294 - Future Dental Needs Following Oral Rehabilitation Under General Anesthesia

Future Dental Needs Following Oral Rehabilitation Under General Anesthesia, Popejoy A, Brown C, (NYU Langone Hospital, New York, NY)

Purpose: The purpose of this study is to determine the aggressiveness of future treatment needs of primary molars left untreated after complete oral rehabilitation under general anesthesia.


Methods: A retrospective chart review was completed of patients age 1 year through 12 years of age who received treatment under general anesthesia at Jordan Valley Community Health Center between 7/01/2016 to 6/30/2018. Future treatment needs were classified as either conservative or aggressive. Conservative treatment modalities included direct restorations. Aggressive treatment of primary molars were considered to be full coverage restorations or extraction. Data was de-identified and stored in REDCap Software (Vanderbilt, Nashville, TN). Statistical analysis was completed by statisticians at NYU-Langone Hospitals.


Results: A total of 369 charts met all inclusion criteria. Groups were approximately equal between demographics. Out of 369 charts reviewed, 67 (18%) required conservative treatment while 173 (47%) required aggressive treatment. Further statistical analysis is pending.


Conclusions: Preliminary findings indicate that untreated primary molars that require treatment following complete oral rehabilitation under general anesthesia are more likely to require aggressive treatment compared to conservative treatment options. This finding corresponds to previous findings that patients with early childhood caries frequently experience future caries. It may indicate that aggressive treatment in the general anesthesia setting is most appropriate and potentially cost-saving. Future research should focus on the cost-benefit ratio of performing aggressive treatment on small carious lesions or non-cavitated lesions in high caries risk children.