Evaluation of Dental Treatments Performed Under General Anesthesia in Pediatric Patients: A Retrospective Study

Year 2026, Volume: 53 Issue: 1, 23 - 28, 25.03.2026

Necibe Damla Şahin , Büşra Güngör Işık , Canan Bayraktar Nahir , Alem Coşgun , Ahmet Tuğrul Şahin

https://doi.org/10.52037/eads.2026.0005

https://izlik.org/JA99FK99JL

Abstract

Purpose: This retrospective study aimed to evaluate the demographic characteristics, treatment modalities, ASA classification, and anesthesia durations of healthy and special needs children undergoing dental treatment under general anesthesia at Tokat Gaziosmanpaşa University Faculty of Dentistry. Materials and Methods: A total of 132 pediatric patients treated under general anesthesia between June 2022 and June 2024 were included. Patients were divided into healthy and special needs groups. Demographic data, presence of disabilities, treatment types, dental materials used, and anesthesia durations were recorded. Results: Among the participants, 58.3% were male and 41.7% were female. The mean age of healthy children was 5.32±1.67 years, while that of special needs children was 7.73±2.68 years, with a statistically significant difference (p<0.001). ASA I classification was observed in 49.2% of patients. The mean anesthesia duration was 130.38 minutes for healthy children and 115.22 minutes for special needs children, with no significant difference (p=0.051). A total of 1882 dental procedures were performed, with restorative treatment being the most frequent (48.62%). Extraction rates were 31.99% in special needs children and 28.13% in healthy children. Fissure sealants and prefabricated crowns were more commonly applied in healthy children. Conclusions: Special needs children were treated under general anesthesia at an older age and required more extractions compared to healthy children. While restorative treatment was the most common procedure in both groups, preventive applications were relatively low. These findings highlight the importance of considering age, disability status, and treatment needs in planning dental procedures under general anesthesia.

Keywords

General anesthesia , pediatric dentistry , dental treatment , retrospective study

