Abstract
Emerging Demand in Pediatric Dentistry for Office-Based General Anesthesia by Dentist Anesthesiologists in the United States
Highlights
Office-based sedation and anesthesia is a critical component of the modern pediatric dental practice
This review of the emerging need in pediatric dentistry for office-based general anesthesia indicates that female pediatric dentists, that were Diplomates of the American Board of Pediatric Dentistry (ABPD), were more likely to employ a dentist anesthesiologist than males
Predicting the future need of dentist anesthesiologists is an uncertain task, but these results show pediatric dentistry directors and dental anesthesiology directors are considering the need, and they recognize a trend of increased need for dentist anesthesiologist services over the past decade
Summary
Office-based sedation and anesthesia is a critical component of the modern pediatric dental practice. This is especially true for the management of special populations that include patients with cognitive impairments, developmental delay, precooperative age and other conditions that limit the effectiveness of the traditional behavior management techniques used by pediatric dentists. Some pediatric dentists provide minimal or moderate sedation while simultaneously performing dentistry on these patients. This practice of operatoradministered sedation has been a cornerstone of pediatric dental practice for generations, there are profound limitations to depth and effectiveness of sedation that can be provided using this technique [1,2,3]. The limited depth and short working time of selfadministered sedation techniques limit the pediatric dentist’s ability to treat this population
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