The family impact of dental general anaesthesia in children: A meta-analysis

Joon Soo Park, Robert P. Anthonappa, Nigel M. King, Colman P. McGrath

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Background: The health and well-being of children are intimately linked to their parents’ physical, emotional, and social health and social circumstances. Aim: To conduct a meta-analysis of studies that have used the Early Childhood Oral Health Impact Scale (ECOHIS) and Child Oral Health-Related Quality of Life (COHRQoL) instruments, to evaluate the family impact scale (FIS) changes following their children's dental treatment under general anaesthesia (DGA). Methodology: A systematic search was undertaken using the PRISMA guidelines. The inclusion criteria consisted of patients below 16 years of age, DGA, pre- and post-operative assessments, and the use of ECOHIS and COHRQoL. FIS changes were the primary outcome measure, where the mean difference (MD) was calculated. Results: After initial search of 105 studies in the database, twenty-one articles were included in the analysis. A positive outcome in the FIS changes was identified in all studies. The combined MD for FIS using ECOHIS and COHRQoL was 1.52 [95% CI: 1.15-1.89; P < 0.00001; I 2 =87%] and 1.10 [95% CI: 0.68-1.52; P < 0.00001; I 2 =79%], respectively. Conclusions: Dental treatment with general anaesthesia for children had a significant positive impact on parental emotions, activity, and conflict. Following DGA, there was significant improvement in the FIS, with large MD.

Original languageEnglish
Pages (from-to)149-161
Number of pages13
JournalInternational Journal of Paediatric Dentistry
Issue number2
Publication statusPublished - 1 Mar 2019


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