References

• Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nat Rev Dis Primers. 2017;3(1):17030. doi:10.1038/nrdp.2017.30.
• Johansson I, Lif Holgerson P, Kressin N, Nunn M, Tanner A. Snacking habits and caries in young children. Caries Res. 2010;44(5):421–430. doi:10.1159/000318569.
• López-Velasco A, Puche-Torres M, Carrera-Hueso FJ, Silvestre FJ. General anesthesia for oral and dental care in paediatric patients with special needs: A systematic review. J Clin Exp Dent. 2021;13(3):e303. doi:10.4317/jced.578520.
• Dentistry AAoP. Behavior guidance for the pediatric dental patient. AAPD Reference Manual. 2020;1:296–298.
• Lee HH, Milgrom P, Starks H, Burke W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth. 2013;23(8):741–746. doi:10.1111/pan.12210.
• Özkan AS, Erdoğan MA, Şanlı M, Kaçmaz O, Durmuş M, Çolak C. Genel Anestezi Altında Dental Tedavi Uygulamasının Retrospektif Değerlendirilmesi. Turk J Anaesth Reanim. 2015;43(5). doi:10.5152/TJAR.2015.82542.
• Savanheimo N, Sundberg SA, Virtanen JI, Vehkalahti MM. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service. BMC oral health. 2012;12(1):45. doi:10.1186/1472-6831-12-45.
• Aras A, Dogan MS. A retrospective evaluation of requirements and causes of dental general anesthesia in pediatric dentistry. J Int Dent Med Res. 2020;13(1):290–294.
• Bardakçı E, Yıldız S, Yazmacı B, Doğan ME, Mumcu K, Doğan MS. Evaluation of pediatric patients' general health status prior to dental treatment under general anesthesia: A retrospective study. Children. 2025;12(7):903. doi:10.3390/children12070903.
• Demir M, Tulumbacı F. Çocuk Hastaların Genel Anestezi ve Sedasyon Altında Yapılan Dental Tedavilerinin Retrospektif Olarak Değerlendirilmesi. HRU IJDOR. 2022;2(1):11–19.
• Özer H, Güneş M. Retrospective Evaluation of Cases Undergoing Dental Treatments Under General Anesthesia. EUDFD. 2023;44(3). doi:10.5505/eudfd.2023.92005.
• Uzel I, Aydınel B, Ak AT. Evaluation of the risk factors of dental anxiety in children. J Pediatr Res. 2022;9:99–104. doi:10.4274/jpr.galenos.2022.79990.
• Gezgin O. Çocuklarda Genel Anestezi ve Sedasyon Altında Uygulanan Dental Tedavilerin Retrospektif Değerlendirilmesi. Selcuk Dental Journal. 2022;9(2):359–363. doi:10.15311/selcukdentj.1100552.
• Ghafournia M, Eshghi A, Mosleh H, Iranmanesh P. Complications after dental rehabilitation under general anesthesia in Isfahan during February to May 2016. Dent Res J (Isfahan). 2021;18(1):53.
• Nasr RA, Moussa SA. Evaluation of Comprehensive Dental Treatment under General Anesthesia in Healthy and Disabled Children.(Retrospective Study). Egypt Dent J. 2020;66(3):1435–1444. doi:10.21608/edj.2020.26830.1095.
• Pecci-Lloret MP, Guerrero-Gironés J, López-González B, Rodríguez-Lozano FJ, Oñate-Cabrerizo D, Oñate-Sánchez RE, et al. Dental treatments under general anesthesia on children with special health care needs enrolled in the Spanish dental care program. J Clin Med. 2021;10(2):182. doi:10.3390/jcm10020182.
• Wang N, Zhao YM. Retrospective study of dental treatment under general anesthesia of 62 disabled children and adolescents. Beijing Da Xue Xue Bao Yi Xue Ban. 2018;50(2):293–299.
• Lee PY, Chou MY, Chen YL, Chen LP, Wang CJ, Huang WH. Comprehensive dental treatment under general anesthesia in healthy and disabled children. Chang Gung Med J. 2009;32(6):636–642.
• Chia-Ling Tsai B, Yi-Ling Tsai B, Yng-Tzer Lin B, Yai-Tin Lin B. A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and/or a disability. Chang Gung Med J. 2006;29(4):412–418.
• Kaviani N, Ghafournia M, Mirzaali S, Marzoughi S, Salari-Moghaddam R. Comparison of dental treatments performed under general anesthesia for healthy and disabled children. Dent Res J (Isfahan). 2021;18(1):109.
• Loyola-Rodriguez JP, Zavala-Alonso V, Gonzalez-Alvarez C, Juarez-Lopez L, Patiño-Marin N, Gonzalez C. Dental treatment under general anesthesia in healthy and medically compromised/developmentally disabled children: a comparative study. J Clin Pediatr Dent. 2009;34(2):177–182. doi:10.17796/jcpd.34.2.u665328k4g467pg2.
• Bücher K, Rothmaier K, Hickel R, Heinrich-Weltzien R, Kühnisch J. The need for repeated dental care under general anaesthesia in children. Eur J Paediatr Dent. 2016;17(2):129–135.
• Rousseau T, Beaupère A, Clouet R, Boeffard C, Gaudin A, Prud'Homme T. The impact of medical status on the choice of dental procedures under general anesthesia—a retrospective study. J Clin Pediatr Dent. 2025;49(1):105–111. doi:10.22514/jocpd.2025.010.
• Guidry J, Bagher S, Felemban O, Rich A, Loo C. Reasons of repeat dental treatment under general anaesthesia: A retrospective study. Eur J Paediatr Dent. 2017;18(4):313–318. doi:10.23804/ejpd.2017.18.04.09.
• Bulut M, Gönenç N. 1-12 yaş grubu çocukların genel anestezi altında yapılan dental tedavilerinin incelenmesi: bir retrospektif çalışma. Turkiye Klinikleri J Dental Sci. 2022;28(1):79–85. doi:10.5336/dentalsci.2021-82385.
• Agrawal SK, Bhagat T, Shrestha A. Dental caries in permanent first molar and its association with carious primary second molar among 6–11-year-old school children in Sunsari, Nepal. Uluslararası Diş Dergisi. 2023;2023(1):9192167. doi:10.1155/2023/9192167.
• Buzaribah KS, Huew R, Mansur EK, Elsheibani SB. Prevalence and pattern of dental caries in primary molars among Libyan school children in Benghazi. Int J App Dental Sci. 2022;8:593–597. doi:10.22271/oral.2022.v8.i2i.1561.