Other
Jennifer Macintyre, DDS
Student
NYU Langone Dental Medicine
NYU Langone Dental Medicine
Anchorage, Alaska, United States
Arin Haghverdian, DMD
NYU Langone
James Stewart, DMD
NYU Langone
Elizabeth Vaidyan, DMD
NYU Langone
Daniel J. Kane, DMD, MA
Program Director
NYU Langone Hospitals
Brooklyn, New York, United States
David M. Okuji, DDS, MBA, MS
Senior Associate Director
NYU Langone Health
Brooklyn, New York, United States
ABSTRACT
Purpose: The purpose of the study was to evaluate the clinical outcomes among children treated with early childhood caries with silver diamine fluoride (SDF), oral sedation and general anesthesia (GA).
METHODS: Data was collected from 1,642 dental charts from Alaska, New York, Tennessee and Florida of children under the age of 7, from 2010-2019 evaluating clinical outcomes of general anesthesia, sedation and silver diamine fluoride.
CONCLUSIONS: Dentists should be aware that children treated with GA have more pre-treatment visits, higher prevalence of post-treatment new caries on permanent molars, fewer post-treatment extractions, and more broken restorations and space maintainers in ASA I patients.
Results: The median age of the sample population was four years old, mostly male (52.5%), Hispanic (41.9%), ASA 1 (88.0%), and Medicaid beneficiaries (83.0%) Statically significant findings as follows: p</span>atients receiving GA had more pre-treatment visits than those with SDF (48% versus 80% respectively). (3.6%) new caries on permanent molars were found in patients that underwent GA versus (1.6%) of sedation patients. More patients had post-treatment extractions following SDF placement (7.5%) than those with sedation treatment (3.7%) or GA (2.1%). ASA I patients had more broken restorations/space maintainers at 2.8% than ASA II individuals at 2.7%.