Analysis of Caries Development after Comprehensive Dental Treatment under General Anesthesia

全身麻醉病人術後追蹤之齲齒分析

吳翰絢(Han-Hsuan Wu) ； 劉正芬(Jeng-Fen Liu)

《臺灣兒童牙醫學雜誌》 19卷3期 (2019/09) Pp. 89-95

https://doi.org/10.6319/TJPD.201909_19(3).0001

摘要

According to World Health Organization (WHO), dental caries has been considered as major oral disease of children. In Taiwan, according to the data from Health Promotion Administration, Ministry of Health and Welfare, DMFT score of 12-year-old children was higher than global average in 2012. Comprehensive dental treatment under general anesthesia has been an option for those who diagnosed as severe early childhood caries (SECC) or early childhood caries (ECC). The aim of this study was to evaluate caries development of patients after general anesthesia dental treatment in a long-term follow-up period. We have collected healthy patients younger than age of 7, from March 15th, 2014 to November 9th, 2017 who received dental treatment under general anesthesia. We have had collected data of 122 patients composed of 51 males and 71 females. The age when these patients received general anesthesia treatment was 10 to 70 months (mean: 42.8 ± 12.1 months) and the mean de¬ showed 14.0 ± 3.4, mean defs showed 34.7 ± 11.6. The prevalence of caries was higher in posterior region than in anterior region, meanwhile upper anterior teeth was higher than lower anterior teeth. Then, the recall condition showed that 3 patients (2.5%) lost follow-up right after general anesthesia treatment and only 47 patients (38.5%) follow-up up to 6 months after the treatment. The caries recurrence rate was about 55% which meant 67 patients had new caries formation during 6 months follow-up after general anesthesia treatment. Based on these finding, we concluded that the periodic follow up is as important as the treatment especially for those who would have been high caries risk patients.

關鍵字

general anesthesia ； caries ； dental treatment

並列摘要

根據世界衛生組織，齲齒已然是兒童主要之口腔疾病。根據衛生福利部國民健康署的統計資料，西元2012年臺灣12歲兒童齲齒指數（DMFT score）高於全球平均值，而全身麻醉下針對兒童早發性齲齒或嚴重型兒童早發性齲齒進行全口牙科治療已成為一種治療選擇，這篇研究的主要目的為分析患者在接受全身麻醉全口牙科治療後長期追蹤之齲齒發展情形。我們收集了於西元2014年3月15日至2017年11月9日接受全身麻醉牙科治療之健康且小於7歲患者的資料，總共122位患者包含51位男性及71位女性，接受全身麻醉牙科治療的年齡為10至70個月（平均：42.8 ± 12.1個月）且平均齲齒指數（deft score）為14.0 ± 3.4；平均齲齒面數（defs score）為34.7 ± 11.6。結果顯示：後牙齲齒盛行率高於前牙，且上顎前牙盛行率高於下顎前牙；回診情形顯示有3位患者（2.5%）在全身麻醉牙科治療後即無回診，只有47位患者（38.5%）治療後6個月仍定期回診追蹤；在6個月定期追蹤中，有67位患者有新齲齒復發，齲齒復發率為55%。依據以上結果，我們 認為針對高齲齒率的患者而言，定期追蹤與治療同等重要。

並列關鍵字

全身麻醉 ； 齲齒 ； 牙科治療