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Impact of dental treatment under general anesthesia on the oral health‐related quality of life of adolescents and adults with special needs
Author(s) -
Chang Juhea,
Patton Lauren L.,
Kim HaeYoung
Publication year - 2014
Publication title -
european journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.802
H-Index - 93
eISSN - 1600-0722
pISSN - 0909-8836
DOI - 10.1111/eos.12150
Subject(s) - neurocognitive , medicine , quality of life (healthcare) , oral health , dentistry , psychiatry , cognition , nursing
This study aimed to assess the perception of the family's primary caregiver on the oral health‐related quality of life ( OHRQ oL), and the impact on family dynamics, of dental treatment under general anesthesia ( GA ) in adolescent and adult patients with intellectual and developmental disabilities ( IDD ) and neurocognitive disorders. Self‐administered questionnaires were completed, before dental treatment, by 116 primary family caregivers of patients who received dental treatment under GA , and 102 (88%) of these caregivers completed the same questionnaires within 4 wk after treatment. The Child Oral Health Impact Profile ( COHIP ) and the Family Impact Scale ( FIS ) were shortened to a 14‐item COHIP ( COHIP ‐14) and a 12‐item FIS ( FIS ‐12) based on the limitations of patients’ communication. The COHIP ‐14 and FIS ‐12 scores and each subscale improved after treatment. The baseline scores varied based on certain characteristics of the patients, such as age, disabilities, medications, caregivers, meal types, cooperation levels, and treatment needs. The postoperative improvement in OHRQ oL was significant in the patients who were older than 30 yr of age, originally eating soft meals, displaying no or very low levels of cooperation, or receiving endodontic treatment. Based on the primary caregiver perceptions, the OHRQ oL of adolescents and adults with IDD and neurocognitive disorders was improved by dental treatment under GA .