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Home Reasons of repeat dental treatment under general anaesthesia: A retrospective study

Reasons of repeat dental treatment under general anaesthesia: A retrospective study

Authors:

  • J. Guidry
    Pediatric Dentist, private practice, Nashville, Tennessee, USA
  • S. Bagher
    Assistant Professor, Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • O. Felemban
    Assistant Professor, Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • A. Rich
    Associate Clinical Professor and part-time member of the Department of Pediatric Dentistry, Tufts University School of Dental Medicine, Boston, MA, USA
  • C. Loo
    Professor and Chair, Department of Pediatric Dentistry, Tufts University School of Dental Medicine, Boston, MA, USA

DOI:

https://doi.org/10.23804/ejpd.2017.18.04.09

ABSTRACT


Aim

The purpose of this chart review study was to investigate the common factors that exist in paediatric patients requiring a repeat dental treatment under general anaesthesia (GA2) within four years after the initial dental treatment under general anaesthesia (GA1).

Methods

The Electronic Health Records of one to 12 year-old children who received dental treatment under general anaesthesia (GA) between April 2004 and October 2009 were identified and analysed by a single examiner. Children who had GA2, within a four year period following GA1 were categorised as cases. Children who had only one dental treatment under GA were considered the control pool. Each case was matched to three controls based on sex and age range at GA1 of ± 6 months. Other recorded variables included: date of birth, date of GAs (GA1 and GA2 for cases; GA1 for controls), type of payment, dmfs before GA1, dental treatments provided under GA, return of 1-week post-GA1 follow-up, frequency of recare/recall visits following one-year post-GA1 visit and the type and frequency of post GA1 emergency visits.

Results

Out of 581 subjects, 29 (4.99%) cases were matched to 87 controls. Medically compromised patients had four times the risk of GA2. At GA1, cases received statistically significant less sealants (p=0.026), less extractions (p<0.0001), and more composite restorations (p=0.0002) compared to controls.

Conclusion

Medically compromised children and children treated with more composites and fewer sealants and extractions at their initial dental treatment under general anaesthesia were more likely to have a repeat dental treatment under general anaesthesia within 4 years.

PLUMX METRICS

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Publication date:

December /2017

Keywords:

dental treatment, general anaesthesia, repeat dental treatment

Issue:

Vol.18 – n.4/2017

Page:

313 – 318

Publisher:

Ariesdue

Cite:


Harvard: J. Guidry, S. Bagher, O. Felemban, A. Rich, C. Loo (2017) "Reasons of repeat dental treatment under general anaesthesia: A retrospective study", European Journal of Paediatric Dentistry, 18(4), pp313-318. doi: 10.23804/ejpd.2017.18.04.09
Vancouver: J. Guidry, S. Bagher, O. Felemban, A. Rich, C. Loo. Reasons of repeat dental treatment under general anaesthesia: A retrospective study. European Journal of Paediatric Dentistry [Internet]. 2017Dec.1 [cited 2023Feb.03];18(4):313-318. Available from: https://www.ejpd.eu/abstract-pubmed/reasons-of-repeat-dental-treatment-under-general-anaesthesia-a-retrospective-study/
MLA: J. Guidry, S. Bagher, O. Felemban, A. Rich, C. Loo Reasons of repeat dental treatment under general anaesthesia: A retrospective study. European Journal of Paediatric Dentistry. 2017;18(4):313-318

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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