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Developing a Classification System for Prioritizing Pediatric Dental Patients Needing Treatment under General
Journal (Canadian Dental Association)
|July 26, 2022
Summary
A new classification system for children needing full-mouth dental rehabilitation (FMDR) in the operating room (OR) shows that dental abscesses, caries depth, and pain are linked to adverse events.
Area of Science:
- Pediatric Dentistry
- Oral Surgery
- Public Health
Background:
- Full-mouth dental rehabilitation (FMDR) in the operating room (OR) is common for children.
- A standardized classification system for these cases is lacking.
- Understanding risk factors for adverse events is crucial.
Purpose of the Study:
- To explore a classification system for children requiring FMDR in the OR.
- To assess the association between this classification and adverse events.
Main Methods:
- 82 children (age 2-10) needing FMDR in the OR were classified based on caries extent, pain, and abscess presence.
- Parents completed questionnaires on adverse events during the waiting period.
- Statistical analyses included chi-squared tests and Pearson's r.
Main Results:
- The most common classification was outer third dentin caries without pain or abscess.
- Difficulty eating/drinking was the most frequent adverse event.
- Dental abscess, caries depth, and pain were significantly associated with adverse events.
Conclusions:
- Evidence supports the need for a classification system for pediatric FMDR in the OR.
- Dental abscess, caries depth, and pain are key predictors of adverse events.
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