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Sedation

359 - Chart Review: Patient Return Rates and Effectiveness of Repeat Sedations

Saturday, May 24, 2025
1:45 PM - 2:00 PM MDT
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    Presenting Author(s)

  • John-Paul Arias, DMD

    Pediatric Dental Resident
    Univeristy of Texas Health Science Center San Antonio
    University of Texas Health Science Center at San Antonio
    Laredo, Texas, United States

    • Research Mentor(s)

  • MG

    Maria M. Garcia, DDS

    Laredo Program Director
    University of Texas Health Science Center San Antonio
    Laredo, Texas, United States

    • Program Director(s)

  • SD

    Stanislaus Dyda, DDS

    Interim Program Director Pediatric Dentistry
    UT Health San Antonio School of Dentistry, San Antonio, TX
    San Antonio, Texas, United States

Abstract:

Purpose:  This retrospective chart review aimed to evaluate the rate of return for subsequent oral conscious sedation (OCS) and its effectiveness in pediatric patients between the ages of 4-8 years treated in the university clinic between January 2021 and January 2024. 



Methods:  A total of 300 patient charts were evaluated. Only 207 (69%) patients met the inclusion criteria of 4-8 years of age and received at least one OCS while 93 (31%) patients were excluded for not meeting the age range criteria. Patient data were extracted from clinical notes and quality assurance forms for sedation effectiveness within Axium software. 



Results:  Only 109 (53%) patients had one OCS, while 98 (47%) returned for two or more OCS visits. Seventy-seven (70%) with only one OCS completed their planned treatment and the other 32 (30%) did not return to complete treatment. Ninety-eight (47%) patients returned for two or more OCS visits. Overall, the rate of return for subsequent sedation was 47%. As for sedation effectiveness, 62 (63%) had both an effective first and second sedation, 15 (15%) had an effective first sedation but an ineffective second, 8 (8%) had an ineffective first sedation but an effective second, and 13 (13%) had ineffective sedations for both visits.  



Conclusions:  The return rate for subsequent sedation was 47%. Although most repeat sedations were effective, some patients required different treatment modalities to finish their treatment. These findings highlight the importance of monitoring sedation efficacy and ensuring follow-up care for pediatric patients undergoing OCS in dental procedures.

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