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Orodental treatment with sedoanalgesia comfort in patients who are mental motor retarde

Year 2017, Volume: 9 Issue: 2, 21 - 24, 01.08.2017

Abstract

Aim: The patients who are mental motor retardation and noncmmunicative, increased the need for additional anesthesia methods for dental treament and toothextraction. The most preferred anesthesia for this purpose is sedoanalgesia. This study is aimed to determine satisfaction and complications after sedoanalgesia in patients with mental and motor retardation. Method: 58 patients with mental and motor retardion who undewent sedoanalgesia for toothextraction between the years 2014 and 2016 were retrospectively studied. Results: Study included 58 patients with 38 % 65,5 male and 20 % 34,5 female patients. Complications observed were laryngospasm % 1,7 , nause % 6,8, vomiting % 5,2 . Intubation was required in only one patient. When the satisfaction rates were questioned, two relatives of the cerebralpasy patients, three relatives of the autısm patients had less satisfield. The others had perfect satisfaction. Conclusion: Mental motor retardation patients are less able to recive oral health services because of difficulty in communicating. Sedoanalgesia is necessary to resolve the coordination difficulty and complex medical problems at the dental treatment options.

References

  • Saldoni F, Stirrups DR, Cumming C, et al: A comprasion of halation sedation agents in the management of children receiving dental treatment: A randomized, controlled, cross-over pilot trial. Int. J. Pediatr Dent 2010; 20: 65-75.
  • White PF, Freire AR: Ambulatory (Outpatient) anesthesia: Anesthesia. 6th ed Miller RD (ed). Churchill Livingstone, Philadelphia 2005. p. 2589- 2637.
  • Nelson TM, Xu Z. Pediatric dental sedation: challenges and opportunities: Clin Cosmet Investig Dent 2015; 7: 97-106.
  • Lourenço-Matharu L, Ashley PF, Furness S. Sedation of children under going dental treatment Cochrane Database Syst Rev 2012; 14: 3.
  • Nathan JE. Managing behavior of precooperative children DentClin. North. Am 1995; 39: 789-815.
  • Gisler V, Bassetti R, Mericske-Stern R, et. al. A cross sectional analysis of the prevalence of dental anxiety and its relation the oral health-relatedquality of life in patients with dental treatment needs at a university clinic in Switzerland. Gerodontology 2012; 29 :290-296.
  • Mittal N, Gauba K, Goyal A, et. al. Pediatric Dental Sedation Practice. Evollution and Current State of the Art Jof Postgraduate Medicine, Edication and Research 2014; 48(3): 139-147.
  • Finder RL. The art and science of office-based anesthesia in dentistry: a 150 year history. Int Anesthesiol Clin 2003; 41: 1-12.
  • Bettelli G, Giulietti MP, Bitelli G, et. al. Handicap ped patients. General anesthesia or sedation? Dent Cadmos 1990; 58: 78-93.
  • Ransford NJ, Manley MC, Lewis DA, et al. Intranasal/ intravenous sedation for the dental care of adults with severe disabilities: a multicentre prospective audit. Br Dent J. 2010; 208: 565–569.
  • Boyle CA, Manley MC, Fleming GJ. Oral midazolam for adults with learning disabilities. Dent Update 2000; 27: 190– 192.
  • Ryder W, Wright PA: Dental sedation. A Reviev Dent. J 1995; 165: 207-216.
  • Aroni F, Iacouidou N, Dontas I, et. al. Pharmacological aspects and pontential new clinical applications of ketamine: revaluation of an old drug. J. Clin. Pharmacol 2009; 49(8): 957-963.
  • Giovannitti AJ. Dental anesthesia and pediatric dentisity. Anest. Prog. 1995; 42: 95-99.
  • Yumura J, Nakata E, Miyata M, et. al. Risk factors for nausea and vomiting after daycare general anesthesia in mentally challenged patients undergoing dental treatment. Bull Tokyo Dent Coll 2011; 52: 113-118.
  • Green SM, Robock MG, Krauss B, et. al. Prediators of airway and respiratory adverse events with ketamine sedation in the emergency department : anindividual patient data meta analysis of 8,282 children. Am. Emerg. Med 2009; 54(2): 158-168.
  • Green SM, Robock MG, Krauss B, et. al. Prediators of emesis and recovery agitation with emergency department ketamine sedation. An individual patient data meta analysis of 8,282 children. Am. Emerg. Med 2009; 54(2): 171-180.
  • Green SM, Robock MG, Krauss B. Emergency department ketamine meta-analysis study group. Laryngospasm during emergency department ketamine sedation. A case control study. Pediatr. E merg. Care 2010; 26(11): 798-802.

