{Reference Type}: Journal Article {Title}: Estimated compared with actual plans of paediatric dental treatment performed under deep sedation: A retrospective cohort study. {Author}: Moskovitz M;Cohen-Solal E;Efrat K;Shmueli A;Halperson E;Ram D;Fux-Noy A; {Journal}: Int J Paediatr Dent {Volume}: 0 {Issue}: 0 {Year}: 2024 Jul 1 {Factor}: 3.264 {DOI}: 10.1111/ipd.13234 {Abstract}: BACKGROUND: Planning the extent of paediatric dental treatment under deep sedation is highly important, as the duration of the sedation should be limited to approximately 1 h, and the amount of local anesthesia is limited by the children's body weight.
OBJECTIVE: To compare treatment plans estimated at initial examinations with actual dental treatments under intravenous deep sedation. We examined factors that could affect the differences.
METHODS: For this retrospective cohort study, data were collected from the medical records of all the children younger than 18 years who underwent dental treatment under intravenous deep sedation during 2019-2021 at the Department of Pediatric Dentistry.
RESULTS: In total, 108 children were included. During the actual versus the estimated treatment under deep sedation, more teeth were treated (p < .001), and the treatment was more complex (p < .001). A longer waiting period for dental treatment was found to be correlated with a greater number of treated teeth than was estimated (p = .003) and with greater complexity of the actual than the estimated treatment (p = .003).
CONCLUSIONS: Actual compared with estimated dental treatment under deep sedation involved more teeth and was of greater complexity. This suggests that referrals should include children with limited estimated treatment plans.