Scholarlink

Purpose <p>Conscious sedation is recommended in paediatric dentistry to alleviate distress, provided it complements behavioural management, avoids restraint, and includes structured follow-up. Its use in the Norwegian Public Dental Service (PDS) has not been systematically described. This study aimed to characterise sedation practices in the PDS and examine factors associated with dental treatment failure in children receiving oral conscious sedation.</p> Methods <p>A retrospective audit was conducted in three PDS clinics (August 2022–July 2023), analysing 201 sedation sessions for patients aged 0–18&#xa0;years. Indications, challenges, outcomes, and follow-up were coded from records. Logistic regression was used to assess variables associated with dental treatment failure, defined as incomplete or omitted treatment.</p> Results <p>Children aged 6–10&#xa0;years accounted for 54.7% of sessions, while preschoolers accounted for 26.9%. Behavioural management problems (BMP) were common in younger children, while dental fear/anxiety predominated in older groups. Restraint occurred in 16% of cases, and follow-up was documented in 21%. Treatment failure occurred in 32.3% of sessions. In adjusted analyses, both BMP (odds ratio [OR] 1.97, 95% confidence interval [CI] 1.01–4.08) and physical restraint (OR 3.95, 95% CI 1.84–10.22) were significantly associated with treatment failure. No serious adverse events were recorded.</p> Conclusions <p>Oral conscious sedation is widely used and appears safe in the immediate clinical setting. However, one-third of sessions resulted in incomplete treatment, with failure more frequently observed in sessions where BMP were recorded as the indication for sedation, and in sessions where physical restraint occurred. These findings underscore the importance of careful indication, case selection, and follow-up beyond procedural completion to support child-centred outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Conscious sedation and dental treatment outcomes in Norwegian paediatric dentistry: a retrospective clinical audit from the Public Dental Service

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月8日

查看全文
  • Hege Nermo,
  • Emilie Sofie Apelqvist,
  • Emilie Johansen,
  • K Nordmo,
  • Elin Synnøve Hadler-Olsen

摘要

Purpose

Conscious sedation is recommended in paediatric dentistry to alleviate distress, provided it complements behavioural management, avoids restraint, and includes structured follow-up. Its use in the Norwegian Public Dental Service (PDS) has not been systematically described. This study aimed to characterise sedation practices in the PDS and examine factors associated with dental treatment failure in children receiving oral conscious sedation.

Methods

A retrospective audit was conducted in three PDS clinics (August 2022–July 2023), analysing 201 sedation sessions for patients aged 0–18 years. Indications, challenges, outcomes, and follow-up were coded from records. Logistic regression was used to assess variables associated with dental treatment failure, defined as incomplete or omitted treatment.

Results

Children aged 6–10 years accounted for 54.7% of sessions, while preschoolers accounted for 26.9%. Behavioural management problems (BMP) were common in younger children, while dental fear/anxiety predominated in older groups. Restraint occurred in 16% of cases, and follow-up was documented in 21%. Treatment failure occurred in 32.3% of sessions. In adjusted analyses, both BMP (odds ratio [OR] 1.97, 95% confidence interval [CI] 1.01–4.08) and physical restraint (OR 3.95, 95% CI 1.84–10.22) were significantly associated with treatment failure. No serious adverse events were recorded.

Conclusions

Oral conscious sedation is widely used and appears safe in the immediate clinical setting. However, one-third of sessions resulted in incomplete treatment, with failure more frequently observed in sessions where BMP were recorded as the indication for sedation, and in sessions where physical restraint occurred. These findings underscore the importance of careful indication, case selection, and follow-up beyond procedural completion to support child-centred outcomes.