{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:57:31Z","timestamp":1773269851688,"version":"3.50.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dent. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The utilization of general anesthesia for pediatric dental treatments has increased. This study aimed to investigate the reasons for dental general anesthesia use in a pediatric dentistry department and to survey pediatric dentists' perspectives on dental general anesthesia indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study analyzed electronic medical records of patients undergoing dental general anesthesia. Additionally, a questionnaire was distributed to pediatric dentists at professional conferences, collecting responses to seven questions regarding dental general anesthesia indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort consisted of 245 dental records. The primary reasons for dental general anesthesia were extensive treatment needs (56%), young age (41%), parental preference (39%), lack of cooperation (27%), and medical comorbidities (23%). Parental preference correlated with the child's behavior during examination (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030). Younger children (&amp;lt;5 years) more frequently underwent dental general anesthesia due to extensive caries, while older children (&amp;gt;5 years) were more likely referred due to behavioral issues and medical comorbidities. Of the 110 dentists who completed the survey, those performing dental general anesthesia were more likely to require a sedation visit before referral (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and less likely to consider parental preference alone as an indication (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010) compared to those not performing dental general anesthesia. Dentists performing moderate sedation were less likely to consider multiple visits (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042), multiple extractions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028), multiple crowns (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047), or parental preference alone (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021) as indications for dental general anesthesia compared to those who did not perform moderate sedation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Partnership with parents and taking their preferences into account are essential in decision-making regarding dental general anesthesia.<\/jats:p>\n                  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