341 - Treatment Needs Following First General Anesthesia Appointment

Purpose:
The purpose of this study was to assess the prevalence of treatment needs after completion of initial general anesthesia (GA) appointment to provide a result-orientated reference from follow-up appointments to observe improvement of oral hygiene.

Methods:
A retrospective analysis of children who completed at least one-6 month/12 month recall following an initial GA appointment was assessed. Treatment plan results showed the prevalence of treatment needs. Charts of children between the ages of 1.5 to 8 years old that completed treatment between 2017 - 2020 under GA were reviewed.

Results:
Of 378 pediatric patients identified between 2017-2020, a total of 110 (29.10%) children (61 males, 49 females) mean age of 4.9 years at initial exam completed at least one-6 month/12 month recall following an initial GA appointment. A significant difference in the mean number of procedures required for infections/abscesses, secondary decay, and/or new caries at the initial GA appointment and subsequent recall appointment (13.4 v. 1.7, P < .001) was noted. The number of procedures required after the initial general anesthesia decreased by, on average, 77.2 (85%).

Conclusions:  
The results showed a statistically significant decrease in the prevalence of infection/abscesses, secondary decay, and/or new caries at recall following initial GA.  Compliance to follow-up decreased by 8.3% for every additional follow-up appointment after the initial GA appointment.