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Original Research

Open Access

Global trends in pediatric dental general anesthesia services: a bibliometric analysis of the most influential literature

  • Tulin Tasdemir1,*,†,
  • Elif Ballikaya2,†

1Department of Pediatric Dentistry, Faculty of Dentistry, Nigde Omer Halisdemir University, 51240 Nigde, Turkey

2Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, 06230 Ankara, Turkey

DOI: 10.22514/jocpd.2026.117 Vol.50,Issue 5,September 2026 pp.82-89

Submitted: 05 February 2026 Accepted: 15 April 2026

Published: 03 September 2026

*Corresponding Author(s): Tulin Tasdemir E-mail: dt.tulintasdemir@gmail.com

† These authors contributed equally.

Abstract

Background: This study aimed to perform a comprehensive bibliometric analysis of the literature on dental general anesthesia (DGA) in pediatric patients. Methods: A structured search was conducted in Scopus and Web of Science to identify original research articles and case reports/series related to DGA in children. The final citation rankings were based exclusively on Scopus. Two independent reviewers selected eligible articles. The following bibliometric data were extracted and analyzed: publication trends, citation metrics, influential journals, authors, countries, institutions, keywords, and thematic analysis. Bibliometric mapping and data analysis were conducted using biblioshiny in RStudio 4.4.2. Results: This study presents a comprehensive bibliometric analysis of the 100 most-cited articles related to pediatric DGA. Most articles have been published since 2014, with Pediatric Dentistry emerging as the most prolific journal. The USA contributed the highest number of publications and citations. Thematic mapping revealed that the keyword groups “quality of life”, “follow up”, “pain”, “premedication”, and “caries recurrence” are currently the most preferred and actively researched topics. Conclusions: This analysis highlights a growing emphasis on patient-centered outcomes such as pain management, quality of life, and long-term follow-up. These trends underscore the need for integrated, preventive, and multidisciplinary approaches to ensure sustainable oral health outcomes in children.


Keywords

Bibliometric analysis; Dental general anesthesia; Pediatric dentistry


Cite and Share

Tulin Tasdemir,Elif Ballikaya. Global trends in pediatric dental general anesthesia services: a bibliometric analysis of the most influential literature. Journal of Clinical Pediatric Dentistry. 2026. 50(5);82-89.

References

[1] Benzian H, Watt R, Makino Y, Stauf N, Varenne B. WHO calls to end the global crisis of oral health. The Lancet. 2022; 400: 1909–1910.

[2] Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. The Lancet. 2019; 394: 249–260.

[3] 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.

[4] Meyer BD, Lee JY, Thikkurissy S, Casamassimo PS, Vann WF. An algorithm-based approach for behavior and disease management in children. Pediatric Dentistry. 2018; 40: 89–92.

[5] Policy on the use of deep sedation and general anesthesia in the pediatric dental office. Pediatric Dentistry. 2016; 38: 94–95.

[6] Špiljak B, Brailo V, Janković B, Gabrić D, Lozić M, Stambolija V, et al. Satisfaction of parents and caregivers with dental treatment of children under general anesthesia in a day care surgery setting. Acta Stomatologica Croatica. 2022; 56: 376–386.

[7] Acs G, Pretzer S, Foley M, Ng MW. Perceived outcomes and parental satisfaction following dental rehabilitation under general anesthesia. Pediatric Dentistry. 2001; 23: 419–423.

[8] Needleman HL, Harpavat S, Wu S, Allred EN, Berde C. Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia. Pediatric Dentistry. 2008; 30: 111–121.

[9] Farsi N, Ba’akdah R, Boker A, Almushayt A. Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health. 2009; 9: 6.

[10] Roberts GJ, Mokhtar SM, Lucas VS, Mason C. Deaths associated with GA for dentistry 1948–2016: the evolution of a policy for general anaesthesia (GA) for dental treatment. Heliyon. 2020; 6: e02671.

[11] Yazdanbakhsh E, Bohlouli B, Patterson S, Amin M. Patterns and potential risk factors for repeated dental general anesthesia in pediatric patients in Alberta, Canada. Pediatric Dentistry. 2025; 47: 342–349.

[12] Li JY, He SY, Wang PX, Dai SS, Zhang SQ, Li ZY, et al. Incidence and risk factors of unplanned retreatment following dental general anesthesia in children with severe early childhood caries. Frontiers in Pediatrics. 2023; 11: 1163368.

[13] Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: an overview and guidelines. Journal of Business Research. 2021; 133: 285–296.

[14] Aria M, Cuccurullo C. bibliometrix: an R-tool for comprehensive science mapping analysis. Journal of Informetrics. 2017; 11: 959–975.

[15] Knapp R, Gilchrist F, Rodd HD, Marshman Z. Change in children’s oral health-related quality of life following dental treatment under general anaesthesia for the management of dental caries: a systematic review. International Journal of Paediatric Dentistry. 2017; 27: 302–312.

[16] Keykha E, Hajisadeghi S, Heidari MT. The effect of dental rehabilitation under general anesthesia on dental anxiety in children: a systematic review and meta-analysis. BMC Oral Health. 2025; 25: 1953.

