RESTORATIVE FAILURE RATE AFTER DENTAL TREATMENT OF EARLY CHILDHOOD CARIES UNDER GENERAL ANESTHESIA | ||||
| Alexandria Dental Journal | ||||
| Article 14, Volume 40, Issue 2, December 2015, Page 229-233 PDF (546.31 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2015.59157 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| N Morsy* ; K Dowidar* ; N Bakry* | ||||
| Resident at the pediatric Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||||
| Abstract | ||||
| Introduction: Comprehensive dental care of early childhood caries (ECC) is often accomplished under general anesthesia (GA). General anesthesia allows dental treatment to be performed under optimal conditions thus ensuring an ideal outcome. Failures of restorations after dental rehabilitation will increase the risk for caries development. Few studies have been carried out to evaluate the restorative failure rate of dental treatment under GA among children with ECC. Objective: To assess the failure rate of restorations for children with early childhood caries undergoing dental treatment under general anesthesia. Materials and methods: Dental records of healthy children diagnosed with early childhood caries (ECC), aged 3-6 years, and had dental treatment under general anesthesia were reviewed. Data regarding restorative failure was gathered from two groups of children according to recall period (group I after 6 months, and group II after 12 months). Results: The highest failure rate in group I related was to composite restorations (96.2%), followed by anterior glass ionomer (91.7%), posterior glass ionomer (20%), stainless steel crown (SSC) (1%), and finally amalgam (0%). In group II the highest failure rate was related to composite restorations (88.5%), anterior GIC (77.8%),posterior GIC (28.6%),amalgam (13%), and finally SSC (5.6%).In composite restorations, fracture in both groups was the main cause of failure, group I (100.0%), and group II (87.0%), whereas, secondary caries was the second cause in group II (13.0%). In group (I), no amalgam failure was recorded, while in group (II) secondary caries was the main cause of amalgam failure (67.0%), followed by fracture (33.0%). In both groups, fracture of restorations, and secondary caries were the main causes of anterior GIC failure (100.0%), and posterior GIC failure (100.0%). Loss of retention was the main cause of SSCs failure in both groups (100.0%). Conclusion: Anterior restorations have a higher failure rate than posterior restorations. Factors affecting restoration failure significantly were: Unsupervised tooth brushing, and failure to conform to recall appointments. | ||||
| Keywords | ||||
| early childhood caries; general anesthesia; restorative failure; primary teeth | ||||
| References | ||||
|
1. Silverman J, Reggiardo P, Scott C. An Essential Health Benefit: General Anasthesia for Treatment of Early Childhood Caries. Pediatric Oral Health Research & Policy Center. May 2012. Available at: www.aapd.org/assets/1/7/POHRPCTechBreif2.pdf.
2. Atan S, Ashley P, Gilthorpe MS, Scheer B, Mason C, Roberts G. Morbidity following dental treatment of children under intubation general anesthesia in a daystay unit. Pediatr Dent 2004; 14: 9-16.
3. Enger DJ, Mourino AP. A survey of 200 pediatric dental general anesthesia cases. J Dent Child 1985; 52:36-41.
4. Vermeulen M, Vinckier F, Vandenbroucke J. Dental general anesthesia: Clinical characteristics of 933 patients. J Dent Child 1991; 58:27-30.
5. Legault JV, Diner MH, Auger R. Dental treatment of children in a general anesthetic clinic. Review of 300 cases. Can Dent Assoc 1972; 38: 221- 4.
6. Low W, Tan S, Schwartz S. The effect of severe caries on the quality of life in young children. Pediatr Dent 1999; 21: 325- 6.
7. Acs G, Pretzer S, Ng MW, Testen RD. Parental satisfaction and patient outcomes following comprehensive dental rehabilitation in the management of early childhood caries: Surgeon general's Workshop and Conference on Children and Oral Health 2000. Available at: http://www.aapd.org/assets/1/25/Acs-23- 05.pdf.
8. Sheehy E, Hirayama K, Tsamtosouris A: A survey of parents whose children had full-mouth rehabilitation under general anesthesia regarding subsequent preventive dental care. Pediatr Dent 1994; 16: 362-4.
9. Eidelman E, Faibis S, Peretz B. A comparison of restorations for children with early childhood caries treated under general anesthesia or conscious sedations. Pediatr Dent 2000; 22: 33-7.
10. Holland IS, Walls AW, Wallwork MA, Murray JJ. The longevity of amalgam restorations in deciduous molars. Br Dent 1986; 161: 255-8.
11. Tate AR, Needleman HL. Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent 2002; 24: 69-71.
12. Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anaesthesia. J Dent Child 1997 64:210-11.
13. American Society of Anesthesiologists. Physical Status Classification System. Available at: http://www.asahq.org/clinical/physical status.htm
14. American Academy of Pediatric Dentistry. Classifications, Consequences, and Preventive Strategies. Reference Manual 2015-2016; 37:50-52.
15. American Academy of Pediatric Dentistry. Guideline on elective use of conscious sedation, deep sedation, and general anaesthesia in pediatric dental patients. Pediatr Dent 2002; 24:79.
16. Sheller B, Williams BJ, Katrina H, Lloyd M l. Reasons for Repeat Dental Treatment Under General Anesthesia for the Healthy Child. Pediatric Dent 2003; 25: 546-52.
17. Bohaty B, Spencer P. Trends in dental treatment rendered under general anesthesia, 1978 to 1990. J Clin Pediatr Dent 1992; 16: 222-4.
18. Lee JK. Restoration of primary anterior teeth: review of the literature. Pediatr Dent. 2002;24(5):506-10
19. Mjör IA, Dahl JE, Moorhead JE. Placement and replacement of restorations in primary teeth. Acta Odontol Scand 2002; 60: 25-8.
20. O’Sullivan EA, Curzon ME. The efficacy of comprehensive dental care for children under general anesthesia. Br Dent J 1991; 171: 56-8.
21. AI-Eheideb AA, Herman NG. Outcomes of dental procedures performed on children under general anesthesia. J Clin Pediatr Dent 2003; 27: 181-3.
22. Alireza E, Mahdi JS, Naghme FN, Maryam H. Evaluation of efficacy of restorative dental treatment provided under general anesthesia at hospitalized pediatric dental patients of Isfahan. Dent Res J 2012: 9: 478-82.
23. Rector JA, Mitchell RJ, Spedding RH: The influence of tooth preparation and crown manipulation on the mechanical retention of stainless steel crowns. ASDCJ Dent Child 1985; 52: 422-7.
24. Ozer L, Thylstrup A. What is known about caries in relation to restorations as a reason for replacement? A review. Adv Dent Res 1995; 9: 394-402.
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