196 - Perceived Time Requirements and Case Complexity for Full-Mouth Dental Rehabilitation.

Perceived Time Requirements and Case Complexity for Full-Mouth Dental Rehabilitation.

Heath A, McWhorter AG, Kerins CA (Texas A&M University College of Dentistry and Children’s Health, Dallas, Texas)

Purpose: To determine how accurate providers were in predicting their perceived time requirements and case complexity while treating pediatric patients in the operating room setting.

Methods: A retrospective review will be conducted on all patients who were treated for full mouth dental rehabilitation at Children’s Health between 1/1/19 – 12/31/19 to determine the perceived case complexity and time requirements to provide proper case in an efficient manner at different provider experience levels. Data was stratified based on case complexity, location, and length of time clinician has had OR privileges.

Results: Initial data resulted in 6248 cases that were treated for Full Mouth Dental Rehabilitation in the Main OR and
Pavilion Surgical Center (PSC) at Children’s Medical Center in Dallas, Texas. 
Inclusion and exclusion criteria resulted in 884 qualifying cases in the Main OR for the selected timeline.
Random selection of 60% of the cases yielded a total of 518 cases to be evaluated. 22 dentists met the inclusion criteria and a random sampling of 60% of their total cases were reviewed for 518 total cases. There were 9 cases completed by practitioners <5 years of experience, 141 cases completed by practitioners 6-10 years of experience, 368 cases completed by practitioners >11 years of experience.

Conclusion: 1. The more medically complex the dental patient, the larger variance in predicted surgery times. 2. Inclusion of the data from the PSC may provide better analysis of the effect of dental practitioner's experience with prediction of OR surgical time as most all patients are ASA I or II.