Evidence map›Paper›PMID 40708391›Full record

ArticleInternational journal of paediatric dentistry2026

Prevalence, Characteristics, and Predictive Factors of Dentoalveolar and Spreading Odontogenic Infections in Children Treated Under General Anaesthesia.

Annmari Hyppänen, Fanny Mussalo, Johanna Snäll, Heikki Alapulli, Eija Salmela

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Article in International journal of paediatric dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Annmari HyppänenDepartment of Oral and Maxillofacial Diseases, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0009-0001-7052-2352
Fanny MussaloDepartment of Oral and Maxillofacial Diseases, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0002-0844-0049
Johanna SnällDepartment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Heikki AlapulliDepartment of Oral and Maxillofacial Diseases, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0002-8528-5257
Eija SalmelaDepartment of Oral and Maxillofacial Diseases, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Funding

Helsinki University Research Fund
6 · The paper itself

Abstract

backgroundChildren receiving dental treatment under general anesthesia (GA) often have odontogenic infections (OIs). Early detection and treatment of patients at risk of OIs can improve oral health and prevent early tooth extractions.

aimTo investigate the prevalence, characteristics, and predictive factors of OIs in children receiving dental treatment under GA.

designThis retrospective study included children (< 16 years) receiving GA dental treatment at New Children's Hospital in Helsinki, Finland. The associations between predictor variables and OI were evaluated through logistic regression analyses. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated.

resultsOf 1089 patients, 352 (32%) had signs of OI. The most common infection findings were fistula (59%) and abscess formation (36%). Primary teeth were involved in 96% of cases. Severe odontogenic infections were rare (3%). The odds of OIs were significantly higher among girls compared to boys (OR = 1.346; 95% CI: 1.043-1.737; p = 0.022). Patients with previous GA dental treatment, neurodevelopmental disorders, chronic diseases, or intellectual disabilities had fewer OIs.

conclusionOIs are common in patients undergoing dental treatment under GA, with nearly one-third having findings of infections. However, severe OIs are rare in children. Girls have OIs more often than boys, which should be taken into consideration by dentists.

Indexed as

Anesthesia, DentalAnesthesia, GeneralTooth DiseasesAdolescentChildChild, PreschoolFemaleFinlandHumansInfantMalePrevalenceRetrospective StudiesRisk Factorsodontogenic infectionsoral medicine/oral surgerypaediatric dentistrysedation

Identifiers

PMID40708391
PMCPMC12783410

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.