Trends of Dental Treatment under General Anesthesia and Patterns of Repeated General Anesthesia in Children and Adolescents with Severe Disabilities
10.5933/JKAPD.2023.50.1.75
- Author:
Ahreum LEE
1
;
Hyuntae KIM
;
Ji-Soo SONG
;
Teo Jeon SHIN
;
Hong-Keun HYUN
;
Jung-Wook KIM
;
Ki-Taeg JANG
;
Young-Jae KIM
Author Information
1. Department of Pediatric Dentistry, School of Dentistry, Seoul National University, Seoul, Republic of Korea
- Publication Type:Original Article
- From:
Journal of Korean Academy of Pediatric Dentistry
2023;50(1):75-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
