Brief Report: Analysis of Dental Treatment Provided Under General Anaesthesia for Children and Young Adults with Autistic Spectrum Disorder and Identification of Challenges for Dental Services

J Autism Dev Disord. 2021 Dec;51(12):4698-4703. doi: 10.1007/s10803-021-04898-w. Epub 2021 Feb 8.

Abstract

Dental treatment provided under general anaesthesia (DGA) is an expectation for many children and young adults (CYA) diagnosed with Autistic Spectrum Disorder (ASD). Planning and delivery of DGA requires consideration of morbidity and mortality risks and implications for families and healthcare services. One hundred patient records of CYA with special healthcare needs were analysed to examine characteristics and experience of DGA revealing that 79% of CYA had a diagnosis of ASD. Forty-seven percent of CYA diagnosed with ASD had at least one previous hospital admission for DGA. For 24% of this repeat DGA group, the previous DGA was within a two-year period. Results highlight a high rate of DGA and need to investigate more effective primary dental care strategies.

Keywords: Autistic spectrum disorder; Dental general anaesthesia; Dental services; Dentistry; General anaesthesia.

MeSH terms

  • Anesthesia, General
  • Autism Spectrum Disorder* / diagnosis
  • Child
  • Child Development Disorders, Pervasive*
  • Dental Care
  • Humans
  • Tooth Extraction
  • Young Adult