A PROSPECTIVE INVESTIGATION INTO THE IMPACT OF FULL-MOUTH DENTAL REHABILITATION UNDER GENERAL ANAESTHESIA ON THE ORAL HEALTH-RELATED QUALITY OF LIFE OF CHILDREN AND ADOLESCENTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.
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Abstract
Background: Children with intellectual and developmental disabilities (IDD) often experience poor oral health, frequently necessitating comprehensive oral health rehabilitation (OHR) under general anaesthesia (GA).
Aim: This prospective study evaluated the impact of OHR under GA on the oral health-related quality of life (OHRQoL) of children with severe behavioural challenges and medical complexities, as perceived by their parents/caregivers using the Child Oral Health Impact Profile-14 (COHIP-14) and Family Impact Scale-12 (FIS-12).
Methods: Children with severe behavioural disabilities and medical compromises requiring OHR under GA were recruited. Necessary dental treatments, including restorations and extractions (with informed consent), were performed. Parents/caregivers completed the COHIP-14 and FIS-12 questionnaires pre-operatively and post-operatively. Paired t-tests were used to compare pre- and post-operative scores.
Results: Significant improvements (p ≤ 0.001) were observed in all domains of both the COHIP-14 and FIS-12 following OHR under GA.
Conclusion: Oral health rehabilitation under general anaesthesia significantly improved the oral health and functional well-being of children with severe behavioural disabilities and medical complexities. Furthermore, it positively impacted their families by reducing limitations in activities and emotional distress, and alleviating financial burdens associated with oral health issues.
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Dr. Somnath Chakraborty
Associate Professor, Department of Dentistry, Gouri Devi Institute of Medical Sciences and Hospital, Durgapur.