Article Data

  • Views 867
  • Dowloads 158

Original Research

Open Access

Retrospective evaluation of pediatric dental treatments under deep sedation

  • Akif Demirel1
  • Nur S Önder2
  • Merve H Kocaoğlu1
  • Çağıl Vural3,*,
  • Şaziye Sarı1

1Pediatric Dentistry Department, Faculty of Dentistry, Ankara University, 06560 Ankara, Turkey

2Pediatric Dentistry Department, Faculty of Dentistry, Başkent University, 06490 Ankara, Turkey

3Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Ankara University, 06560 Ankara, Turkey

DOI: 10.22514/jocpd.2024.050

Submitted: 12 November 2023 Accepted: 03 March 2024

Online publish date: 16 April 2024

*Corresponding Author(s): Çağıl Vural E-mail: cagilvural@hotmail.com

Abstract

This study identified the dental treatment modalities administered to patients undergoing dental procedures under deep sedation and examined potential relations among treatment types, age, gender and tooth types. This study protocol included data from 502 patients, including a total of 5141 teeth, who underwent dental procedures under deep sedation between October 2022 and October 2023. The dental treatments were categorized based on primary types and subtypes. Subsequently, this study examined the associations between treatment types and age, gender and tooth type. Data were analyzed using the Chi-Square test, with the significance level set at 5%. Most patients (76.9%) were aged 0–6 years, and 93.4% of the treated teeth were primary teeth. The predominant treatment was restorative therapy (61.6%), followed by extraction (27.2%), endodontic treatment (6.1%), and preventive treatment (5.1%). Among restorative materials, compomer was the most frequently applied (49.8%). Significant differences between the treatment types were observed in terms of age group and tooth type (p < 0.001 for both) but not gender (p = 0.920). Based on our findings, restorative treatments and tooth extraction are the most frequently performed procedures, whereas endodontic treatments are performed less frequently under deep sedation.


Keywords

Deep sedation; Dental treatment; Endodontic treatment; Preventive treatment; Primary teeth; Restorative treatment; Tooth extraction


Cite and Share

Akif Demirel,Nur S Önder,Merve H Kocaoğlu,Çağıl Vural,Şaziye Sarı. Retrospective evaluation of pediatric dental treatments under deep sedation. Journal of Clinical Pediatric Dentistry. 2024.doi:10.22514/jocpd.2024.050.

References

[1] Zhuge J, Zheng D, Li X, Nie X, Liu J, Liu R. Parental preferences for the procedural sedation of children in dentistry: a discrete choice experiment. Frontiers in Pediatrics. 2023; 11: 1132413.

[2] Ahmed SS, Hicks SR, Slaven JE, Nitu ME. Deep sedation for pediatric dental procedures: is this a safe and effective option? Journal of Clinical Pediatric Dentistry. 2016; 40: 156–160.

[3] Costa VPP, Goettems ML, Quevedo L, Armfield J, Pinheiro RT, Demarco FF. Relation between anxiety disorders in adolescent mothers and dental fear in children. International Journal of Paediatric Dentistry. 2023; 33: 124–131.

[4] Ashley PF, Chaudhary M, Lourenço-Matharu L. Sedation of children undergoing dental treatment. Cochrane Database of Systematic Reviews. 2018; 12: CD003877.

[5] Razavi SS, Malekianzadeh B. The efficacy and complications of deep sedation in pediatric dental patients: a retrospective cohort study. Anesthesiology Research and Practice. 2022; 2022: 5259283.

[6] Gizani S, Seremidi K, Katsouli K, Markouli A, Kloukos D. Basic behavioral management techniques in pediatric dentistry: a systematic review and meta-analysis. Journal of Dentistry. 2022; 126: 104303.

[7] American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry (pp. 359–377). American Academy of Pediatric Dentistry: Chicago, Ill., USA. 2023.

[8] Vural Ç, Kocaoğlu MH, Akbarihamed R, Demirel A. A retrospective investigation of patient- and procedure-related factors associated with cardiorespiratory complications in pediatric dental patients undergoing deep sedation. Pediatric Dentistry. 2023; 45: 511–519.

[9] Wu X, Liu Y, Li B, Zhou D, Cheng T, Ma T, Yang X, Xia B. Safety of deep intravenous propofol sedation in the dental treatment of children in the outpatient department. Journal of Dental Sciences. 2023; 18: 1073-1078.

[10] Attri J, Sharan R, Makkar V, Gupta K, Khetarpal R, Kataria A. Conscious sedation: emerging trends in pediatric dentistry. Anesthesia: Essays and Researches. 2017; 11: 277–281.

[11] Coté CJ, Wilson S. Guidelines for monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures. Pediatrics. 2019; 143: e20191000.

[12] Tosi F, Conti G, Festa R, Mancino A, Rossi M, Chiaretti A, et al. Safety and effectiveness of deep sedation in pediatric patients undergoing flexible fibroscopy in spontaneous breathing. Signa Vitae. 2021; 17; 60–65.

[13] American Society of Anesthesiologists, Committee on Economics. Statement on ASA physical status classification system. Standards and practice parameters. 2020. Available at: https://www.asahq.org/standards-and-practice-parameters/statement-on-asa-physical-status-classification-system (Accessed: 24 December 2023).

[14] Kanzel S, El Motayam K, Abdelgawad F. Behavior management techniques adopted by pediatric dentists in Cairo, Egypt: a cross-sectional study. Journal of International Oral Health. 2023; 15: 97.

[15] Sivakumar P. Behavior of children toward various dental procedures. International Journal of Clinical Pediatric Dentistry. 2019; 12: 379–384.

[16] Balian A, Cirio S, Salerno C, Wolf TG, Campus G, Cagetti MG. Is visual pedagogy effective in improving cooperation towards oral hygiene and dental care in children with autism spectrum disorder? A systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2021; 18: 789.

[17] Seligman LD, Hovey JD, Chacon K, Ollendick TH. Dental anxiety: an understudied problem in youth. Clinical Psychology Review. 2017; 55: 25–40.

[18] Gandhi HA, Olson G, Lee H, Zouaidi K, Yansane A, Walji M, et al. Assessing the safety of deep sedation in outpatient pediatric oral health care. The Journal of the American Dental Association. 2023; 154: 975–983.e1.

[19] Corcuera-Flores J, Delgado-Munoz J, Ruiz-Villandiego J, Maura-Solivellas I, Machuca-Portillo G. Dental treatment for handicapped patients; sedation vs general anesthesia and update of dental treatment in patients with different diseases. Medicina Oral Patología Oral Y Cirugia Bucal. 2014; 19: e170–e176.

[20] Lim MAWT, Borromeo GL. The use of general anesthesia to facilitate dental treatment in adult patients with special needs. Journal of Dental Anesthesia and Pain Medicine. 2017; 17: 91.

[21] Guney S, Araz C, Tirali R, Cehreli S. Dental anxiety and oral health-related quality of life in children following dental rehabilitation under general anesthesia or intravenous sedation: a prospective cross-sectional study. Nigerian Journal of Clinical Practice. 2018; 21: 1304.

[22] Gómez-Ríos I, Pérez-Silva A, Serna-Muñoz C, Ibáñez-López FJ, Periago-Bayonas PM, Ortiz-Ruiz AJ. Deep sedation for dental care management in healthy and special health care needs children: a retrospective study. International Journal of Environmental Research and Public Health. 2023; 20: 3435.

[23] Rashewsky S, Parameswaran A, Sloane C, Ferguson F, Epstein R. Time and cost analysis: pediatric dental rehabilitation with general anesthesia in the office and the hospital settings. Anesthesia Progress. 2012; 59: 147–153.

[24] Spera AL, Saxen MA, Yepes JF, Jones JE, Sanders BJ. Office-based anesthesia: safety and outcomes in pediatric dental patients. Anesthesia Progress. 2017; 64: 144–152.

[25] Juárez-López MLA, Marin-Miranda M, Lavalle-Carrasco J, Pierdant A, Sánchez-Pérez L, Molina-Frechero N. Association of age and temperamental traits with children’s behaviour during dental treatment. International Journal of Environmental Research and Public Health. 2022; 19: 1529.

[26] Gao F, Wu Y. Procedural sedation in pediatric dentistry: a narrative review. Frontiers in Medicine. 2023; 10: 1186823.

[27] Guidry J, Bagher S, Felemban O, Rich A, Loo C. Reasons of repeat dental treatment under general anaesthesia: a retrospective study. European Journal of Paediatric Dentistry. 2017; 18: 313–318.

