Document Type
Article
Publication Date
2024
Publisher
BioMed Central
Source Publication
BMC Oral Health
Source ISSN
1472-6831
Original Item ID
DOI: 10.1186/s12903-024-04285-8
Abstract
Purpose: To evaluate and compare oral health and behavior scores at the first dental visit and dental treatment need using general anesthesia/sedation (GA/S) of children with systemic diseases (SD) and healthy children.
Methods: Data were obtained from healthy children (n = 87) and children with SD (n = 79), aged 4 to 6 years, presenting to a hospital dental clinic for a first dental examination. The total number of decayed, missing and filled teeth (dmft), dental behavior score using Frankl Scale, and dental treatment need using GA/S were recorded. Chi-square / Fisher’s exact test and Mann–Whitney U tests were used for statistical analyses.
Results: The patients with SD were diagnosed with cardiac disease (61%), renal disease (9%), and pediatric cancers (30%). The median dmft values of the SD group (3.00) were significantly lower than those of healthy children (5.00) (p = 0.02) and healthy children exhibited significantly more positive behavior (90.8%) than children with SD (73.4%) (p = 0.002). The number of patients needing GA/S for dental treatment did not differ significantly between the two groups (p = 0.185). There was no relationship between dental treatment need with GA/S and dental behavior scores of the patients (p = 0.05). A statistically significant relationship was found between the patients’ dmft scores and the need for dental treatment using GA/S; and the cut-off value was found to be dmft > 4 for the overall comparisons.
Conclusion: The presence of chronic disease in children appeared to affect the cooperation negatively at the first dental visit compared to healthy controls, however, it did not affect the oral health negatively. Having a negative behavior score or SD did not necessitate the use of GA/S for dental treatment.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Ünverdi, Gizem Erbaş; Ozgur, Beste; Güngör, H. Cem; and Casamassimo, Paul S., "Comparison of dmft and Behavior Rating Scores Between Children with Systemic Disease and Healthy Children at the First Dental Visit" (2024). School of Dentistry Faculty Research and Publications. 552.
https://epublications.marquette.edu/dentistry_fac/552
Comments
Published version. BMC Oral Health, Vol. 24 (2024). DOI. © 2024 BioMed Central (BMC). Used with permission.