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Factors Associated with Repeat Dental Treatment Under General Anesthesia: A Case-Control Study

Yoshioka, Misa Lynn
http://orcid.org/0000-0003-3390-4420
http://rave.ohiolink.edu/etdc/view?acc_num=osu1626716138019354

Abstract Details

2021, Master of Science, Ohio State University, Dentistry.
Purpose: The primary aim of this study was to identify treatment planning factors associated with higher odds of repeat dental treatment under general anesthesia (GA) among young children (aged 0-48 months). The secondary objective of this study was to characterize and compare patient variables (caries pattern, social determinants of health, and demographics) of children with and without repeat GA. Methods: Healthy children (ages 0-48 months) receiving dental treatment under general anesthesia between November 2011 and December 2016 were identified. Children who received repeat dental treatment under general anesthesia within 48 months of their first dental surgery (cases) were matched with children who did not have repeat general anesthesia for dental treatment (controls). Demographic information, social determinants of health markers, and intraoperative data from the initial dental surgery (GA1) were collected using the hospital’s integrated electronic health record. Chi-squared tests were used to find differences in demographic and social determinants of health data. Wilcoxon rank sum tests were used to analyze the distribution of caries and treatment in each group and for each tooth type. Logistic regression models were used to find associations between repeat dental surgery (GA2) and treatment types. Results: 152 cases were identified and matched to 304 controls. The mean (standard deviation) age at GA1 was 31 months (8) for cases and 36 months (7) for controls (P < .0001). 57.9% of cases and 53% of controls were male (P = .32). The mean time elapsed between GA1 and GA2 in cases was 27 months. Cases tended to be more white (54.6%) compared to controls (30.6%) (P < .0001). Seventy-five percent of cases spoke English, compared to 54.6% of controls (P < .0001). Significant associations between GA2 and full coverage treatment on primary first molars (P = .04; OR 0.6 (95% CI 0.3, 0.9)), and primary second molars (P = .02; OR 0.2 (95% CI 0.02, 0.5)) were found. Significant associations were also found with the number of primary second molars treated with composite/sealant (P = .02; OR 4.6 (95% CI 1.7, 31.9)) and between the number of uncovered primary second molars (P = .02; OR 0.6 (95% CI 1.7, 31.9)). Conclusions: Stainless steel crowns on primary first and second molars are recommended for young children requiring dental treatment under general anesthesia and are associated with decreased odds of GA2. Primary second molars that are uncovered or treated with composites or sealants are associated with higher odds of children requiring GA2.
Ehsan Azadani (Advisor)
Paul Casamassimo (Committee Member)
Kim Hammersmith (Committee Member)
Janice Townsend (Committee Member)
Ashok Kumar (Committee Member)
50 p.
Dentistry
pediatric dentistry; general anesthesia

Recommended Citations

Citations

  • Yoshioka, M. L. (2021). Factors Associated with Repeat Dental Treatment Under General Anesthesia: A Case-Control Study [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1626716138019354

    APA Style (7th edition)

  • Yoshioka, Misa. Factors Associated with Repeat Dental Treatment Under General Anesthesia: A Case-Control Study. 2021. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1626716138019354.

    MLA Style (8th edition)

  • Yoshioka, Misa. "Factors Associated with Repeat Dental Treatment Under General Anesthesia: A Case-Control Study." Master's thesis, Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1626716138019354

    Chicago Manual of Style (17th edition)

osu1626716138019354
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This open access ETD is published by The Ohio State University and OhioLINK.