Sedation
Cassie Park, DMD (she/her/hers)
Resident
Rutgers School of Dental Medicine
Rutgers School of Dental Medicine
Califon, New Jersey, United States
Hanan Alagl, BDS
Pediatric Dental Resident
Rutgers School of Dental Medicine, Newark, NJ
Rutgers School of Dental Medicine
Rahway, New Jersey, United States
Shuying Jiang, MS
Rutgers School of Dental Medicine
Rahaf Sahhaf, BDS
Pediatric Dental Resident
Rutgers School of Dental Medicine, Newark, NJ
Rutgers School of Dental Medicine
Rahway, New Jersey, United States
Jorge Caceda, Professor
Professor
Rutgers School of Dental Medicine
Newark, New Jersey, United States
Richard Rosivack, DMD
Chair, Department of Pediatric Dentistry
RSDM Pediatric Dentistry
Newark, New Jersey, United States
Survival Rate of Dental Procedures Performed Using Oral Conscious Sedation
Park C, Alagl H, Sahhaf R, Jiang S, Caceda J
Rutgers School of Dental Medicine, Department of Pediatric Dentistry & Community Health, Newark, NJ
Purpose: The aim of this study was to describe, determine, and compare the survival rate of dental procedures performed on healthy children ages 3 to 7 years who were treated using oral conscious sedation (OCS).
Methods: Three hundred records of 3 to 7-year-old healthy children who had dental procedures performed using OCS by post-doctoral students of the Department of Pediatric Dentistry & Community Health at the Rutgers School of Dental Medicine between 2014 to 2021 were retrieved from the Axium electronic health records management software. Data regarding the survival rate of procedures performed using OCS and time to failure were analyzed using the Cox regression model.
Results: Clinical records included 1453 procedures. Procedures with less than 6 months of follow-up were excluded. Data from 384 resin-based composites (RBC), 76 vital pulp therapies (VPT), 36 strip crowns (SC), and 96 stainless steel crowns (SSC) were analyzed. RBCs had the highest survival rate followed by SSCs while SCs had the lowest survival rate followed by VPTs. The Cox regression model for procedure types and failures shows that VPTs had a 2 times chance of failure compared to RBCs (P <.001). SCs had a 2.5 times chance of failure compared to RBCs (P <.001). There was no statistically significant difference between RBCs and SSCs. RBCs had the highest survival rate followed by SSCs.
Conclusions: Among procedures performed using OCS, RBCs and SSCs had higher survival rates compared to VPTs and SC. Short working times and operator experience may impact procedure survival.