Potential risk factors for repeated need of dental treatments under general anesthesia in a pediatric practice in Germany

• Conditions: K02.9; K04.9; Dental caries, unspecified; Other and unspecified diseases of pulp and periapical tissues

• Registration Number: DRKS00028511
• Lead Sponsor: Poliklinik für Zahnerhaltung und Parodontologie, Universitätsklinikum Regensburg

Brief Summary

The need for dental rehabilitations under general anesthesia (DRGAs) is continuously increasing, particularly for dental treatment of children. The present retrospective cohort study aimed to investigate potential risk factors for repeated need of DRGA in a cohort of patients from a private pediatric dental practice. Demographic and anamnestic data, dental status, and treatments performed during DRGA were retrospectively analyzed from the electronic dental charts of 1155 children that received at least one DRGA between October 2016 and December 2021. The median age of all children was 5 years at time of their first DRGA. The rate of repeated DRGAs was 9%. Patients with repeated need of DRGA were significantly younger at time of their first DRGA and revealed significantly more often a history of preterm birth and current use of a baby bottle as compared to patients with only one DRGA. There were significantly fewer treatments (regardless of type) in the second DRGA than at the first. Within the limitations of this study, young age at first DRGA, a history of preterm birth, and current use of a baby bottle may be risk factors for repeated need of DRGA. The search for effective strategies to minimize the repeated need for DRGA in children remains critical.

Detailed Description

Not available

Study Timeline

• Study Completion: 2022-03-01
• Study Start: 2022-03-10
• Results First Posted: 2022-06-08
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 1165

Inclusion Criteria

Children under the age of 18 treated under general anesthesia (ITN) in the pediatric dental practice (Die Kinderzahnärzte Dr. Schenke & Kolleginnen, Regensburg, Germany) one or more times since the practice was established from 2017 until the end of 2021.

Exclusion Criteria

No exclusion criteria

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Dental parameters (DMFT/dmft, dietary habits), socioeconomic parameters (level of education, insurance status).<br><br>

Secondary Outcome Measures

Name	Time	Method
general anamnestic factors (weight, BMI)