A Retrospective Analysis of Demographic and Clinical profile of Pediatric Dental Patients Treated Under General Anesthesia

Abstract

Aim - To determine the demographic and clinical profile of children treated under general anaesthesia in last 7 years.

Methodology - A Medical-record department (MRD) based retrospective study was planned. Dental records all the pediatric patients treated under general anaesthesia in past 7 years (2012-2019) were reviewed and evaluated in the current retrospective analysis. For each patient, detailed clinical and demographic details were extracted and analysed using descriptive statistical analysis and chi-square test.

Results – In the current study, dental records of total 93 patients were included. These were divided into 2 groups – based on patient’s medical history, wherein group A included healthy children and group B included children with special health care with mean age of 5.40 ± 2.1 years and 10.3 ± 6.3 years respectively. Dental anxiety and un-cooperative behaviour (57%) were the main indication for treating pediatric patient under general anaesthesia and stainless-steel crown cementation was the most frequent procedure performed for both groups. Intra-group analysis showed significant association between age of the patient and need for dental treatment under general anaesthesia in group A (P ≤ 0.05). However, there was no significant difference and corelation found between gender and need for general anaesthesia. (P ≥ 0.05).

Conclusion -

According to the study, majority of the children treated under general anaesthesia were below 5 years and the major indication was un-cooperative behaviour. Stainless-steel crowns cementation was the most common treatment modality provided. It is important to emphasis more on prevention dental caries and thus avoid unnecessary exposure of children to general anaesthesia