ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2026
Conscious sedation and dental treatment outcomes in Norwegian paediatric dentistry: a retrospective clinical audit from the Public Dental Service.
Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeConscious sedation is recommended in paediatric dentistry to alleviate distress, provided it complements behavioural management, avoids restraint, and includes structured follow-up. Its use in the Norwegian Public Dental Service (PDS) has not been systematically described. This study aimed to characterise sedation practices in the PDS and examine factors associated with dental treatment failure in children receiving oral conscious sedation.
methodsA retrospective audit was conducted in three PDS clinics (August 2022-July 2023), analysing 201 sedation sessions for patients aged 0-18 years. Indications, challenges, outcomes, and follow-up were coded from records. Logistic regression was used to assess variables associated with dental treatment failure, defined as incomplete or omitted treatment.
resultsChildren aged 6-10 years accounted for 54.7% of sessions, while preschoolers accounted for 26.9%. Behavioural management problems (BMP) were common in younger children, while dental fear/anxiety predominated in older groups. Restraint occurred in 16% of cases, and follow-up was documented in 21%. Treatment failure occurred in 32.3% of sessions. In adjusted analyses, both BMP (odds ratio [OR] 1.97, 95% confidence interval [CI] 1.01-4.08) and physical restraint (OR 3.95, 95% CI 1.84-10.22) were significantly associated with treatment failure. No serious adverse events were recorded.
conclusionsOral conscious sedation is widely used and appears safe in the immediate clinical setting. However, one-third of sessions resulted in incomplete treatment, with failure more frequently observed in sessions where BMP were recorded as the indication for sedation, and in sessions where physical restraint occurred. These findings underscore the importance of careful indication, case selection, and follow-up beyond procedural completion to support child-centred outcomes.
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