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

Authors

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

DOI:

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

Keywords:

General anaesthesia, dental treatment, repeat dental treatment

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. 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.