Predictors Associated with The Success Rate of Dental Procedures Performed on Children Treated Using Oral Conscious Sedation

Abstract

Purpose: The purpose of this study was to describe, and compare the survival rate of dental procedures performed on healthy children using oral conscious sedation and to determine if age, recalls post treatment, distance traveled, and type of dental insurance were associated with the success rate of dental procedures. Methods: Dental records of 457 healthy children ages 36-60 and 61-84 months who had dental procedures performed using oral conscious sedation (OCS) by postdoctoral students of the Department of Pediatric Dentistry & Community at Rutgers School of Dental Medicine between the years 2014-2021 were retrieved from the Axium electronic health records and analyzed using the Cox Regression Model. Number of recalls, type of insurance, and distance travelled were recorded and analyzed in relation to the survival rate of dental procedures. Results: Stainless steel crowns and composite restorations showed the highest success rate when compared to strip crowns and pulpotomies (p=<0.00). Age, number of recalls, type of insurance, and distance travelled were not statistically significant in relation to the success rate of dental procedures. A significant difference was found when the type of insurance and distance travelled were compared for the recall and no recall groups. Conclusions: The COX regression model showed that age, recall visits, type of dental insurance, and distance were not statistically significant in relation to the success or failure rate of dental procedures. Stainless steel crowns and composite restorations showed the highest success rate. The type of dental insurance and distance travelled were found to be statistically significant in relation to recall and no recall groups.