Skip to main content

Advertisement

SpringerLink
Log in

Trends in repeat general anaesthesia for treatment of dental caries at a children’s hospital in Toronto, Canada: a 10-year retrospective investigation

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Background

Treatment of early childhood caries (ECC) under general anaesthesia (GA) was the most common day surgical procedure performed for preschool children in Canada. Evidence with regard to the rate of repeat GA for dental care for Canadian Children is limited.

Aim

To determine the rate of repeat dental caries treatment performed under GA over a 10-year period and to assess the relationship between the frequency of repeat dental treatment under GA and medical comorbidities.

Design

This was a retrospective assessment of the dental records of 973 children who required repeat dental treatment under GA over a 10-year period. The rate of repeat dental treatment under GA was calculated. A Chi-square analysis was performed to determine associations between medical comorbidities and the frequency of repeat dental treatment under GA.

Results

The rate of repeat dental treatment under GA over a 10-year period was 10.8%. The yearly repeat rate and simple moving 5-year rate of repeat dental treatment under GA increased. Having a medical comorbidity was not associated with repeat dental treatment under GA.

Conclusions

The rate of repeat dental treatment under GA was consistent with the rates reported in the dental literature and increased over the 10-year period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • Almeida AG, Roseman M, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatr Dent. 2000;22(4):302–6.

    PubMed  Google Scholar 

  • Bücher K, et al. The need for repeated dental care under general anaesthesia in children. Eur J Paediatr Dent. 2016;17:129–35.

    PubMed  Google Scholar 

  • D’mello G, Hallett K. Rates of Repeat General Anaesthesia at the Royal Children’s Hospital, Melbourne. Int J Paediatr Dent. 2015;25:10–2. https://doi.org/10.1111/ipd.12198.

    Article  Google Scholar 

  • Dongen-Melman JEWMV, Sanders-Woudstra JAR. Psychosocial aspects of childhood cancer: a review of the literature. J Child Psychol Psychiatry. 1986;27.2:145–80. https://doi.org/10.1111/j.1469-7610.1986.tb02328.x.

    Article  Google Scholar 

  • Eidelman E, Faibis S, Peretz B. A comparison of restorations for children with early childhood caries treated under general anesthesia or conscious sedation. Pediatr Dent. 2000;22(1):33–7.

    PubMed  Google Scholar 

  • Jogezai U. Repeat paediatric dental general anaesthetics: a study of two regions. J Dent Oral (2016).

  • Fields HW, Machen JB, Murphy MG. Acceptability of various behavior management techniques relative to types of dental treatment. Pediatr Dent. 1984;6(4):199–203.

    PubMed  Google Scholar 

  • Guidry J, et al. Reasons of repeat dental treatment under general anaesthesia: a retrospective study. Eur J Paediatr Dent. 2017;18(4):313–8. https://doi.org/10.23804/ejpd.2017.18.04.09.

    Article  PubMed  Google Scholar 

  • Lawrence SM, McTigue DJ, Wilson S, Odom JG, Waggoner WF, Fields H Jr. Parental attitudes toward behavior management techniques used in pediatric dentistry. Pediatr Dent. 1991;13(3):151–5.

    PubMed  Google Scholar 

  • Legault JV. Dental treatment of children in a general anesthesia clinic. J Canad Dent Assn. 1972;6:221–4.

    Google Scholar 

  • Moursi AM, et al. Nutrition and oral health considerations in children with special health care needs: implications for oral health care providers. Pediatr Dent. 2010;32(4):333–42.

    PubMed  Google Scholar 

  • Schroth RJ, Smith WF. A review of repeat general anesthesia for pediatric dental surgery in Alberta Canada. Pediatr Dent. 2007;29.6:480–7.

    Google Scholar 

  • Sheller B, Williams BJ, Hays K, Mancl L. Reasons for repeat dental treatment under general anesthesia for the healthy child. Pediatr Dent, (2003);25(6)

  • Tahmassebi JF, Achol LT, Fayle SA. Analysis of dental care of children receiving comprehensive care under general anaesthesia at a teaching Hospital in England. Eur Arch Paediatr Dent. 2014;155:35360. https://doi.org/10.1007/s40368-014-0123-2.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, M5G 1G6, Canada

    L. Vertullo

  2. Paediatric Dentistry, Department of Dentistry, The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada

    E. Barrett

  3. Graduate Program in Dental Public Health, The University of Toronto, Faculty of Dentistry, 124 Edward Street, Toronto, M5G 1G6, Canada

    C. Quinonez

  4. Department of Dentistry, The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada

    N. Sidhu & M. Casas

Authors
  1. L. Vertullo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. Barrett
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Quinonez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. N. Sidhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Casas
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

LV, EB, CQ and MC developed the protocol; LV and NS conducted the research; LV collected the data; LV and NS did the writing of the manuscript.

Corresponding author

Correspondence to L. Vertullo.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vertullo, L., Barrett, E., Quinonez, C. et al. Trends in repeat general anaesthesia for treatment of dental caries at a children’s hospital in Toronto, Canada: a 10-year retrospective investigation. Eur Arch Paediatr Dent 22, 1087–1093 (2021). https://doi.org/10.1007/s40368-021-00667-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-021-00667-6

Keywords

Search

Navigation