Key result
Pediatric dental patients with severe disabilities were over 5 times more likely to undergo repeated dental treatment under general anesthesia compared to those without severe disabilities (OR 5.271).
Why the study?
To evaluate demographic characteristics of pediatric dental patients receiving dental treatment under general anesthesia and compare patterns of repeated general anesthesia between patients with and without severe disabilities.
Does having severe disabilities increase the rate of repeated dental treatment under general anesthesia in pediatric patients?
Observational (n=1,719)
No
Does having severe disabilities increase the rate of repeated dental treatment under general anesthesia in pediatric patients?
Pediatric dental patients with severe disabilities or ASA class 2 or above have a significantly higher likelihood of requiring repeated dental treatment under general anesthesia, highlighting the need for regular preventive care.
May warrant intensified preventive care in disabled children; extends observational DTGA risk data but leaves causality for trials.
The aim of this retrospective study was to evaluate the demographic characteristics of pediatric dental patients who underwent dental treatment under general anesthesia (DTGA) at the Seoul National University Dental Hospital from January 2011 through December 2020 and compare the patterns of repeated DTGA between dental patients with severe disabilities (DSD) and non-DSD (healthy or medically compromised patients without DSD). There were 1,857 DTGAs among 1,719 patients (mean age = 5.1 years; males = 59.3%; ASA 2 or above = 52.9%; DSD = 26.8%). Overall, 6.6% of patients underwent repeated DTGA, and the rate of repeated DTGA over a 10-year period was 7.4%. ASA 2 or above (p < 0.0001) and DSD (p < 0.0001) were more likely to undergo repeated DRGA compared to ASA 1 and non-DSD. At both GA1 and GA2, DSD received significantly more restorative treatment on permanent teeth than non-DSD (p = 0.002, p < 0.0001, respectively). There has been an increasing demand for DTGA in pediatric dentistry over the last 10 years. Regular check-ups and preventive oral health care are necessary for pediatric dental patients with severe disabilities to reduce the possibility of repeated DTGA.
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Lee et al. (2023) conducted an observational in Dental caries requiring treatment under general anesthesia (n=1,719). Dental patients with severe disabilities (DSD) vs. Non-DSD (healthy or medically compromised patients without severe disabilities) was evaluated on Repeated dental treatment under general anesthesia (OR 5.271, 95% CI 3.539-7.849, p=<0.0001). Pediatric dental patients with severe disabilities were over 5 times more likely to undergo repeated dental treatment under general anesthesia compared to those without severe disabilities (OR 5.271).
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