Research Article
BibTex RIS Cite

Çocuklarda Genel Anestezi ve Sedasyon Altında Uygulanan Dental Tedavilerin Retrospektif Değerlendirilmesi

Year 2022, Volume: 9 Issue: 2, 359 - 363, 24.08.2022
https://doi.org/10.15311/selcukdentj.1100552

Abstract

Amaç: Çocuklarda birçok tedavi lokal anestezi yardımıyla yapılabilse de özellikle kooperasyon kurulamayan ve ek sistemik rahatsızlığı ya da özel bir engel durumu olan çocuklarda tedavilerin genel anestezi/sedasyon altında yapılması gerekmektedir. Genel anestezi altında dental tedaviler maliyeti ve risk faktörlerinden dolayı aileler için son tercih olsa da günümüzde uzun sürede tamamlanabilecek tedavilerin genel anestezi altında aynı seansta güvenilir bir şekilde yapılabilmesi bu tedavi seçeneğinin kullanılmasını yaygınlaştırmaktadır.
Gereç ve Yöntemler: Bu çalışma, Başkent Üniversitesi Konya Uygulama ve Araştırma Merkezi Pedodonti Kliniği’ ne muayene ve tedavi amaçlı başvuran ve tedavileri genel anestezi/sedasyon altında tamamlanan 1-14 yaş aralığına sahip toplam 1536 çocuk hastanın klinik kayıtlarının retrospektifolarak incelenmesi ile gerçekleştirilmiştir.
Bulgular: Genel anestezi/sedasyon altında tedavileri yapılan hastalara 5144 adet restoratif dolgu, 4653 adet pulpa amputasyonu (pulpotomi), 732 adet kanal tedavisi, 967 adet paslanmaz çelik kron uygulaması, 48 adet pediatrik zirkonyum kron uygulaması, 2871 adet diş çekimi, 221 adet fissür örtücü, 23 adet kistik cerrahi, 47 adet labial frenektomi ve 8 adet lingual frenektomi uygulanmıştır. Bu hastaların 28’ inde (% 1.82) tekrar tedavi gereksinimi duyulmuş ve kısa süreli işlemler için entübe olmadan sadece sedasyon uygulaması ile tedavi altına alınmışlardır.
Sonuç: Çocuk diş hekimliğinde genel anestezi/sedasyon altında dental tedaviler, tek seansta tüm dental işlemlerin bitirilmesine olanak sağlaması, tedavi başarısında kooperasyon etkenini ortadan kaldırması ve özellikle engelli çocuklarda yaşam kalitesini yükseltmesi ile sıklıkla tercih edilen bir uygulamadır.

References

  • Ghafournia M, Eshghi A, Mosleh H, Iranmanesh P. Complications after dental rehabilitation under general anesthesia in Isfahan during February to May 2016. Dental Research Journal, 2021;18.
  • Zhao J, Yang L, Lai G, Wang J. Clinical outcomes of dental treatment under general anesthesia and its effects on the caries activity and body growth of children: a 2-year retrospective study. Clinical Oral Investigations. 2022; 1-8.
  • López-Velasco A, Puche-Torres M, Carrera-Hueso FJ, Silvestre FJ. General anesthesia for oral and dental care in paediatric patients with special needs: A systematic review. Journal of clinical and experimental dentistry. 2022;13(3), e303.
  • Özkan AS, Erdoğan MA, Şanlı M, Kaçmaz O, Durmuş M, Çolak C. Genel Anestezi Altında Dental Tedavi Uygulamasının Retrospektif Değerlendirilmesi. Turkish Journal of Anesthesia& Reanimation. 2015; 43(5).
  • American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: AAPD. 2020; p.292-310.
  • Bulut M, Gönenç N. 1-12 Yaş Grubu Çocukların Genel Anestezi Altında Yapılan Dental Tedavilerinin İncelenmesi: Bir Retrospektif Çalışma. Turkiye Klinikleri Journal of Dental Sciences. 2022;28(1).
  • Needleman HL, Harpavat S, Wu S, Allred EN, Berde C. Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia. Pediatric dentistry. 2008; 30(2), 111-121.
  • Reuter NG, Westgate PM, