Scientific Online Resource System

Scripta Scientifica Medicinae Dentalis

Study of the indications of dental treatment of children under general anesthesia

Radosveta Andreeva


General anesthesia is a method of pharmacological behavior management of children. The children treated under general anesthesia are mainly 3 groups: children with ECC;  anxious children and children with special health needs.The aim of this article is to  assess the main indications for the treatment under general anesthesia. Subject of monitoring of the retrospective  research are 396 children divided  into three age groups: up to 5 years, between 6 and 12 years and over 12 years.. The retrospective study includes determining the relative proportions of children treated under general anesthesia due to the indications, documented on medical records. Children with ECC (Early childhood caries) are 188 (95%) of children in the first group and (47.5%) of all the children treated under general anesthesia . Children with specific health needs (SHN) - 67 patients (17%) of all treated children under general anesthesia and 80.64% of the children treated in the third age group. The behavioral management problem is - 78.4% of all indications for the second group and (47%) for all age groups. The relative share of children treated with narcosis due to an increased reflex for vomiting - 1.51% and surgical procedures - 2.27% is insignificant for all age groups.

This results demonstrates the main indication for dental treatment under G.A. are: children with ECC- the main reason ;  anxious children - the second most common indication for general anesthesia  and children with special health needs-  the third most common cause of treatment under the G.A


general anesthesia, indications, pediatric dentistry

Full Text


American Academy of Pediatric Dentistry, Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. 2011; 35: (6) 13 – 14.

DiMaggio Ch., Sun L., Li G.: Early Childhood Exposure to Anesthesia and Risk of Developmental and Behavioral Disorders in a Sibling Birth Cohort. Anesth Analg. 2011;113(5): 1143–1151

Harrison MG, Roberts GJ. Comprehensive dental treatment of healthy and chronicall sick children under intubation general anesthesia during a 5-year period. Br Dent J 1998; 184: 503 – 506.

AAPD. Oral health policy on hospitalization and operating room access for dental care of infants, children, adolescents, and persons with special health care needs. Pediatr Dent. 2010; 30:68–9.

Anand P, Wilson R, Sheehy EC. Intraligamental analgesia for post‐operative pain control in children having dental extractions under general anaesthesia. European Journal of Paediatric Dentistry 2005; 6: 10‐15.

American Society of Anesthesiologists. ASA physical status classification system. Available at: “ Accessed June 24, 2012.

Knapp R., Gilchrist F,. Rodd HD, Marshman Z.: Change in children’s oral health-related quality of life following dental treatment under general anaesthesia for the management of dental caries: a systematic review Int J Paed Dent 2017;27(4):302-312

Lin YT, Lin YTJ: Survey of comprehensive restorative treatment for children under general anesthesia. J Dent Scie 2015;10:296-299

Bal N, Saricaoglu F, Uzun S, et al. Perioperative anxiety and postoperative behavioural disturbances in children: comparison between induction techniques. European Journal of Anaesthesiology 2006; 23: 470‐475.

Blount RL, Loiselle KA. Behavioural assessment of pediatric pain. Pain Res Manag 2009;14(1):47–52.

Cote CJ, Wilson S. American Academy of Pediatric Dentistry, American Academy of Pediatrics. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatr Dent 2016;38(4):E19-E39

AAPD. Policy on the use of deep sedation and general anesthesiain the pediatric dental office. Pediatr Dent. 2010; 30:64–5.

AAPD. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2011;33 (special issue):161–73.

Holt RD, Rule DC, Davenport ES, et al. The use of general anesthesia for tooth extraction in children in London. Br Dent J 1992; 171: 56- 58

Ibricevic H, Al-Jame Q, Honkala S. Pediatric dental procedures under general anesthesia at the Amiri Hospital in Kuwait. J Clin Pediatr Dent. 2001;25:337–42. [PubMed]

Kime SL, Wilson KE, Girdler NM.:Evaluation of objective and subjective methods for assessing dental anxiety: a pilot study Journal of Disability and Oral Health (2010) 11/2 69-76

Atan S, Ashley P, Gilthorpe MS, et al. Morbidity following dental treatment of children under intubation general anaesthesia in a day‐stay unit. International Journal of Paediatric Dentistry 2004; 14: 9‐16.

Baakdah R, Frasi N, Boker A, Al Mushayt A. The use of general anesthesia in pediatric dental careof children at multi-dental centers in Saudi Arabia. J Clin Pediatr Dent. 2008; 33:147–53.

Chicka MC., Dembo JB.; Mathu-Muju, Kavita R. et al.: Adverse Events during Pediatric Dental Anesthesia and Sedation: A Review of Closed Malpractice Insurance Claims Pediatric Dentistry 2012:34(3):231-38

Tjia I, Rampersad S, Varughese A, et al. Wake Up Safe androot cause analysis: quality improvement in pediatric anesthesia.Anesth Analg 2014;119(1):122-36.



About The Author

Radosveta Andreeva
Medical University of Varna

Font Size