Impact of dental treatment under general anesthesia on the oral health-related quality of life of adolescents and adults with special needs

Juhea Chang, Lauren L. Patton, Hae-Young Kim

Research output: Contribution to journalArticle

16 Citations (Scopus)


This study aimed to assess the perception of the family's primary caregiver on the oral health-related quality of life (OHRQoL), and the impact on family dynamics, of dental treatment under general anesthesia (GA) in adolescent and adult patients with intellectual and developmental disabilities (IDD) and neurocognitive disorders. Self-administered questionnaires were completed, before dental treatment, by 116 primary family caregivers of patients who received dental treatment under GA, and 102 (88%) of these caregivers completed the same questionnaires within 4 wk after treatment. The Child Oral Health Impact Profile (COHIP) and the Family Impact Scale (FIS) were shortened to a 14-item COHIP (COHIP-14) and a 12-item FIS (FIS-12) based on the limitations of patients' communication. The COHIP-14 and FIS-12 scores and each subscale improved after treatment. The baseline scores varied based on certain characteristics of the patients, such as age, disabilities, medications, caregivers, meal types, cooperation levels, and treatment needs. The postoperative improvement in OHRQoL was significant in the patients who were older than 30 yr of age, originally eating soft meals, displaying no or very low levels of cooperation, or receiving endodontic treatment. Based on the primary caregiver perceptions, the OHRQoL of adolescents and adults with IDD and neurocognitive disorders was improved by dental treatment under GA.

Original languageEnglish
Pages (from-to)363-371
Number of pages9
JournalEuropean Journal of Oral Sciences
Issue number6
Publication statusPublished - 2014 Dec 1



  • Child oral health impact profile
  • Family impact scale
  • General anesthesia
  • Oral health related quality of life
  • Special needs

ASJC Scopus subject areas

  • Dentistry(all)

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