{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:52:44Z","timestamp":1792511564772,"version":"4.5.0"},"reference-count":47,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: General anesthesia is an approach used to address behavior issues in pediatric dentistry. This indication often relies on the practitioner\u2019s discretion rather than objective criteria. We developed SCAN-score to assist pediatric dentists in the case of doubt to indicate general anesthesia for uncooperative children. The study aims were to assess the validity of the SCAN-score, which aims to indicate general anesthesia or chairside management for dental care. Methods: A retrospective study was performed on children aged between 2 and 10 years who received dental care. The SCAN-score combined three item scales (age, need of care, behavior) and three additional factors: communication barriers, permanent teeth caries, and local anesthesia contraindications. Mean scores were estimated. An ROC curve was constructed with sensitivities and specificities obtained. Results: The study included 284 children, with 154 treated through chairside methods and 130 treated under general anesthesia. The mean score was 5.6 \u00b1 2.8 in the chairside management group and 12.9 \u00b1 1.9 in the general anesthesia group. The sensitivity of the score (cutoff at 10) was 0.99, and the specificity was 0.94. The estimate of the ROC is 0.994. Conclusions: The SCAN-score appears to be an excellent tool to support the practitioner\u2019s decision to refer to general anesthesia care.<\/jats:p>","DOI":"10.3390\/jcm13061640","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T13:08:43Z","timestamp":1710335323000},"page":"1640","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and Validation of the SCAN-Score to Indicate General Anesthesia for Dental Care in Children"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1526-4749","authenticated-orcid":false,"given":"Pierre-Jean","family":"Berat","sequence":"first","affiliation":[{"name":"Universite Paris Cite, Pediatric Dentistry, DMU ESPRIT, Service de Medecine Bucco-Dentaire, AP-HP, Hopital Louis Mourier, 92700 Colombes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Jacq","sequence":"additional","affiliation":[{"name":"Odontology Department, UFR Health, University of Rouen Nomandy, 76000 Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chlo\u00e9","family":"Villain","sequence":"additional","affiliation":[{"name":"DMU ESPRIT, Service de Medecine Bucco-Dentaire, AP-HP, Hopital Louis Mourier, 92700 Colombes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6352-2525","authenticated-orcid":false,"given":"Sibylle","family":"Vital","sequence":"additional","affiliation":[{"name":"Universite Paris Cite, Pediatric Dentistry, DMU ESPRIT, Service de Medecine Bucco-Dentaire, AP-HP, Hopital Louis Mourier, 92700 Colombes, France"},{"name":"Universite Paris Cite, Laboratory Orofacial Pathologies, Imaging and Biotherapies URP 2496, FHU-DDS-Net, 92120 Montrouge, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Germa","sequence":"additional","affiliation":[{"name":"Universite Paris Cite, Epidemiology and Statistics Research Center\/CRESS, INSERM, INRA, 75004 Paris, France"},{"name":"Department of Odontology, APHP, Charles Foix Hospital, 94200 Ivry-sur-Seine, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0140-6736(07)60031-2","article-title":"Dental Caries","volume":"369","author":"Selwitz","year":"2007","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1177\/0022034515573272","article-title":"Global Burden of Untreated Caries: A Systematic Review and Metaregression","volume":"94","author":"Kassebaum","year":"2015","journal-title":"J. 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