Int J Stomatol

Int J Stomatol ›› 2026, Vol. 53 ›› Issue (2): 225-229.doi: 10.7518/gjkq.2026209

• Original Articles • Previous Articles    

Postoperative morbidity in children with severe early childhood caries following dental treatment under general anesthesia

Fangfei Zhang1(),Guannan Liu1,Lei Huang1,Yu An1,Fenghua Zhu1,Jing Li1,2()   

  1. 1.Dept. of Stomatology, Peking University International Hospital, Beijing 102206, China
    2.Dept. of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2024-09-23 Revised:2025-09-09 Online:2026-03-01 Published:2026-02-13
  • Contact: Jing Li E-mail:cara42@163.com;jingdentist2016@163.com

RichHTML

0

PDF (PC)

9

Abstract:

Objective　To summarize postoperative morbidity in children with severe early childhood caries following dental treatment under general anesthesia and to provide a reference for doctor–patient communication and postoperative care. Methods　This study retrospectively collected data from patients diagnosed with severe early childhood caries, classified as American Society of Anesthesiologists Physical Status (ASA) Ⅰ, who underwent dental treatment under general anesthesia due to lack of cooperation. Patients were followed up by telephone 24 hours after the procedure and received clinical examination one week later. Results　A total of 40 children aged three to five years were included, with an ave-rage number of 12.5 treated teeth and an average surgical time of 186 minutes. In the 24-hour follow-up by telephone, 23 children (57.5%) reported postoperative morbidity, with 12 children (30%) experiencing fever symptoms and 17 children (42.5%) reporting dental pain. At the one-week follow-up, 95% of the children had no symptoms, whereas only two children experienced gum ulcers and discomfort on occlusion. Conclusion　Postoperative morbidity follo-wing dental procedures under general anesthesia typically resolves within a few days and has minimal effect on the child’s postoperative quality of life. Moreover, postoperative follow-up remains essential.

Key words: severe early childhood caries, general anesthesia, postoperative morbidity

CLC Number: 

  • R788

TrendMD: 

"

Fig 2

Dental procedures under general anesthesia"

Tab 1

Logistic multiple regression analysis of related factors of postoperative morbidity"

因素回归系数（B值）OR值95%置信区间P值
月龄0.1621.1760.993~1.3930.061
术前有无牙疼2.78216.1490.980~266.080.052
手术时长0.0111.0110.991~1.0320.281
拔牙数量1.6185.0441.119~22.730.035
根管治疗数量0.4791.6150.801~3.2560.180
预成冠数量0.5191.681.081~2.6090.021
常量-16.9710.013
[1] Xia B, Wang CL, Ge LH. Factors associated with dental behaviour management problems in children aged 2-8 years in Beijing, China[J]. Int J Paediatr Dent, 2011, 21(3): 200-209.
[2] Jiang HF, Qin D, He SL, et al. OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia[J]. Clin Oral Investig, 2020, 24(6): 1997-2004.
[3] 葛立宏. 全身麻醉下儿童牙齿治疗技术在我国应用现状及展望[J]. 口腔医学, 2016, 36(3): 193-196.
Ge LH. Current situation and prospect of dental treatment for children under general anesthesia[J]. Stomatology, 2016, 36(3): 193-196.
[4] Hu YH, Tsai A, Ou-Yang LW, et al. Postoperative dental morbidity in children following dental treatment under general anesthesia[J]. BMC Oral Health, 2018, 18(1): 84.
[5] Erkmen Almaz M, Akbay Oba A, Saroglu Sonmez I. Postoperative morbidity in pediatric patients follo-wing dental treatment under general anesthesia[J]. Eur Oral Res, 2019, 53(3): 113-118.
[6] 任苗苗, 毛元元, 邢飞, 等. 不同年龄段儿童全麻口腔治疗术后不良反应的研究[J]. 重庆医科大学学报, 2021, 46(12): 1511-1515.
Ren MM, Mao YY, Xing F, et al. Post-discharge adverse events after dental treatment under general anesthesia in pediatric patients[J]. J Chongqing Med Univ, 2021, 46(12): 1511-1515.
[7] Zhang Q, Deng X, Wang Y, et al. Postoperative complications in Chinese children following dental ge-neral anesthesia: a cross-sectional study[J]. Medicine, 2020, 99(45): e23065.
[8] 邓晓宇, 张蕴涵, 邹静, 等. 全身麻醉下儿童牙病综合治疗术后反应的调查分析[J]. 华西口腔医学杂志, 2020, 38(3): 288-293.
Deng XY, Zhang YH, Zou J, et al. Investigation of postoperative complications in children after dental therapy under general anesthesia[J]. West China J Stomatol, 2020, 38(3): 288-293.
[9] Brignardello-Petersen R. A high proportion of children undergoing dental treatment under general anesthesia experience postoperative dental pain[J]. J Am Dent Assoc, 2019, 150(1): e1.
[10] 陈小贤, 姜霞, 钟洁, 等. 儿童全身麻醉下牙齿治疗术后反应的调查分析[J]. 中华口腔医学杂志, 2017, 52(11): 661-666.
Chen XX, Jiang X, Zhong J, et al. Postoperative complications following dental rehabilitation under general anesthesia in children[J]. Chin J Stomatol, 2017, 52(11): 661-666.
[11] 胡玮玮. 60例全麻下牙科治疗患者的回顾性研究[D]. 长春: 吉林大学, 2014.
Hu WW. The retrospective study on dental treatment under general anesthesia of 60 children[D]. Changchun: Jilin University, 2014.
[12] Lockhart PB, Brennan MT, Kent ML, et al. Impact of amoxicillin prophylaxis on the incidence, nature, and duration of bacteremia in children after intubation and dental procedures[J]. Circulation, 2004, 109(23): 2878-2884.
[13] 中华口腔医学会儿童口腔医学专业委员会. 乳牙金属预成冠修复的临床操作规范[J]. 中华口腔医学杂志, 2020, 55(8): 551-554.
Society of Pediatric Dentistry, Chinese Stomatological Association. Guideline on operation of stainless steel crown for decidous teeth restoration[J]. Chin J Stomatol, 2020, 55(8): 551-554.
[14] Al-Eheideb AA, Herman NG. Outcomes of dental procedures performed on children under general anesthesia[J]. J Clin Pediatr Dent, 2003, 27(2): 181-183.
[15] 中华口腔医学会镇静镇痛专业委员会. 儿童口腔门诊全身麻醉操作指南[J]. 中华口腔医学杂志, 2021, 56(3): 231-237.
Society of Sedation and Analgesia, Chinese Stomatological Association. Guideline on the use of gene-ral anesthesia for pediatric dentistry dental procedure[J]. Chin J Stomatol, 2021, 56(3): 231-237.
[1] Gao Ruofan,Xia Bin.. Severe early childhood caries management based on chronic disease management [J]. Int J Stomatol, 2023, 50(3): 341-346.
[2] Jin Zhao,Guangyun Lai,Jun Wang. Advances in the status of parental acceptance of treatment under dental general anesthesia for children [J]. Inter J Stomatol, 2018, 45(6): 739-744.
[3] Wang Chunyan, Zhang Kun, Jiang Songlei. Research progress on polylactic acid post for the repairment of residual crown and root in deciduous teeth [J]. Inter J Stomatol, 2018, 45(1): 74-77.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!