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Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study

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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

To evaluate rates of caries relapse and explore factors affecting relapse rates after comprehensive dental treatment under general anaesthesia (GA).

Methods

A retrospective cohort study of children ≤6 years of age at the time of reference GA (RGA) who were in an anaesthetic low risk category [American Society of Anesthesiologists (ASA) classification 1 or 2], and had completed 36 months follow-up period was conducted. Patients’ demographics and dental records were collected. Associations between relapse rate and different factors affecting relapse rates were evaluated.

Results

A total of 278 children with mean age of 47 ± 14 months were included. Over 8 % of children had more than one GA, 88 % attended their post-operative follow-up appointment and 45 % returned for all recall appointments over 3 years. During the 3-year follow-up, the relapse rate was 22 %. ASA-2 children and those with less than full primary dentition present at the RGA were more than twice as likely to experience caries relapse as compared to ASA-1 children (OR = 2.46, 95 % CI 1.33–4.56) and those with mixed dentition present at the RGA (OR = 2.74, 95 % CI 1.27–5.91).

Conclusion

ASA-2 health status and having less than a full primary dentition were major predictors of caries relapse after dental treatment under GA.

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Acknowledgments

The author would like to acknowledge Junmin Yang, Department of Paediatrics, University of Toronto, Mount Sinai Hospital for his statistical support.

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Division of Paediatric Dentistry, School of Dentistry, University of Alberta, 5-513 Edmonton Clinic Health Academy, 11405-87 Ave NW, Edmonton, AB, T6G 1C9, Canada

    M. Amin

  2. Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada

    R. Nouri

  3. School of Dentistry, University of Alberta, Edmonton, AB, Canada

    M. ElSalhy

  4. Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    P. Shah

  5. Clinical Epidemiology and Health Care Research, Institute of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    P. Shah & A. Azarpazhooh

  6. Disciplines of Endodontics and Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada

    A. Azarpazhooh

Authors
  1. M. Amin
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  2. R. Nouri
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  3. M. ElSalhy
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  4. P. Shah
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  5. A. Azarpazhooh
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Correspondence to M. Amin.

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Amin, M., Nouri, R., ElSalhy, M. et al. Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. Eur Arch Paediatr Dent 16, 325–331 (2015). https://doi.org/10.1007/s40368-014-0166-4

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  • DOI: https://doi.org/10.1007/s40368-014-0166-4

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