title: Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists: a survey of directors of dentist anesthesiologist and pediatric dentistry residencies.
abstract: This study describes what training programs in pediatric dentistry and dental anesthesiology are doing to meet future needs for deep sedation/general anesthesia services required for pediatric dentistry. Residency directors from 10 dental anesthesiology training programs in North America and 79 directors from pediatric dentistry training programs in North America were asked to answer an 18-item and 22-item online survey, respectively, through an online survey tool. The response rate for the 10 anesthesiology training program directors was 9 of 10 or 90%. The response rate for the 79 pediatric dentistry training program directors was 46 of 79 or 58%. Thirty-seven percent of pediatric dentistry programs use clinic-based deep sedation/general anesthesia for dental treatment in addition to hospital-based deep sedation/general anesthesia. Eighty-eight percent of those programs use dentist anesthesiologists for administration of deep sedation/general anesthesia in a clinic-based setting. Pediatric dentistry residency directors perceive a future change in the need for deep sedation/general anesthesia services provided by dentist anesthesiologists to pediatric dentists: 64% anticipate an increase in need for dentist anesthesiologist services, while 36% anticipate no change. Dental anesthesiology directors compared to 2, 5, and 10 years ago have seen an increase in the requests for dentist anesthesiologist services by pediatric dentists reported by 56% of respondents (past 2 years), 63% of respondents (past 5 years), and 88% of respondents (past 10 years), respectively. Predicting the future need of dentist anesthesiologists is an uncertain task, but these results show pediatric dentistry directors and dental anesthesiology directors are considering the need, and they recognize a trend of increased need for dentist anesthesiologist services over the past decade.
authors.affiliation: James Whitcomb Riley Hospital for Children, Indiana University School of Dentistry, IN, USA.
authors.forename: C Gray
authors.initials: CG
authors.lastname: Hicks
authors.forename: James E
authors.initials: JE
authors.lastname: Jones
authors.forename: Mark A
authors.initials: MA
authors.lastname: Saxen
authors.forename: Gerardo
authors.initials: G
authors.lastname: Maupome
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Sanders
authors.forename: Laquia A
authors.initials: LA
authors.lastname: Walker
authors.forename: James A
authors.initials: JA
authors.lastname: Weddell
authors.forename: Angela
authors.initials: A
authors.lastname: Tomlin
mesh_terms: D000766:Anesthesia, Dental / Q000706:statistics & numerical data*; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D000776:Anesthesiology / Q000193:education / Q000706:statistics & numerical data*; D002648:Child; D054810:Deep Sedation / Q000706:statistics & numerical data*; D003740:Dental Clinics / Q000706:statistics & numerical data; D003796:Dental Service, Hospital / Q000706:statistics & numerical data; D003815:Dentists / Q000706:statistics & numerical data*; D004499:Education, Dental, Graduate / Q000706:statistics & numerical data; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D020380:Needs Assessment / Q000706:statistics & numerical data / Q000639:trends; D009656:North America; D010377:Pediatric Dentistry / Q000193:education / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires