LEVELS OF COOPERATION IN CHILDREN INDICATED FOR DENTAL TREATMENT UNDER GENERAL ANESTHESIA AT THE SCHOOL OF DENTISTRY, HANOI MEDICAL UNIVERSITY, AND THE NATIONAL HOSPITAL OF ODONTO-STOMATOLOGY OF HANOI FROM 2023 - 2024
Main Article Content
Abstract
Objectives: To describe the levels of cooperation in children indicated for dental treatment under general anesthesia. Methods: A cross-sectional descriptive study was conducted on 50 children ≤ 16 years of age, with their behavior assessed using the Frankl Behavior Rating Scale (definitely negative, negative, positive, and definitely positive) both before and during the clinical dental examination at the School of Dentistry, Hanoi Medical University, and National Hospital of Odonto-Stomatology of Hanoi from July 2023 to May 2024. Results: The average age of the participants was 4.9 ± 1.45 years; those with primary dentition accounted for 76% of the group, with the mean DMFT index of 16.74 ± 4.78. The main reasons for anesthesia were extensive caries (80%) and non-cooperation (94%). Prior to the examination, 64% of children exhibited positive attitudes; however, this figure fell sharply to 6% during the procedure. Conversely, definitely negative and negative attitudes increased significantly to 32% and 62%, respectively. There was no statistically significant difference in cooperation levels by age (p = 0.85) or gender (p = 0.603). Conclusion: The high rate of negative behavior during the examination highlights the critical need to focus on behavior management skills to reduce the requirement for general anesthesia.
Keywords
General anesthesia, Pediatric dentistry, Behavior management
Article Details
References
2. Sivakumar P, Gurunathan D. Behavior of children toward various dental procedures. Int J Clin Pediatr Dent. 2019; 12(5):379-384. DOI: 10.5005/jp-journals-10005-1670.
3. Shayegan A, Makanz VM, Abergel C. Dental treatment in children under general anesthesia: A 24-year retrospective study. Int J Clin Pediatr Dent. 2025 Sep; 18(9):1134-1139. DOI: 10.5005/jp-journals-10005-3263. Epub 2025 Sep 15. PMID: 41113777; PMCID: PMC12532212.
4. Yazhlini P, Govindaraju DL. Need of general anesthesia in children for dental treatment-analysis of the reasons. J Surv Fish Sci. 2023; 10(1S):284-290. DOI: 10.17762/sfs.v10i1S.173.
5. Jeong Y, Shin J, Park S, Jeong T & Lee E. Dental treatments under general anesthesia at the Pediatric Dentistry of Pusan National University Dental Hospital from 2014 to 2023. The Journal of the Korean Academy of Pedtatric Dentistry. 2025; 52:35-45.
6. Yilmaz NA, Arayici ME, Efeoglu C. Impact of dental treatments under general anesthesia on oral health-related quality of life in children: A comprehensive meta-analysis. BMC Oral Health. 2025 Jan 17; 25(1):84. DOI: 10.1186/s12903-025-05457-w. PMID: 39825309; PMCID: PMC11740519.
7. Andreeva R. Indications for dental treatment under general anesthesia. Scr Sci Medica. 2018; 50(3):15-18. DOI: 10.14748/ssm.v50i3.5327.
8. Wright GZ, Kupietzky A. Behavior management in dentistry for children. John Wiley & Sons. 2014.
9. Ag S, Kahabuka F, Mbawalla H. Children’s behaviour in the dental setting according to Frankl behaviour rating and their influencing factors. Open Access J Dent Sci. 2016; 1. DOI: 10.23880/OAJDS-16000103.
10. Son TM, Nhu Ngoc VT, Tran PT, et al. Prevalence of dental fear and its relationship with primary dental caries in 7-year-old-children. Pediatr Dent J. 2019; 29(2):84-89. DOI: 10.1016/j.pdj.2019.04.002.