COMPREHENSIVE DENTAL TREATMENTS UNDER PEDIATRIC GENERAL ANESTHESIA

113 - 117

Onur Gezgin Emre Korkut Merve Abaklı Yağmur Şener

https://doi.org/10.17567/ataunidfd.381268

Abstract

Aim: Dental general anesthesia (DGA) is a very effective treatment modality
for children. However, DGA is a measure of the last resort because of the
risks. The aim of this study is to determine the reasons for DGA,
characteristics of patients and their treatments performed under pediatric DGA.

Material and
Methods: Testing of the 99 children (66 boys and 33 girls) in
the 2-14 age range whom their treatments performed under general anesthesia
from 2014 to 2015. The data were collected by means of clinical dental
examinations and a questionnaire of the parents. 8 question survey is designed
to collect research data. The questions answered by the parents of the patient
are as follows: parental education level, socioeconomic status, inbreeding,
physical and mental disabilities, treatment history about DGA. Then, the
records of the dental treatments were evaluated. 

Results: In this study of 99 patients evaluated; 72 were non-cooperated, 12 were
autistic, 12 had epilepsy, 3 of them had cerebral palsy were treated under
general anesthesia. In total, 1020 treatments were performed under DGA, 45.8%
of which were restorations, 34.4% tooth extractions, 19.8% endodontics
treatments and preventive measures.

Conclusion: Although general anesthesia is a difficult treatment, it allows
children with mental and physical disabilities and non-cooperative ones to be
treated in a quality manner. This study shows that dental general anesthesia is
a necessity in pediatric dentistry patients. Nevertheless, behavioral guidance
techniques should also be developed.

Keywords: General anesthesia, pediatric patient, dental treatment  

 ÇOCUKLARDA GENEL ANESTEZİ ALTINDA GENİŞ KAPSAMLI DENTAL
TEDAVİLER

ÖZ

Amaç: Dental genel anestezi (DGA) çocuk hastalar için son
derece etkili bir tedavi yöntemidir. Buna rağmen, pek çok risk barındırması
sebebiyle son çare olarak değerlendirilir. Bu çalışmanın amacı genel anestezi
altında yapılan dental tedavilerin sebeplerini, hastaların karakteristik
özelliklerini ve yapılan tedavi seçeneklerini belirlemektir.

Gereç ve yöntem: 2-14 yaş aralığında değişen 99 hastanın,
2014-2016 yılları arasında genel anestezi altında dental tedavileri
yapılmıştır. Veriler klinik dental muayene ve hasta velilerinin doldurduğu bir
anket ara- cılığı ile toplanmıştır. Araştırma verilerinin toplanması için;
ebeveyn eğitim düzeyi, sosyoekonomik durum, akraba evliliği, fiziksel/mental
yetersizlik, genel anes- tezi altında yapılan tedavi geçmişi gibi konulardan
olu- şan 8 soruluk anket hazırlamıştır ve yapılan dental tedavi verileri
değerlendirilmiştir.

Bulgular: Bu çalışmada 99 hastanın verileri değer- lendirilmiştir.
72 hasta kooperasyon sorunu, 12 hasta otizm, 12 hasta epilepsi, 3 hasta
serebral palsi has- talığı sebepleriyle genel anestezi altında tedavi edil- miştir.
Toplamda 1020 tedavi yapılmış olup; bunların 45.8 % restoratif tedavi, 34.4%
diş çekimi, 19.8% endodontik tedavi ve koruyucu tedavilerdir.

Sonuç: Genel anestezi zor bir tedavi seçeneği olma-
sına rağmen; fiziksel/mental yetersizliği ve kooperas- yon sorunu olan hastaların
kaliteli bir şekilde tedavi edilmesini sağlar. Bu çalışma pediatrik diş
hekimliği hastalarında dental genel anestezinin bir ihtiyaç oldu- ğunu ancak
davranış yönlendirme tekniklerinin de geliştirilmesi gerektiğini
göstermektedir.

Anahtar kelimeler: Genel anestezi, çocuk hasta, dental tedavi

Keywords

General anesthesia, pediatric patient

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