A Retrospective Evaluation of Patients Who Had Den¬tal Treatments Under General Anesthesia

Year 2024, Volume: 7 Issue: 3, 140 - 143, 30.09.2024

Hacer Nida Akdoğan , Damla Soydan Çabuk

https://doi.org/10.36516/jocass.1512755

Abstract

Aim: This retrospective study aimed to evaluate the demographic and operational data of uncooperative healthy individuals and individuals with special needs who underwent dental treatments under sedation and general anesthesia.
Methods: Data of 458 patients with special needs and 77 healthy noncooperative patients who were examined at XXX University Faculty of Dentistry between January 2022 and May 2023 and underwent dental treatments under general anesthesia were examined retrospectively. Demographic data of the patients, American Society of Anesthesiologists (ASA) scores, mallampati (MP) scores, disability status, if they have systemic diseases, type of anesthesia (sedation/general anesthesia), anesthetic agents and analgesia used, operation duration and dental treatments, were evaluated.
Results: The average age of 535 patients who received dental treatment was 13.5±9.9 years and 58.1% (n=311) of the patients were male and 41.9% (n=224) were female. According to ASA scores, the distribution was 15.7% ASA I, 77.6% ASA II, and 6.7% ASA III. While 14.4% of the patients were systemically healthy, 16.7% had epilepsy, 12.9% had cerebral palsy, 12.1% had mental retardation, and 7.1% had Down syndrome. Of 7.1% had various comorbidities such as cardiological problems. Sedation was applied to 7.3% (n=39) of the patients, and general anesthesia was applied to 92.7% (n=496). The average anesthesia duration was 74.5±34.6 minutes. While the average restorative treatment applied to the patients was calculated as 6.45±3.9, tooth extraction 5.25±4.3, fissure sealant 2.44±2.5, pulp treatment 1.62±0.9; Trauma splint was applied to 3 patients.
Conclusions: While pre-anesthesia evaluation is very important in determining the risks in dental general anesthesia and sedation applications, the operating conditions and the general and oral health of the patients are effective in the dental treatment decision.

