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Dental general anesthesia (DGA) is a treatment modality, which improves their access to care but concerns about repeated DGAs persist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study investigated DGA utilization in children with SHCN and identified factors associated with multiple DGAs in Alberta, Canada (2010\u20132020).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This retrospective population\u2010based study used administrative data encompassing all children (&lt;18\u2009years) undergoing DGA in publicly funded facilities. Children were identified as SHCN based on their diagnosis codes and categorized into behavioral\/psychiatric disorders, mental\/intellectual disabilities, physical disabilities, systemic conditions, syndromes\/congenital anomalies, physical\u2013mental disabilities, and disabilities with medical conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study analyzed 3884 DGA visits for children with SHCN, predominantly males aged 6\u201311 and from low\u2010income families. Mental\/intellectual disabilities were prevalent (31.8%), and autism was the leading disease. Caries was the primary dental diagnosis across all groups, whereas pulp problems were higher in psychiatric\/behavioral disorders (23.6%), and periodontal problems were more common in physical\u2013mental disabilities (13.2%). 28.7% had multiple DGAs, with younger age, disabilities with medical conditions, mental\/intellectual disabilities, and initial pulp treatments, increasing the likelihood of multiple DGAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the importance of individualized prevention and less conservative treatments for younger children to reduce oral health disparities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13237","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T06:39:52Z","timestamp":1720679992000},"page":"347-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The use of general anesthesia for dental treatment of children with special healthcare needs in Alberta, Canada"],"prefix":"10.1111","volume":"35","author":[{"given":"Elnaz","family":"Yazdanbakhsh","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Dentistry, School of Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak","family":"Bohlouli","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Dentistry, School of Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Patterson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Dentistry, School of Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2249-5465","authenticated-orcid":false,"given":"Maryam","family":"Amin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Dentistry, School of Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"287","volume-title":"The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2021"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-02854-8"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16142528"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094318"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262761"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.57852"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4628-42.4.12"},{"issue":"3","key":"e_1_2_11_9_1","first-page":"215","article-title":"Oral health of patients with special health care needs after general anesthesia: a 25\u2010year retrospective study","volume":"40","author":"Oh TJ","year":"2018","journal-title":"Pediatr Dent"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-021-00667-6"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10020182"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01203-6"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12448"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092613"},{"key":"e_1_2_11_15_1","volume-title":"International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Canada (ICD\u201010\u2010CA)","author":"Canadian Institute of Health Information","year":"2015"},{"key":"e_1_2_11_16_1","unstructured":"National Ambulatory Care Reporting System metadata (NACRS) [metadata].Canadian Institute for Health Information.2022. 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