Abstract
Aim: To assess the failure rates of various pediatric dental treatments performed under general anesthesia (GA) after six months to five years of follow-up. Design: This multicenter retrospective cohort study was performed on patients treated by five pedodontists in two private hospitals located in northern Iran during 2010–2013 and comprised 155 patients. The patients were recalled and clinically examined. During the clinical examination of the primary teeth, oral hygiene, dmft index, and failure of previous treatments was evaluated. The data were analyzed using the Chi square and regression analyses with a significance level of 0.05. Results: 114 patients (74 males and 40 females, mean age: 37.17 ± 10.75 months) with 1155 primary teeth treated under GA participated in the follow-up. The overall failure rate was 6.59%. The failure rates of pulpectomy, pulopotomy, fissure sealant, stainless steel crown (SSC), amalgam, and composite fillings were 2.90%, 3.03%, 4.83%, 5.26%, 5.33%, and 9.63%, respectively. Among the confounding factors, only gender had a significant effect on the anterior composite failure rate (p = 0.029) and age had a significant effect on the failure rate of fissure sealant therapy (p = 0.015) and SSC (p = 0.018). Conclusion: The overall rate of treatment failure in pediatric patients, treated under GA, was 6.59%.
Highlights
Many pediatric patients receive dental treatment by simple behavior control techniques like “Tell-Show-Do”, some uncooperative patients with extensive dental caries and need of several treatment sessions should undergo general anesthesia (GA) for effective treatment [1,2]
The overall documents of 813 pediatric dental treatments performed under GA were evaluated, out of which 155 (19.1%) were considered eligible
The results indicated low failure of pediatric dental treatments performed under GA
Summary
Many pediatric patients receive dental treatment by simple behavior control techniques like “Tell-Show-Do”, some uncooperative patients with extensive dental caries and need of several treatment sessions should undergo general anesthesia (GA) for effective treatment [1,2]. It could provide more efficient dental treatment in a safe environment in one session with minimum mental and physical anxiety [3,4]. As dental and oral diseases are treated in one session under GA, an immediate improvement in oral health-related quality of life both for the patients and their families is observed [6]. Some authors have stated that GA might not be cost-effective as there
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