2018 Volume 39 Issue 2 Pages 181-185
Aichi Children’s Health and Medical Center（ACHMC）, opened in 2001, has been dedicated to providing specific subspecialty care for children. The Department of Dentistry and Oral Surgery provides dental procedures and surgical treatment of diseased tissue and developmental malformations of the mouth and jaws.
General anesthesia is commonly used to facilitate dental treatment in uncooperative younger child patients with or without medical complications. The purpose of this study was to investigate the outline of children who received dental treatment under general anesthesia by our team in ACHMC from 2003 to 2017.
Dental treatment under general anesthesia was performed 199 times for 183 children（113 boys and 70 girls）. The median age was 6 years with over 88 percent having a medical complication. The most common comorbidity was autism spectrum disorder（n＝61）, followed by intellectual disability（n＝28）and congenital heart disease（n＝11）. The average number of treated teeth per child was 9.6, and the average operation time was 2 hours 11 minutes.
Children who undergo dental treatment under general anesthesia should be followed up by a general practitioner in their community, but 50％ remained in our department. The lack of a general practitioner for these children is considered a serious issue. The establishment of an effective medical cooperation system and provision of reliable medical support information for these children are necessary.