[28] König T, Reicherts P, Leha A, Hrasky V, Wiegand A. Retrospective study on risk factors for repeated dental treatment of children under general anaesthesia. European Journal of Paediatric Dentistry. 2020; 21: 183–186.

[29] Rodrigues JA, Casagrande L, Araújo FB, Lenzi TL, Mariath AAS. Restorative materials in pediatric dentistry. Pediatric Restorative Dentistry. 2019; 83: 161–167.

[30] Seale NS. The use of stainless steel crowns. Pediatric Dentistry. 2002; 24: 501–505.

[31] Mathew M, Roopa K, Soni A, Khan MM, Kauser A. Evaluation of clinical success, parental and child satisfaction of stainless steel crowns and zirconia crowns in primary molars. Journal of Family Medicine and Primary Care. 2020; 9: 1418.

[32] de Farias AL, Rojas‐Gualdrón DF, Mejía JD, Bussaneli DG, Santos‐Pinto L, Restrepo M. Survival of stainless‐steel crowns and composite resin restorations in molars affected by molar‐incisor hypomineralization (MIH). International Journal of Paediatric Dentistry. 2022; 32: 240–250.

[33] Chadwick BL, Evans DJP. Restoration of class II cavities in primary molar teeth with conventional and resin modified glass ionomer cements: a systematic review of the literature. European Archives of Paediatric Dentistry. 2007; 8: 14–21.

[34] Bayrak GD, Sandalli N, Selvi‐Kuvvetli S, Topcuoglu N, Kulekci G. Effect of two different polishing systems on fluoride release, surface roughness and bacterial adhesion of newly developed restorative materials. Journal of Esthetic and Restorative Dentistry. 2017; 29: 424–434.

[35] Finucane D. Restorative treatment of primary teeth: an evidence‐based narrative review. Australian Dental Journal. 2019; 64: S22–S36.

[36] Kisby L. Glass-hybrid restorations in pediatric patients. Compendium of Continuing Education in Dentistry. 2021; 42: 4–5.

[37] Uchimura JYT, Sato F, Santana RG, Menezes‐Silva R, Bueno LS, Borges AFS, et al. Translucency parameter of conventional restorative glass‐ionomer cements. Journal of Esthetic and Restorative Dentistry. 2021; 33: 935–942.

[38] Šalinović I, Stunja M, Schauperl Z, Verzak Ž, Ivanišević Malčić A, Brzović Rajić V. Mechanical properties of high viscosity glass ionomer and glass hybrid restorative materials. Acta Stomatologica Croatica. 2019; 53: 125–131.

[39] Brkanović S, Ivanišević A, Miletić I, Mezdić D, Jukić Krmek S. Effect of nano-filled protective coating and different pH enviroment on wear resistance of new glass hybrid restorative material. Materials. 2021; 14: 755.

[40] Tellez M, Kinner DG, Heimberg RG, Lim S, Ismail AI. Prevalence and correlates of dental anxiety in patients seeking dental care. Community Dentistry and Oral Epidemiology. 2015; 43: 135–142.

[41] Li X, Liu Y, Li C, Wang J. Sedative and adverse effect comparison between oral midazolam and nitrous oxide inhalation in tooth extraction: a meta-analysis. BMC Oral Health. 2023; 23: 307.

[42] Stanková M, Buček A, Dostálová T, Ginzelová K, Pacáková Z, Seydlová M. Patients with special needs within treatment under general anesthesia—meta-analysis. Prague Medical Report. 2011; 112: 216–225.

[43] Al-Eheideb A, Herman N. Outcomes of dental procedures performed on children under general anesthesia. Journal of Clinical Pediatric Dentistry. 2004; 27: 181–183.

[44] Schnabl D, Schanner LL, Barbieri F, Laimer J, Bruckmoser E, Steiner R, et al. Is dental general anaesthesia in children an outdated concept? A retrospective analysis. European Journal of Paediatric Dentistry. 2020; 21: 283–286.

[45] Barberia E, Arenas M, Gómez B, Saavedra-Ontiveros D. An audit of paediatric dental treatments carried out under general anaesthesia in a sample of Spanish patients. Community Dental Health. 2007; 24: 55–58.

[46] Mallineni SK, Yiu CK. A retrospective review of outcomes of dental treatment performed for special needs patients under general anaesthesia: 2-year follow-up. The Scientific World Journal. 2014; 2014: 748353.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top