Keywords

dental treatments, general anesthesia, patient with special needs, sedation

GENEL ANESTEZİ ALTINDA DENTAL TEDAVİLERİ YAPILAN HASTALARIN RETROSPEKTİF DEĞERLENDİRİLMESİ

Abstract

Keywords

dental tedavi, genel anestezi, özel gereksinimi olan hastalar, sedasyon

References

• 1.Savanheimo N, Sundverg SA, Virtanen JI, et al. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service. BMC Oral Health. 2012; 12(45): 2-8. https://doi.org/10.1186/1472-6831-12-45
• 2.Silva CC, Lavado C, Areias C, et al. Conscious sedation vs general anesthesia in pediatric dentistry–a review. MedicalExpress. 2015;2:M150104. https://doi.org/10.5935/MedicalExpress.2015.01.04
• 3.Enever GR, Nunn JH, Sheehan JK. A comparison of post‐operative morbidity following outpatient dental care under general anaesthesia in paediatric patients with and without disabilities. International journal of paediatric dentistry. 2000; 10(2):120-5. https://doi.org/10.1046/j.1365-263x.2000.00180.x
• 4.American Academy of Pediatric Dentistry. (AAPD). Behavior Guidance for the Pediatric Dental Patient. Available from: https://www.aapd.org/research/oral-health-policies--recommendations/behavior-guidance-for-the-pediatric-dental-patient/ (accessed on 23 November 2018).
• 5.Özkan AS, Erdoğan MA, Şanlı M, et al. Genel Anestezi Altında Dental Tedavi Uygulamasının Retrospektif Değerlendirilmesi. 2015;43:332-6.
• 6.Peretz B, Spierer A, Spierer S, et al. Dental treatment of patients with systemic diseases compared to patients with developmental disabilities under general anesthesia. Special Care in Dentistry. 2012; 32(1): 21-5. https://doi.org/10.1111/j.1754-4505.2011.00226.x
• 7.Mallineni SK, Yiu CKY. Dental treatment under general anesthesia for special‐needs patients: analysis of the literature. Journal of Investigative and Clinical Dentistry. 2016; 7(4): 325-31. https://doi.org/10.1111/jicd.12174
• 8.Stanková M, Buček A, Dostálová T, et al. Patients with special needs within treatment under general anesthesia-meta-analysis. Prague Med Rep, 2011; 112(3): 216-25.
• 9.Machuca-Portillo MC, Hanje Herrero R, del Lopez Valle L, et al. General anesthesia: as a challenge and treatment need option in pediatric dentistry. Puerto Rico Health Sciences Journal. 2005; 24(4): 291-6.
• 10.Ciftci V, Yazicioglu I. A retrospective comparison of dental treatment under general anesthesia provided for uncooperative healthy patients and patients with special health care needs. Journal of Clinical Pediatric Dentistry. 2020; 44(3):196-201. https://doi.org/10.17796/1053-4625-44.3.11
• 11.Çagiran EY, Efeoğlu C, Balcıoğlu T, et al. Mental Retarde Hastalarda Dental Tedavi: Retrospektif Inceleme/Dental Treatment in Patients with Mental Retardation: A Retrospective Study. Turkiye Klinikleri Journal of Medical Sciences. 2011;31(4): 830-6.
• 12.Michalek P, Hodgkinson P, Donaldson W. Fiberoptic intubation through an I-gel supraglottic airway in two patients with predicted difficult airway and intellectual disability. Anesthesia & Analgesia. 2008; 106(5): 1501-1504. https://doi.org/10.1213/ane.0b013e31816f22f6
• 13.Alcaino E, Kilpatrick NM, Smith ED. Utilization of day stay general anaesthesia for the provision of dental treatment to children in New South Wales, Australia. International Journal of Paediatric Dentistry. 2000; 10(3): 206-12. https://doi.org/10.1046/j.1365-263x.2000.00193.x
• 14.Carson P, Freeman R. Dental caries, age and anxiety: factors influencing sedation choice for children attending for emergency dental care. Community Dentistry and Oral Epidemiology. 2001; 29(1): 30-36. https://doi.org/10.1034/j.1600-0528.2001.029001030.x
• 15.Faria PF, Nicolau JAZ, Melek M, et al. Association between congenital heart defects and severe infections in children with Down syndrome. Revista Portuguesa de Cardiologia (English Edition). 2014;33(1):15-18. https://doi.org/10.1016/j.repce.2013.05.008
• 16.Smith I, Skues M, Philip BK. Ambulatory (outpatient) anesthesia. Miller's Anesthesia, 8th ed (Ed RD Miller) 2612-45. Philadelphia: Elsevier Saunders, 2015.
• 17.Kocum A, Sener M, Calıskan E, et al. Anesthetic management for a child with unknown type of limb‐girdle muscular dystrophy. Pediatrics International. 2010; 52(1):e37-e38. https://doi.org/10.1111/j.1442-200x.2009.02984.x
• 18.Şimşek T, Yılmaz M. Çocuk Hastalardaki Dental Girişimlerde Genel Anestezi ile Sedasyon Tekniğinin Retrospektif Karşılaştırılması. Kocaeli Tıp Dergisi. 2017;6(1):59-62.
• 19.Karacalar S, Aykaç B. Dental girişimlerde genel anestezi uygulamalari. Marmara Medical Journal. 2010; 23(3):400-7.
• 20.Sari M, Ozmen B, Koyuturk AE, et al. A retrospective comparison of dental treatment under general anesthesia on children with and without mental disabilities. Nigerian Journal of Clinical Practice, 2014;17(3):361-365. https://doi.org/10.4103/1119-3077.130243
• 21.Bulut M, Gönenç N. 1-12 yaş grubu çocukların genel anestezi altında yapılan dental tedavilerinin incelenmesi: bir retrospektif çalışma. Turkiye Klinikleri Journal of Dental Sciences. 2022; 28(1):79-85
• 22.Guidry J, Bagher S, Feleban O, et al. Reasons of repeat dental treatment under general anaesthesia: A retrospective study. Eur J Paediatr Dent. 2017; 18(4):313-8. https://doi.org/10.23804/ejpd.2017.18.04.09