216 - Post Operative Treatment Needs in Children who Received Care Under Oral Conscious Sedation versus General Anesthesia

Purpose: To determine if subsequent treatment needs in patients aged 2-4 are higher in those who received treatment under oral conscious sedation (OCS) versus general anesthesia (GA) at their 6, 12, 18, and 24 month recall visits.

Methods: A retrospective chart review was completed on 100 charts for patients seen between January of 2015 and December of 2018. All treatments were rendered by PGY-1 and PGY-2 residents at the NYU Langone site in Princess Anne, MD under the same Program Director (Dr. Mariella DeStefano). Patient’s age, gender, and number of teeth that required retreatment at each recall visit following treatment under OCS or GA were recorded. Pearson’s chi squared tests were used to analyze data at each recall interval as well as the accumulated results over 2 years.

Results: 204 charts were reviewed, 104 were excluded from lack of follow up at the recall appointments. The average age of children that underwent treatment under OCS and GA was 3.44 and 3.2 respectively. At each recall visit from 6 months to 24 months, there was a higher percentage of teeth that needed to be retreated in children who had received treatment under OCS versus GA, however the aggregated p-value was not statistically significant (.749132), thus the null hypothesis was accepted.

Conclusion: Our limited sample size resulted in no significant difference in retreatment needs between children who received care under OCS versus GA, but more research is needed to confirm this.