[17] Ashley PF, Williams CECS, Moles DR, Parry J. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. Cochrane Database of Systematic Reviews. 2015; 2015: CD006334.

[18] Vandenbroucke JP. In defense of case reports and case series. Annals of Internal Medicine. 2001; 134: 330–334.

[19] Leagault JV, Diner MH, Auger R. Dental treatment of children in a general anaesthesia clinic: review of 300 cases. Journal of the Canadian Dental Association. 1972; 38: 221–224.

[20] Wang L, Huang L, Zhang T, Peng W. Comparison of intranasal dexmedetomidine and oral midazolam for premedication in pediatric dental patients under general anesthesia: a randomised clinical trial. BioMed Research International. 2020; 2020: 5142913.

[21] Almeida AG, Roseman MM, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatric Dentistry. 2000; 22: 302–306.

[22] Anderson HK, Drummond BK, Thomson WM. Changes in aspects of children’s oral-health-related quality of life following dental treatment under general anaesthesia. International Journal of Paediatric Dentistry. 2004; 14: 317–325.

[23] Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anesthesia. ASDC Journal of Dentistry for Children. 1997; 64: 210–211, 228.

[24] Amin MS, Harrison RL, Weinstein P. A qualitative look at parents’ experience of their child’s dental general anaesthesia. International Journal of Paediatric Dentistry. 2006; 16: 309–319.

[25] Hosey MT, Macpherson LMD, Adair P, Tochel C, Burnside G, Pine C. Dental anxiety, distress at induction and postoperative morbidity in children undergoing tooth extraction using general anaesthesia. British Dental Journal. 2006; 200: 39–43, discussion 27, quiz 50.

[26] Broomhead T, Rodd HD, Baker SR, Jones K, Davies G, White S, et al. A rapid review of variation in the use of dental general anaesthetics in children. British Dental Journal. 2020; 229: 31–39.

[27] Chrisopoulos S, Harford J, Ellershaw A. Oral health and dental care in Australia: key facts and figures 2015. (Cat. no. DEN 229). Canberra: AIHW. 2016.

[28] Lee HH, Milgrom P, Starks H, Burke W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatric Anaesthesia. 2013; 23: 741–746.

[29] Jastak JT, Peskin RM. Major morbidity or mortality from office anesthetic procedures: a closed-claim analysis of 13 cases. Anesthesia Progress. 1991; 38: 39–44.

[30] Tom J, Thikkurissy S, Agarwal R. The path to safety in dental anesthesia. Current Anesthesiology Reports. 2024; 14: 318–329.

[31] Amin M, Nouri R, ElSalhy M, Shah P, Azarpazhooh A. Caries recurrence after treatment under general anaesthesia for early childhood caries: a retrospective cohort study. European Archives of Paediatric Dentistry. 2015; 16: 325–331.

[32] Amin MS, Bedard D, Gamble J. Early childhood caries: recurrence after comprehensive dental treatment under general anaesthesia. European Archives of Paediatric Dentistry. 2010; 11: 269–273.

[33] Foster T, Perinpanayagam H, Pfaffenbach A, Certo M. Recurrence of early childhood caries after comprehensive treatment with general anesthesia and follow-up. Journal of Dentistry for Children. 2006; 73: 25–30.

[34] Amin MS, Harrison RL, Benton TS, Roberts M, Weinstein P. Effect of povidone-iodine on Streptococcus mutans in children with extensive dental caries. Pediatric Dentistry. 2004; 26: 5–10.

[35] Amin MS, Harrison RL. A conceptual model of parental behavior change following a child’s dental general anesthesia procedure. Pediatric Dentistry. 2007; 29: 278–286.

[36] Malden PE, Thomson WM, Jokovic A, Locker D. Changes in parent-assessed oral health-related quality of life among young children following dental treatment under general anaesthetic. Community Dentistry and Oral Epidemiology. 2008; 36: 108–117.

[37] Klaassen MA, Veerkamp JSJ, Hoogstraten J. Young children’s oral health-related quality of life and dental fear after treatment under general anaesthesia: a randomized controlled trial. European Journal of Oral Sciences. 2009; 117: 273–278.

[38] Atan S, Ashley P, Gilthorpe MS, Scheer B, Mason C, Roberts G. Morbidity following dental treatment of children under intubation general anaesthesia in a day-stay unit. International Journal of Paediatric Dentistry. 2004; 14: 9–16.

[39] Kawai M, Kurata S, Sanuki T, Mishima G, Kiriishi K, Watanabe T, et al. The effect of midazolam administration for the prevention of emergence agitation in pediatric patients with extreme fear and non-cooperation undergoing dental treatment under sevoflurane anesthesia, a double-blind, randomized study. Drug Design, Development and Therapy. 2019; 13: 1729–1737.

[40] Lee JY, Vann WF, Roberts MW. A cost analysis of treating pediatric dental patients using general anesthesia versus conscious sedation. Pediatric Dentistry. 2000; 22: 27–32.

[41] Kanellis MJ, Damiano PC, Momany ET. Medicaid costs associated with the hospitalization of young children for restorative dental treatment under general anesthesia. Journal of Public Health Dentistry. 2000; 60: 28–32.


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