Children with intellectual disabilities (ID) are often uncooperative for dental procedures so general anaesthesia is increasingly being used. Our goal was to assess anaesthetic management safety of children with ID proposed for dental procedures at our Ambulatory Unit. We conducted 10 year-long observational retrospective study of 138 children with ID (cases) and 138 without ID. Ages ranged from 4 to 17 years old, with male prevalence. The following were associated with cases: higher ASA and Mallampati scores, non-cooperation in airway assessment, inhalation anaesthesia and laryngeal mask utilization. No statistically significant differences regarding intra and postoperative complications. Children with ID were safely managed in ambulatory setting.