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Patient Management

Patient Follow-Up Rate After Comprehensive Dental Treatment Under General Anesthesia: A Systematic Review.

153 - Patient Follow-Up Rate After Comprehensive Dental Treatment Under General Anesthesia: A Meta-Analysis.

Friday, May 23, 2025
3:00 PM - 3:20 PM MDT
Has Audio

    Presenting Author(s)

  • Dzheikhuna Mamedova, DDS

    Pediatric Dental Resident
    Eastman Institute of Oral Health
    Eastman Institute of Oral Health
    Rochester, New York, United States

    • Co-Author(s)

  • HW

    Hongyue Wang, Ph.D.

    University of Rochester

    • Research Mentor(s)

  • EE

    Erinn Enany, DMD

    Assistant Professor of Clinical Dentistry
    Eastman Institute of Oral Health
    Rochester, New York, United States

    • Program Director(s)

  • Isamar Rivera-Ramos, DMD, PhD

    Residency Program Director, Department of Pediatric dentistry
    EIOH
    Eastman Institute for Oral Health-University of Rochester Medical Center
    Rochester, New York, United States

Abstract:

Purpose: This systematic review aims to evaluate follow-up rates for pediatric patients who received comprehensive dental treatment under general anesthesia (GA). The study seeks to identify factors and barriers influencing post-operative compliance, with the goal of improving patient outcomes and adherence to follow-up recommendations. Given that GA is commonly used for pediatric patients who cannot cooperate due to psychological, emotional, or special healthcare needs, understanding the factors impacting follow-up compliance is crucial for enhancing long-term dental health.


Methods: A comprehensive search of peer-reviewed literature was conducted across five databases: PubMed, Web of Science, Scopus, Embase, and the Cochrane Library. Studies were selected based on predefined inclusion and exclusion criteria, focusing on pediatric patients aged 0 to 18 years who underwent dental treatment under GA. Data extraction included patient demographics, follow-up rates, influencing factors, and reported barriers to compliance. The review adhered to PRISMA guidelines to ensure methodological rigor. Statistical analysis included descriptive statistics, meta-analysis, logistic regression, and thematic analysis of qualitative data regarding barriers and facilitators to follow-up care.


Results: A total of 45 studies, encompassing 11,106 pediatric patients, were included in the analysis. The weighted average follow-up rate was 58.7%, with individual study rates ranging from 10.1% to 100%. Logistic regression identified four significant predictors of follow-up compliance: follow-up time (OR = 1.003), age (OR = 0.881), male gender (OR = 0.801), and special healthcare needs status (OR = 0.468), all with p-values < 0.0001. Commonly reported barriers included transportation difficulties, low health literacy, language barriers, and lack of caregiver support.


Conclusion: Follow-up compliance after dental treatment under GA remains suboptimal. Older children, male patients, and those with special healthcare needs are at greater risk of noncompliance. Interventions such as standardized recall protocols, caregiver education, visual and translated instructions, and improved appointment accessibility may enhance adherence and promote long-term oral health outcomes in this vulnerable population.

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