Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?

Year 2018, Volume: 8 Issue: 1, 44 - 47, 12.04.2018

Aysun Çağlar Torun

https://doi.org/10.16899/gopctd.414742

Abstract

Amaç:
Genel anestezi ile diş tedavisi, hekime ve
hastaya konforlu bir süreç sağlamakta kısa sürede birçok tedavi hastaya
uygulanabilmektedir. Bu çalışma ile
Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi’nde genel anestezi altında
yapılan diş tedavilerinin retrospektif olarak incelenmesi amaçlanmıştır.

Gereç
ve yöntem: Ocak
2015 - Eylül 2015 tarihleri arasında genel anestezi altında yapılan diş
tedavileri, retrospektif olarak değerlendirilmiştir. Hastaların yaş, kilo, genel
anestezi endikasyon nedenleri, yapılan diş tedavileri ve ek sistemik
hastalıkları değerlendirildi.

Bulgular: Hastalar ortalama yaş grubu 8 ± 6, ortalama
ağırlıkları ise 25 ± 17 kg olarak belirlendi. Hastaların % 53.8’i erkek %
46.2’si kız hastalardı. Diş tedavisi uygulanan hastaların %59.9’unu (n = 790)
sağlıklı ancak kooperasyon  kurulamayan
hastalar, % 32.8’i (n = 431) geniş cerrahi operasyon geçirecek hastalar, %
7.3’ünü (n = 97) zihinsel/fiziksel engeli olan hastalardan oluşmaktaydı. Hastaların % 11.6’sına (n = 153)
restoratif diş tedavisi, % 59.8’ine (n = 788) diş çekimi, % 20.5’ine (n = 270)
restoratif diş tedavisi + diş çekimi, %7.3’üne (n = 97) çene cerrahisi, % 0.8’ine
periodontal tedavi uygulanmıştır.

Sonuç: Davranış yönetim stratejileri ile çocuk
hastaların ikna edilerek diş tedavileri uygulanabilir. Ancak son yıllarda bu
uygulamadan giderek uzaklaşılmakta, farmakolojik yöntemler ön plana
çıkmaktadır. Genel anestezinin kullanımı diş hekimliği uygulamalarında hızla
artmaktadır. Ancak gereksiz genel anestezi uygulamalarından kaçınmak için
endikasyonu belirlemede kullanılan yöntemlerin etkin ve doğru bir şekilde
uygulanması gerekmektedir. Çalışmamızda genel anestezi sağlıklı çocuk
hastalarda yüksek oranda tercih edilmiştir. Türkiye’de diş hekimlerinin genel
anestezi endikasyonunu belirlemede kullandıkları yöntemlerin ve bunların doğru
şekilde uygulanıp uygulanmadığının incelendiği ileri çalışmalara ihtiyaç
vardır.

Keywords

çocuk, Genel anestezi, diş hekimliği

How often is general anesthesia preferred in dental treatment of child patients in the north of Turkey?

Abstract

Aim:
With general anesthesia, dental treatment
provides a comfortable process to the patient and the physician. In short time,
many treatments can be applied to the patients. This study aimed to
retrospectively examine the dental treatments performed under general
anesthesia at Ondokuz Mayıs University Faculty of Dentistry.

Materials
and Methods: Dental
treatments under general anesthesia between January 2015 and September 2015
were evaluated retrospectively. Age, weight, reasons for general anesthesia
indication, dental treatment and additional systemic diseases were evaluated.

Results:
Patients were determined as mean age group 8 ±
6, mean weight 25 ± 17 kg. 53.8% of the patients were male and 46.2% of the
patients were female. 59.9% (n = 790) of the dental treatment patients were
healthy, but not cooperatable, 32.8% (n = 431) had extensive surgery and 7.3%
(n = 97) were mentally / physically disabled patients. Restorative dental
treatment was performed in 11.6% of the patients (n = 153), tooth extraction in
59.8% (n = 788), restorative dental treatment + tooth extraction in 20.5% (n =
270), jaw surgery in 7.3% (n = 97) and 0.8% periodontal treatment.

Conclusion:
Behavior management strategies can be used to
convince child patients and to treat teeth. However, in recent years, this
practice has gradually moved away from the practice and pharmacological methods
have come to the forefront. The use of general anesthesia is increasing rapidly
in dental practice. However, in order to avoid unnecessary general anesthesia
applications, the methods used to determine the indications need to be applied
effectively and correctly. In our study, general anesthesia was highly
preferred in healthy children. There is a need for further studies in Turkey to
examine the methods used by dentists to determine the indication for general
anesthesia and whether they are applied correctly.

Keywords

General anesthesia, dentistry, child

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