Keith Da Silva, Amrita Lionel, Jennifer M O'Brien, Kristi D Wright, Mateen Raazi
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引用次数: 0
Abstract
Introduction: The rate of general anesthesia (GA) use for pediatric dental treatment in Saskatchewan is among the highest in Canada. Although the prevalence of and risk factors for early childhood caries (ECC) has been reviewed nationally, few studies have focused on Saskatchewan. The objective of this study was to determine the prevalence of and predictive factors for dental treatment under GA in Saskatchewan.
Methods: This retrospective review focused on pediatric patients who required dental treatment under GA in Saskatchewan between 2015 and 2018. Demographic, dental diagnostic and treatment data and number of previous exposures to GA were collected and analyzed.
Results: We reviewed 570 patient records. Dental treatment needs among the sample were complex; children had 10.85 ± 3.56 (mean ± standard deviation) teeth treated, for an average cost of $3231.72 ± $898.95 per child. Children who lived in less accessible or remote locations had a significantly higher caries experience, number of teeth treated and cost of treatment. In addition, children who lived in such locations were more likely to have had previous dental treatment under GA (odds ratio [OR] 1.29, 95% CI 1.029-1.645) compared with those who lived in easily accessible/accessible areas (OR 0.81, 95% CI 0.700-0.953).
Conclusion: Our findings confirm previous research that children who require dental treatment under GA have extensive caries and treatment needs. Our results suggest that children who live in less accessible and more remote areas of the province have a higher burden of disease and are more likely to require repeated GA exposures for dental treatment.
简介:在萨斯喀彻温省的儿童牙科治疗中,全身麻醉(GA)的使用率是加拿大最高的。虽然儿童早期龋齿(ECC)的患病率和危险因素已经在全国范围内进行了审查,但很少有研究集中在萨斯喀彻温省。本研究的目的是确定萨斯喀彻温省GA牙科治疗的患病率和预测因素。方法:本回顾性研究的重点是2015年至2018年在萨斯喀彻温省接受GA牙科治疗的儿科患者。收集和分析了人口统计学、牙科诊断和治疗数据以及以前暴露于GA的人数。结果:我们回顾了570例患者的记录。样本的牙科治疗需求较为复杂;每名儿童接受10.85±3.56颗(平均±标准差)牙齿治疗,平均费用为3231.72±898.95美元。居住在交通不便或偏远地区的儿童患龋齿的经历、接受治疗的牙齿数量和治疗费用明显更高。此外,与生活在交通便利地区的儿童相比,生活在这些地区的儿童更有可能在GA下接受过牙科治疗(比值比[OR] 1.29, 95% CI 1.029-1.645)(比值比[OR] 0.81, 95% CI 0.700-0.953)。结论:我们的研究结果证实了先前的研究,即在GA下需要牙科治疗的儿童有广泛的龋齿和治疗需求。我们的研究结果表明,生活在该省交通不便和偏远地区的儿童有更高的疾病负担,更有可能需要反复接触GA进行牙科治疗。
期刊介绍:
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