Factors influencing the oral health of children undergoing general anesthesia

a parent survey

Authors

  • Nicola U. Zitzmann Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
  • Khiêm Dinh Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
  • Dr. Daniel Klein Department of Pediatric Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
  • Dr. Cornelia Filippi Department of Pediatric Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
  • Dr. Anja von Büren Kanton Basel-Landschaft, Volkswirtschafts- und Gesundheitsdirektion, Amt für Gesundheit

DOI:

https://doi.org/10.61872/sdj-2025-02-02

PMID:

40152759

Keywords:

general anesthesia, public oral health, children, dentistry

Abstract

This study investigates factors in children undergoing general anesthesia for dental treatment at the University Children's Hospital of Basel (UKBB). A cross-sectional survey was conducted among parents of children (n = 119) receiving dental treatment under general anesthesia. A multilingual questionnaire collected data on demographics, oral hygiene practices, dietary habits, and dental experiences. Children’s mean age was 5.9 years; 47.9% were aged between 5 and 8 years. A total of 18.5% had an underlying medical condition and 84.0% had a migration background. Children of migrant parents had significantly lower German proficiency than those of Swiss nationals (p < 0.05). Lower household incomes were predominantly observed in families with a migration background. Parental awareness of oral health varied with 58.8% unaware of whether their child's toothpaste contained fluoride. Children of Swiss parents were more likely to begin brushing their teeth at 6–8 months, whereas children with a migration background tended to start later (p < 0.05). High sugar consumption was prevalent, with 40.7% of children consuming sweets daily. Dental anxiety was reported in 60.7% of children, particularly in older age groups (p < 0.05). These findings highlight the need for targeted preventive measures focusing on early dental care education for risk groups to reduce the need for invasive treatments under general anesthesia.

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Published

2025-03-28

How to Cite

Zitzmann, N. U., Dinh, K., Klein, D., Filippi, C., & von Büren, A. (2025). Factors influencing the oral health of children undergoing general anesthesia: a parent survey. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 135(02), 8-26. https://doi.org/10.61872/sdj-2025-02-02

How to Cite

Zitzmann, N. U., Dinh, K., Klein, D., Filippi, C., & von Büren, A. (2025). Factors influencing the oral health of children undergoing general anesthesia: a parent survey. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 135(02), 8-26. https://doi.org/10.61872/sdj-2025-02-02