Awareness and attitude of parents toward pediatric dental treatment under ‎general anesthesia

Document Type: Original Article(s)


1 Assistant Professor, Department of Pedodontics, School of Dentistry, Babol University of Medical Sciences, Babol, Iran

2 Student of Dentistry, School of Dentistry, Babol University of Medical Sciences, Babol, Iran

3 Health Research Institute, Babol University of Medical Sciences, Babol, Iran


BACKGROUND AND AIM: Dental treatment under general anesthesia is critical for non-cooperative, low aged, and special needs’ children. This study aimed to investigate the knowledge and attitude of parents about pediatric dental treatment under general anesthesia.METHODS: This was a cross-sectional study among 100 parents of children who were referred to Babol School of Dentistry (Roohani Hospital) and Babol clinic Hospital, Iran, in 2012-2013 for dental treatment under general anesthesia. The questionnaire contained questions assessing the reasons for choosing dental treatment under general anesthesia, and the advantages and disadvantages of this method of treatment and parental satisfaction. The form was completed by the parents. Data were reported using descriptive statistics and analyzed by the Spearman correlation coefficient.RESULTS: In this study, a questionnaire survey showed that the majority of parents were concerned about the health of their children and despite having some degree of awareness about side effects of general anesthesia and its high cost, they expressed a positive view toward that. A reduction of fear and anxiety and the possibility of performing several treatments in one session are among the benefits of this method. Non-cooperative children of low age with a high number of dental caries are the main recipients of this treatment method. This method was introduced to the majority of parents by the dentist treating their children.CONCLUSION: This study showed parents accepted the costs and risks of this approach to maintain the oral health of their children after it was recommended by the pediatrician. Therefore, with sufficient awareness of society toward this treatment option, we can improve children’s oral health and performance.


  1. Rule DC, Winter GB, Goldman V, Brookes RC. Restorative treatment for children under general anaesthesia. The treatment of apprehensive and handicapped children as clinic out-patients. Br Dent J 1967; 123(10): 480-4.
  2. Chung SS, Casas MJ, Kenny DJ, Barrett EJ. Clinical relevance of access targets for elective dental treatment under general anesthesia in pediatrics. J Can Dent Assoc 2010; 76: a116.
  3. Jamjoom MM, al-Malik MI, Holt RD, el-Nassry A. Dental treatment under general anaesthesia at a hospital in Jeddah, Saudi Arabia. Int J Paediatr Dent 2001; 11(2): 110-6.
  4. Persliden B, Magnusson BO. Medical complications of dental treatment under general anaesthesia in children. Swed Dent J 1980; 4(4): 155-9.
  5. Enger DJ, Mourino AP. A survey of 200 pediatric dental general anesthesia cases. ASDC J Dent Child 1985; 52(1): 36-41.
  6. El-Bialy WB, Al-Rashid BA, El-Tanani H. Extraction of teeth under general anaesthesia for outpatient children and mentally retarded patients in Kuwait. Egyp Dent J 1992; 4: 257-62.
  7. Harrison MG, Roberts GJ. Comprehensive dental treatment of healthy and chronically sick children under intubation general anaesthesia during a 5-year period. Br Dent J 1998; 184(10): 503-6.
  8. Holt RD, Rule DC, Davenport ES, Fung DE. The use of general anaesthesia for tooth extraction in children in London: a multi-centre study. Br Dent J 1992; 173(10): 333-9.
  9. Murray JJ. General anesthesia and children's dental health: present trends and future needs. Anesth Pain Control Dent 1993; 2(4): 209-16.
  10. Anderson HK, Drummond BK, Thomson WM. Changes in aspects of children's oral-health-related quality of life following dental treatment under general anaesthesia. Int J Paediatr Dent 2004; 14(5): 317-25.
  11. White H, Lee JY, Vann WF. Parental evaluation of quality of life measures following pediatric dental treatment using general anesthesia. Anesth Prog 2003; 50(3): 105-10.
  12. Savanheimo N, Vehkalahti MM, Pihakari A, Numminen M. Reasons for and parental satisfaction with children's dental care under general anaesthesia. Int J Paediatr Dent 2005; 15(6): 448-54.
  13. Amin MS, Harrison RL. Change in parental oral health practices following a child's dental treatment under general anaesthesia. European Archives of Paediatric Dentistry 2006; 1(2): 118-22.
  14. Acs G, Pretzer S, Foley M, Ng MW. Perceived outcomes and parental satisfaction following dental rehabilitation under general anesthesia. Pediatr Dent 2001; 23(5): 419-23.
  15. Amin MS, Harrison RL, Weinstein P. A qualitative look at parents' experience of their child's dental general anaesthesia. Int J Paediatr Dent 2006; 16(5): 309-19.
  16. Ansari GH, Biria M, Bohrani Z. Opinion of parents regarding dental treat ment under general anesthesia in patients reffered to Mofid Children Hospital, Tehran [Thesis]. Tehran, Iran: Shahid Beheshti Dental School, Shahid Beheshti University of Medical Sciences 2009. [In Persian].
  17. Gharavi M, Sohani GH. The assessment of general anesthesia in pediatric dental treatment. J Mashad Dent Sch 2008; 32(1): 41-6. [In Persian].
  18. Albadri SS, Lee S, Lee GT, Llewelyn R, Blinkhorn AS, Mackie IC. The use of general anaesthesia for the extraction of children's teeth. Results from two UK dental hospitals. Eur Arch Paediatr Dent 2006; 7(2): 110-5.
  19. Farsi N, Ba'akdah R, Boker A, Almushayt A. Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health 2009; 9: 6.
  20. Golpayegani MV. The effect of general anesthesia in postoperative behavior complications of pediatric dental treatments in patients' reffered to Mofid Children Hospital, Tehran [Thesis]. Tehran, Iran: Shahid Beheshti Dental School, Shahid Beheshti University of Medical Sciences 2010. [In Persian].
  21. Eshghi A, Rezaeifar M, Jafarzadeh Samani M, Malekafzali B, Eftekhari M. Evaluation of parental view toward dental treatment under general anesthesia in Isfahan. J Zanjan Univ Med Sci 2010; 18(73): 67-75. [In Persian].