Dental procedures and operating time under day-care general anesthesia among medically compromised and uncooperative pediatric patients

Abstract

Objective: To analyze dental procedures and operating time provided to medically compromised and uncooperative pediatric patients under general anesthesia (GA).

Method and materials: This cross-sectional retrospective study reviewed hospital records of pediatric patients treated under day-care GA at a Malaysian university hospital between January 2013 and December 2019. Dental procedures were categorized into preventive, restorative, pulp therapy, extraction, and surgical procedures. Age groups were categorized into < 6 years (primary), 6 to 12 years (mixed) and > 12 years old (permanent), to represent different dentitions. The treatment and operating times under GA were compared between age groups, sex, and medical conditions.

Results: A total of 595 patients (455 uncooperative healthy and 140 medically compromised) were included in the study. The mean age of the patients was 5.7 years. Male patients (58.3%) outnumbered female patients (41.7%). The most frequently performed procedure was primary tooth extraction. A higher number of surgical procedures were performed on children aged > 12 years compared to younger age groups (P = .001). Children with medical problems had more preventive (mean 3.85 ± 3.65) than restorative treatments (mean 2.66 ± 2.80) and the results were reversed for healthy children. The mean operating time was 64.71 ± 27.89 minutes. Regardless of health status, children > 12 years old had longer operating times, and the mixed dentition group had the shortest treatment durations.

Conclusions: Different types of dental treatment modalities are provided under GA for pediatric patients and operating time was associated with age group. Findings will be useful to improve efficiency of management of pediatric dental cases under day-care GA.

Keywords: dental caries; dental treatment; general anesthesia; pediatric dentistry; restorative dentistry.