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Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 3

Evaluation of the Quality of Life of Pediatric Patients Undergoing Dental Treatment Under General Anesthesia

Genel Anestezi Altında Dental Tedavi Gören Çocuk Hastaların Yaşam Kalitelerinin Değerlendirilmesi

Eda Odabaş0009-0007-7707-8884
Kadriye Görkem Ulu Güzel(AYDIN ADNAN MENDERES ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, PEDODONTİ ANABİLİM DALI)0000-0002-3129-8490
Pages
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Publication Date
2026-09-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

General anesthesia remains an effective approach for comprehensive management of uncooperative pediatric dental patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to evaluate changes in oral health-related quality of life (OHRQoL) in children with early childhood caries treated under general anesthesia (GA) and to assess whether treatment-related factors were associated with these changes.
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Key Findings & Data:Materials and Methods: This prospective cohort study included 35 pediatric patients under 72 months of age who underwent comprehensive dental treatment under GA.
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Conclusion & Impact:General anesthesia remains an effective approach for comprehensive management of uncooperative pediatric dental patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Early childhood caries · General anesthesia · Quality of life

Abstract

Objective: This study aimed to evaluate changes in oral health-related quality of life (OHRQoL) in children with early childhood caries treated under general anesthesia (GA) and to assess whether treatment-related factors were associated with these changes. Materials and Methods: This prospective cohort study included 35 pediatric patients under 72 months of age who underwent comprehensive dental treatment under GA. All participants were classified as American Society of Anesthesiologists (ASA) physical status I or II and had no systemic, mental, or syndromic conditions. OHRQoL was assessed using the Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS), completed by parents prior to treatment and at a one-month postoperative follow-up. In addition, demographic characteristics and decayed, missing, and filled teeth (dmft/DMFT) indices were recorded. Statistical analyses were performed using appropriate tests, and a p-value of <0.05 was considered statistically significant. Results: Mean age was 60.11 ± 8.20 months and mean baseline dmft was 12.62 ± 3.43. Significant improvements were observed in total ECOHIS scores and most subscales after treatment, except for the social well-being domain (p<0.05). No significant associations were found between OHRQoL changes and sociodemographic factors, dmft scores, or treatment variables. Conclusion: Dental treatment under GA significantly improved OHRQoL in children with early childhood caries. However, these improvements were not influenced by demographic characteristics, caries experience, or treatment complexity. General anesthesia remains an effective approach for comprehensive management of uncooperative pediatric dental patients.

Özet

Amaç: Bu çalışma, erken çocukluk çağı çürüğü olan ve genel anestezi (GA) altında tedavi edilen çocuklarda oral sağlıkla ilişkili yaşam kalitesindeki (OHRQoL) değişimleri değerlendirmeyi ve bu değişimlerin tedaviye ilişkin faktörlerle ilişkili olup olmadığını incelemeyi amaçlamıştır. Gereç ve Yöntem: Bu prospektif kohort çalışmaya, genel anestezi altında kapsamlı dental tedavi uygulanan 72 ayın altındaki 35 pediatrik hasta dahil edilmiştir. Tüm katılımcılar Amerikan Anestezistler Derneği (ASA) fiziksel durum sınıflamasına göre I veya II olarak değerlendirilmiş ve sistemik, mental veya sendromik herhangi bir hastalığı bulunmamıştır. OHRQoL, ebeveynler tarafından tedavi öncesinde ve ameliyat sonrası birinci ayda doldurulan Türkçe Erken Çocukluk Çağı Ağız Sağlığı Etki Ölçeği (ECOHIS) ile değerlendirilmiştir. Ayrıca demografik özellikler ve çürük, kayıp ve dolgulu diş (dmft/DMFT) indeksleri kaydedilmiştir. İstatistiksel analizler uygun testler kullanılarak yapılmış ve p < 0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Ortalama yaş 60.11 ± 8.20 ay, ortalama başlangıç dmft değeri 12.62 ± 3.43 olarak bulunmuştur. Tedavi sonrası toplam ECOHIS skorlarında ve çoğu alt boyutta anlamlı iyileşme gözlenmiş, ancak sosyal iyilik hali alanında anlamlı değişiklik saptanmamıştır (p<0.05). OHRQoL değişimleri ile sosyodemografik faktörler, dmft skorları veya tedavi değişkenleri arasında anlamlı bir ilişki bulunmamıştır. Sonuç: Genel anestezi altında yapılan dental tedavi, erken çocukluk çağı çürüğü olan çocuklarda OHRQoL’yi anlamlı şekilde iyileştirmiştir. Ancak bu iyileşmeler demografik özellikler, çürük deneyimi veya tedavi karmaşıklığından etkilenmemiştir. Genel anestezi, kooperasyon kurulamayan pediatrik dental hastaların kapsamlı tedavisinde etkili bir yaklaşım olmaya devam etmektedir.

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Cite This Article

Odabaş, E., Güzel, K. G. U. (2026). Evaluation of the Quality of Life of Pediatric Patients Undergoing Dental Treatment Under General Anesthesia. Meandros Medical And Dental Journal, Volume: 27 Issue: 3. https://doi.org/10.69601/meandrosmdj.1949422

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