General Anesthesia Versus Moderate Sedation: Factors Affecting Caregivers' Decisions for Children's Dental Treatment Modality

Purpose: Treatment for early childhood caries may include advanced behavior management modalities, such as moderate sedation (MS) or general anesthesia (GA). The purpose of this study was to determine which factors are important to parents when considering MS or GA for their child. Methods: Parents completed a cross-sectional survey to determine which factors they considered in their decision between MS or GA for dental treatment. The relative importance of social, financial, and patient-level factors, the importance of dentists' recommendations, and the reported knowledge levels and sources of information regarding treatment modality were also assessed. Results: The majority of 130 parents surveyed reported at least a moderate amount of knowledge about GA and MS. Although most identified their dentist as the primary source of information (45 percent for GA, 51 percent for MS), many reported having no source of information about either (23 percent for GA, 16 percent for MS). For both groups, the dentist's recommendation for MS or GA was more influential than cost, risk profile, and the number of missed work and school days (P<0.001). Being well-informed about the treatment modality was more influential than the dentist's recommendation only for the parents who chose MS (P<0.001). Conclusion: Parents' self-reported knowledge regarding their treatment modality was relatively low. The choice of treatment modality for pediatric dental care relied mostly on the dentist's recommendation.