University of Oulu

Tilja, M., Rajavaara, P., Laitala, ML. et al. Eur Arch Paediatr Dent (2019) 20: 27.

Dental attendance after treatment under dental general analgesia (DGA) : a data-based follow-up study

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Author: Tilja, M.1; Rajavaara, P.1,2; Laitala, M.-L.1;
Organizations: 1Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Pediatric Dentistry, University of Oulu, Oulu, Finland
2Dental Teaching Unit and Unit of Specialized Care, Municipal Health Centre, Oral Health Care, Oulu, Finland
3Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
4Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.1 MB)
Persistent link:
Language: English
Published: Springer Nature, 2018
Publish Date: 2019-02-28


Aims: To investigate dental attendance of patients in different age groups after dental general analgesia (DGA) and procedures performed on these patients during the DGA and in dental care after the DGA during the follow-up period of almost 3 years.

Methods: The study population consisted of 66 patients who were treated under DGA at a municipal health centre in Oulu, Finland between September 2010 and June 2011. The electronic patient files of the DGA patients were accessible for data collection for the follow-up period of nearly 3 years. The statistical analyses included Chi square tests and logistic regression modelling.

Results: Approximately every sixth (14.9%) dental visit was missed or cancelled and nearly half (43.9%) of the studied subjects had at least one missed or cancelled appointment. The factors increasing the risk of missed or cancelled appointments and dental avoidance were endodontic treatment (OR 3.62), need of more than five dental restorations (OR 3.47), tooth extractions due to caries (OR 2.22), and male gender (OR 1.80). A total of 45.5% of the patients received non-invasive procedures.

Conclusions: Patients who need DGA are evidently risk patients considering dental attendance. Nearly half of the patients in this study had non-attended or cancelled appointments. DGA patients’ need of treatment after DGA is extensive, even comparable to the amount of procedures generally performed under DGA. The quality or amount of preventive procedures do not appear to be at the required level to reduce the number of non-attended appointments.

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Series: European archives of paediatric dentistry
ISSN: 1818-6300
ISSN-E: 1996-9805
ISSN-L: 1818-6300
Volume: 20
Pages: 27 - 32
DOI: 10.1007/s40368-018-0381-5
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Funding: Open access funding provided by University of Oulu including Oulu University Hospital.
Copyright information: © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.