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Original Research

Open Access

Success of Dental Treatments under Behavior Management, Sedation and General Anesthesia

  • Sigalit Blumer1,*,
  • Liora Costa1
  • Benjamin Peretz1

1Department of Pediatric Dentistry, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

DOI: 10.17796/1053-4625-43.6.9 Vol.43,Issue 6,October 2019 pp.413-416

Published: 01 October 2019

*Corresponding Author(s): Sigalit Blumer E-mail: blumer@012.net.il

Abstract

Objective: To present comparative data with the aim of assisting the practitioner to choose between behavior modification (BM) techniques, pharmacologic sedation (N2O-O2 alone or combined with midazolam 0.5 mg/kg) or routine general anesthesia (GA) for the most successful approach in enabling pediatric dental care. Study design: Dental records of 56 children treated in a university dental clinic between 2006-2016 were reviewed, and data on age, gender, required treatment (amalgam restorations, composite restorations, pulpotomy, and stainless steel crowns [SSC]), treatment approaches and therapeutic success at final follow-up were retrieved. Results: Treatment under GA had the best success rates compared to both BM and pharmacologic sedation. N2O-O2 alone had a 6.1-fold greater risk of failure compared to N2O-O2+midazolam (p- <0.008). Amalgam restorations had a 2.61-fold greater risk of failure than SSC (p- <0.008). Conclusions: The GA mode yielded significantly greater success than the N2O-O2 mode alone. There were no significant differences in success rates between GA and combined midazolam 0.5 mg/kg+N2O-O2. When choosing restoration material, it is important to remember the high success rate of SSC compared to amalgam restoration.


Keywords

Success; Dental restorations; Children; Sedation; General anesthesia

Cite and Share

Sigalit Blumer,Liora Costa, Benjamin Peretz. Success of Dental Treatments under Behavior Management, Sedation and General Anesthesia. Journal of Clinical Pediatric Dentistry. 2019. 43(6);413-416.

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