) compared to schoolchildren (6.9 +/- 4.3). Predominantly, early childhood caries (ECC) of type 1 were detected. From all groups with special healthcare needs, children with cancer revealed the highest Significant Caries Index (17.0 +/- 2.0), followed by other diseases (14.6 +/- 2.6), syndromic disease (14.3 +/- 1.8), and heart disease (13.8 +/- 2.7). Overall, 2607 dental procedures were performed under GA with a mean of 8.0 +/- 6.5 dental measures per child. Within the limitations of this study, the data exhibited independent of pre-existing cofactors and age high caries risk in all patient groups showing a high need for treatment.



Citation Styles

Harvard Citation styleSchulz-Weidner, N., Schlenz, M., Jung, L., Uebereck, C., Nehls, A. and Kramer, N. (2022) Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study, Journal of Clinical Medicine, 11(9), Article 2613. https://doi.org/10.3390/jcm11092613

APA Citation styleSchulz-Weidner, N., Schlenz, M., Jung, L., Uebereck, C., Nehls, A., & Kramer, N. (2022). Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study. Journal of Clinical Medicine. 11(9), Article 2613. https://doi.org/10.3390/jcm11092613


Last updated on 2025-10-06 at 11:39