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Same-Day Cancelations in Pediatric Patients Scheduled for Dental Restorations Under Deep Sedation: A One-Year
Yasemin Akçaalan1, Merve Hayriye Kocaoğlu2
1Department of Oral and Maxillofacial Surgery, Ankara University Faculty of Dentistry, Ankara, Turkey.
Insights
Same-day cancellations for pediatric dental sedation, often due to upper respiratory infection (URI) symptoms or inadequate fasting, impact care. Factors like patient age and sedation time influence these disruptions.
Area of Science:
- Pediatric Dentistry
- Anesthesiology
- Healthcare Management
Background:
- Same-day cancellations in pediatric dental sedation are frequent.
- These cancellations disrupt patient care and waste resources.
- Data on cancellation frequency and causes are limited.
Purpose of the Study:
- To determine the frequency of same-day cancellations for pediatric dental sedation.
- To investigate modifiable factors associated with cancellations, such as age and sedation time.
- To examine the relationship between cancellations and inadequate fasting or recent upper respiratory infection (URI) symptoms.
Main Methods:
- A retrospective study analyzed 763 children aged 2-14 years undergoing dental sedation.
- Data were collected between August 2024 and August 2025.
- Cancellation reasons were classified as inadequate fasting, recent URI symptoms, or other, with statistical analysis performed.
Main Results:
- The same-day cancellation rate was 11.3% (86 of 763 patients).
- Recent URI symptoms (51.2%) and inadequate fasting (26.7%) were primary reasons.
- Cancellations varied by age group and sedation session time, particularly for fasting-related issues.
Conclusions:
- Recent URI symptoms and inadequate fasting are key drivers of pediatric dental sedation cancellations.
- Age and sedation session timing are associated with these cancellations.
- Addressing these factors may reduce disruptions in pediatric dental care.
Background:
Same-day cancellations in pediatric dental sedation disrupt care delivery and lead to inefficient use of healthcare resources; however, their frequency and associated factors are underreported.
Aim:
To quantify same-day cancellation frequency and examine associations with potentially modifiable factors, including age and sedation session time, in relation to inadequate fasting and recent upper respiratory infection (URI) symptoms.
Design:
This single-center retrospective study reviewed children aged 2-14 years scheduled for dental treatment under sedation between August 2024 and August 2025. Same-day cancellations were included, while cases planned under general anesthesia and those with incomplete records were excluded. Cancellation reasons were categorized as inadequate fasting, recent URI symptoms, or other causes. Group comparisons were performed using Chi-square or Fisher's exact tests.
Results:
Of 763 scheduled patients, 86 were cancelled on the day of the procedure (11.3%). Recent URI symptoms accounted for 51.2% of cancellations, inadequate fasting for 26.7%, and other reasons for 22.1%. No differences were observed by sex, month, or season. Fasting-related cancellations were more frequent in the 13:30 session (p = 0.007). Cancellation reasons differed by age group (p = 0.017).
Conclusion:
Recent URI symptoms and inadequate fasting were the most commonly observed reasons for same-day cancellation, with notable associations with age and session timing.
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