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290 - Dental Home Establishment Following Comprehensive Dental Treatment Under General Anesthesia

Saturday, May 23, 2026
11:45 AM - 12:00 PM PST
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Abstract:


Purpose: The aim of this study is to evaluate follow-up patterns and factors associated with dental home establishment among pediatric patients treated comprehensively for early childhood caries (ECC) under general anesthesia (GA) in an operating room (OR) setting.



Methods: A retrospective review of electronic medical records was conducted for pediatric patients aged 4–18 years (ASA I–II) who underwent comprehensive dental treatment under GA at Jamaica Hospital Medical Center between 2015 and 2023. Demographic data, clinical characteristics, distance from hospital, and Social Deprivation Index (SDI) scores were collected. Follow-up dental visits within two years postoperatively were assessed. Statistical analyses included chi-square and Wilcoxon Rank Sum testing, multivariate logistic regression, and negative binomial regression.



Results: Among 217 patients , 52% followed up within two years of their OR visit. In unadjusted analyses, Younger patients were more likely to follow-up [median(Q1-Q3)=5.00(4.0-6.0) vs 5.00(4.0-6.0), p=0.02] and shorter distance from the hospital was associated with higher likelihood of follow-up [median(Q1-Q3)=2.09(1.05-3.94-) vs 2.77(1.31-3.99), p=0.04] . In adjusted models, increasing age was significantly associated with decreased odds of follow-up (OR=0.34, p=0.04). Greater distance from the hospital was associated with fewer total follow-up visits (RR=0.80, p=0.04). SDI differences and other demographic factors were not significantly associated with follow-up.



Conclusions: Older age and geographic distance represent significant barriers to post-operative follow-up and dental home establishment after OR-based dental treatment. Targeted interventions to improve long-term oral health outcomes by improving attendance of follow-up visits could be future areas of study.

Research supported by Jamaica Hospital Medical Center.