293 - Age and Gender as Risk Factors for Multiple Comprehensive Dental Treatments Under GA for the Healthy Child

The objective of this retrospective chart review is to identify if age and gender are risk factors that may indicate the likelihood that multiple comprehensive dental treatments under GA may be necessary.

ECC (Early Childhood Caries) is a severe and quickly progressing chronic disease defined as “the presence of one or more decayed, missing, or filled teeth in a child under the age of six”. Under certain circumstances, ECC is best treated under general anesthesia. There are occasions where even after treatment of ECC under general anesthesia, the disease continues to progress. If the need is severe, it may be necessary to treat again under general anesthesia. Available research is limited concerning the reasons that a patient may need to undergo general anesthesia multiple times to treat ECC but they include “involvement of Mx central incisors at initial treatment (majority being nonrestorable), still using nursing bottle at the time of GA, child brushing own teeth, poor cooperation in medical and dental setting, lack of follow-up dental care”. Other research suggests that repeated treatment under GA was needed for patients who had “uncooperation problems, followed by dental fear and excessive need for treatment”

This is a single-site retrospective chart review study of healthy St. Joseph Pediatric Dental Clinic pediatric patients ages 0 and 12 years old who received comprehensive dental treatment between the dates of 01/01/2018 and 1/1/2022.