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J Clin Pediatr Dent. 2018;42(4):303-306. doi: 10.17796/1053-4628-42.4.12. Epub 2018 May 11.

Trends and Characteristics of Pediatric Dentistry Patients Treated under General Anesthesia.

Abstract

PURPOSE:

The aims of this study were to describe the demographic characteristics of pediatric dentistry patients undergoing dental rehabilitation under general anesthesia (DRGA) at UNC-Chapel Hill during the last 13 years and identify factors associated with multiple (1 versus 2 or more) DRGA visits during that timeframe.

STUDY DESIGN:

Administrative claims data were used to identify children and adolescents (age <18 years) who underwent DRGA between 1/1/2002 and 12/31/2014 at the UNC Hospitals system. Information on children's age, sex and all treatment-associated CDT codes were collected. Descriptive statistics and bivariate tests of association were used for data analyses.

RESULTS:

There were 4,413 DRGAs among 3,973 children (median age=4 years 8 months, males=55%) during the study period. The annual rate of DRGAs increased over time, peaking (n=447) in 2013. Overall, 9% of children had ≥2 visits with repeat rates up to 18%. There was no association between children's sex and receipt of one versus multiple DRGAs; however, craniofacial cases were more likely (p<0.0005) to have multiple DRGAs compared to non-craniofacial ones.

CONCLUSION:

DRGAs are on the increase-with the exception of craniofacial and special health care needs patients, multiple DRGAs may be reflective of sub-optimal adherence to preventive and continuing care recommendations.

KEYWORDS:

behavior guidance; children; general anesthesia; health services; pediatric dentistry

PMID:
29750625
DOI:
10.17796/1053-4628-42.4.12
[Indexed for MEDLINE]

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