Mental motor retarde hastalarda sedoanaljezi konforu ile orodental tedavi

Year 2017, Volume: 9 Issue: 2, 21 - 24, 01.08.2017

Abstract

Amaç: Mental ve motor retardasyonu olup iletişimi mümkün olmayan hastalarda dental tedavi ve diş çekimi esnasında lokal anesteziye ek anestezi yöntemlerine gereksinimi arttırmıştır. Bu amaçla en çok tercih edilen anestezi yöntemi sedoanaljezidir. Bu çalışmada mental ve motor retardasyonu olan hastalarda uygulanan sedoanaljezi sonrası memnuniyeti ve oluşan komplikasyonları belirlemeyi amaçladık. Metod: 2014-2016 yılı arasında diş çekimi için sedoanaljezi uygulanan mental ve motor retardasyonu olan 58 olgu retrospektif olarak incelendi. Bulgular: 58 hasta çalışmaya dahil edildi. Bu hastaların 38’i erkek % 65,5 ve 20’si kadın % 34,5 hastaydı. Hastaların 33’ünde serebralpalsi % 56,8 , 25’inde otizm % 43,2 tanısı vardı. Laringospazm % 1,7 , bulantı % 6,8 , kusma % 5,2 görüldü. Entübasyona sadece bir hastada gereksinim oldu. Serebralpalsi grubunda iki, otizmli hasta grubunda ise üç hasta yakınında memnuniyet oranın az olduğu, diğerlerinin memnuniyetin mükemmel olduğu gözlemlendi. Sonuç: Mental ve motor retardasyon olan hasta grubu iletişim kurmada güçlük nedeniyle daha az oranda ağız diş sağlığı hizmeti alabilmektedirler. Koordinasyon güçlüğünün önüne geçebilmek ve kompleks medikal problemlerinin çözülmesi için uygun sedoanaljezi eşliğinde dental tedavi seçeneklerinin sunulması gerekmektedir.

References

  • Saldoni F, Stirrups DR, Cumming C, et al: A comprasion of halation sedation agents in the management of children receiving dental treatment: A randomized, controlled, cross-over pilot trial. Int. J. Pediatr Dent 2010; 20: 65-75.
  • White PF, Freire AR: Ambulatory (Outpatient) anesthesia: Anesthesia. 6th ed Miller RD (ed). Churchill Livingstone, Philadelphia 2005. p. 2589- 2637.
  • Nelson TM, Xu Z. Pediatric dental sedation: challenges and opportunities: Clin Cosmet Investig Dent 2015; 7: 97-106.
  • Lourenço-Matharu L, Ashley PF, Furness S. Sedation of children under going dental treatment Cochrane Database Syst Rev 2012; 14: 3.
  • Nathan JE. Managing behavior of precooperative children DentClin. North. Am 1995; 39: 789-815.
  • Gisler V, Bassetti R, Mericske-Stern R, et. al. A cross sectional analysis of the prevalence of dental anxiety and its relation the oral health-relatedquality of life in patients with dental treatment needs at a university clinic in Switzerland. Gerodontology 2012; 29 :290-296.
  • Mittal N, Gauba K, Goyal A, et. al. Pediatric Dental Sedation Practice. Evollution and Current State of the Art Jof Postgraduate Medicine, Edication and Research 2014; 48(3): 139-147.
  • Finder RL. The art and science of office-based anesthesia in dentistry: a 150 year history. Int Anesthesiol Clin 2003; 41: 1-12.
  • Bettelli G, Giulietti MP, Bitelli G, et. al. Handicap ped patients. General anesthesia or sedation? Dent Cadmos 1990; 58: 78-93.
  • Ransford NJ, Manley MC, Lewis DA, et al. Intranasal/ intravenous sedation for the dental care of adults with severe disabilities: a multicentre prospective audit. Br Dent J. 2010; 208: 565–569.
  • Boyle CA, Manley MC, Fleming GJ. Oral midazolam for adults with learning disabilities. Dent Update 2000; 27: 190– 192.
  • Ryder W, Wright PA: Dental sedation. A Reviev Dent. J 1995; 165: 207-216.
  • Aroni F, Iacouidou N, Dontas I, et. al. Pharmacological aspects and pontential new clinical applications of ketamine: revaluation of an old drug. J. Clin. Pharmacol 2009; 49(8): 957-963.
  • Giovannitti AJ. Dental anesthesia and pediatric dentisity. Anest. Prog. 1995; 42: 95-99.
  • Yumura J, Nakata E, Miyata M, et. al. Risk factors for nausea and vomiting after daycare general anesthesia in mentally challenged patients undergoing dental treatment. Bull Tokyo Dent Coll 2011; 52: 113-118.
  • Green SM, Robock MG, Krauss B, et. al. Prediators of airway and respiratory adverse events with ketamine sedation in the emergency department : anindividual patient data meta analysis of 8,282 children. Am. Emerg. Med 2009; 54(2): 158-168.
  • Green SM, Robock MG, Krauss B, et. al. Prediators of emesis and recovery agitation with emergency department ketamine sedation. An individual patient data meta analysis of 8,282 children. Am. Emerg. Med 2009; 54(2): 171-180.
  • Green SM, Robock MG, Krauss B. Emergency department ketamine meta-analysis study group. Laryngospasm during emergency department ketamine sedation. A case control study. Pediatr. E merg. Care 2010; 26(11): 798-802.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Fatma Koçyiğit This is me

Serpil Bayındır This is me

Zafer Gündoğdu This is me

Publication Date August 1, 2017
Published in Issue Year 2017 Volume: 9 Issue: 2

Cite

Vancouver Koçyiğit F, Bayındır S, Gündoğdu Z. Mental motor retarde hastalarda sedoanaljezi konforu ile orodental tedavi. Maltepe tıp derg. 2017;9(2):21-4.