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Predicting Negative Outcomes While Awaiting Dental Treatment Under General Anesthesia

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Purpose: To determine the wait time for dental treatment under general anesthesia (GA) and its impact on clinical outcomes in a pediatric population at federally qualified health centers in the United States.
Methods: Data were collected from 566 pediatric subjects who underwent dental rehabilitation under GA between July 1, 2013, and June 30, 2014. One-way analysis of variance and linear regression analyses were performed.
Results: Patients waited 110.6 days (┬▒standard deviation: 103.9 days) between the initial and treatment visits. Regression analysis demonstrated that prolonged wait time was a significant predictor for an increased number of preoperative visits and more teeth treated than planned. Among the 25.1 percent of patients who returned for follow-up after surgery, 18.6 percent presented with pain, swelling, or broken/ displaced restorations. The Canadian diagnostic code system was associated with the American Society of Anesthesiologists classification system (P <0.001) and was not coincident with wait time.
Conclusion: Longer wait time was associated with continuous pain, more teeth treated than planned, and more frequent pre- and post-operative visits. Wait time was predictive of a higher number of preoperative visits. Initial visit pain, and extra- and intra-oral swelling were associated with the Canadian diagnostic system.

Keywords: ACCESS TO CARE; DENTAL CARIES; GENERAL ANESTHESIA; OUTCOMES; PEDIATRIC DENTISTRY

Document Type: Research Article

Affiliations: 1: Dr. Okuji is a senior associate director, Division of Dental Medicine, NYU Langone Health, Brooklyn, N.Y., USA;, Email: [email protected] 2: Ms. Lin is a fourth-year dental student, Harvard School of Dental Medicine, Harvard University, Boston, Mass., USA

Publication date: January 1, 2021

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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