296 - Subsequent Dental Treatment Under General Anesthesia Following Initial Oral Rehabilitation

Purpose: The purpose of this study is to determine future incidence of treatment required under general anesthesia for patients who have untreated primary molars following their initial complete oral rehabilitation treatment experience.

Methods: A retrospective chart review was completed of patients who received treatment under general anesthesia at Jordan Valley Community Health Center. Inclusion criteria comprised of patients two to 12 years of age who received complete oral rehabilitation from July 1, 2016 to June 30, 2018 with untreated primary molars following this initial treatment experience.  Recall data was collected to determine the type of behavior management required for patients who required subsequent treatment on primary molars which were untreated during the initial general anesthesia experience.  Data was de-identified and collected in ReDCap software (Vanderbilt, Nashville, TN). 

Results: A total of 351 patient charts exhibited primary molars left untreated during general anesthesia during the included dates. Distribution of demographics is approximately equal. Of the patients who required future treatment, 55 (16%) required future treatment under general anesthesia, while 296 (84%) received treatment in-office.  Further results are pending statistical analysis by statisticians at NYU-Langone Hospitals.

Conclusions: The majority of patients initially treated under general anesthesia were able to complete future treatment in a traditional, in-office setting.  This may indicate that complete oral rehabilitation under general anesthesia helps patients through initial treatment needed at a young age, protecting the developing psyche and contributing to successful treatment when the patient is older and has more mature coping mechanisms for stressful situations.