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Reaching Special Populations in Dentistry with General Anesthesia

Busto, Robert Alexander
http://rave.ohiolink.edu/etdc/view?acc_num=osu158798466339008

Abstract Details

2020, Master of Science, Ohio State University, Dentistry.
Significant barriers to care impact special populations in dentistry. Patients in this population requiring general anesthesia for dental treatment often face long hospital wait lists and providers unable to treat them. Office-based anesthesia provided by dentist-anesthesiologists offers as a safe solution to help address the access to care issues faced by these patients. Because the regulatory landscape has been shaped by a mix of safety and external non-safety related factors, much variation exists between states for the regulation of office-based anesthesia in dentistry. These variations may affect the availability of dentist-anesthesiologists to help treat special populations in the office-based environment. The purpose of this study is to describe the perceptions of North American Dentist-Anesthesiologists regarding specific regulations on access to care and safety as well as the influence of the regulatory environment when providing general anesthesia services to dentists in an office-based environment. It was also sought to identify and analyze the differences in perceptions and practice characteristics of mobile and fixed-facility dentist-anesthesiologists. Lastly, it was desired to gain insight regarding the effect of regulations on the distribution of dentist-anesthesiologists across the country. An online questionnaire-based survey was distributed to active members of the American Society of Dentist Anesthesiologists at its 2019 annual conference. The results of valid surveys (n=46) were summarized with descriptive statistics. Fisher’s Exact Tests were also used to describe mobile (n=30) and fixed-facility (n=16) Dentist-Anesthesiologist differences. Dentist-Anesthesiologist demographic data from the survey sample closely approximated that of previous studies. Generally, the opinions of dentist-anesthesiologists regarding the regulations were homogenous. An inverse relationship was generally seen between the perception of regulations’ effect on safety and access to care with some exceptions. This relationship generally held for laws pertaining to educational requirements. It was also evident that mobile and fixed-facility dentist-anesthesiologists differed in their perceptions of specific laws as they pertained to affecting safety, however when there was no significant difference in perception of the regulation, their opinions were in concordance. Minor variations were seen on treatment demographics between groups. Additionally, the influence of state regulations on the selection of type of dental practitioner with which they provide anesthesia services was not significant. The findings of this study may serve to provide a reference point from a representative group of experts in dental anesthesiology regarding the effect of different regulations on safety and access to care to safely improve special population reach in dentistry.
Bryant Cornelius, DDS, MBA, MPH (Advisor)
John Draper, PhD (Committee Member)
Canise Bean, DMD, MPH (Committee Member)
Courtney Jatana, DDS, MS (Committee Member)
109 p.
Dentistry
General Anesthesia, Dentistry, Special Populations

Recommended Citations

Citations

  • Busto, R. A. (2020). Reaching Special Populations in Dentistry with General Anesthesia [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu158798466339008

    APA Style (7th edition)

  • Busto, Robert. Reaching Special Populations in Dentistry with General Anesthesia. 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu158798466339008.

    MLA Style (8th edition)

  • Busto, Robert. "Reaching Special Populations in Dentistry with General Anesthesia." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu158798466339008

    Chicago Manual of Style (17th edition)

osu158798466339008
341
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This open access ETD is published by The Ohio State University and OhioLINK.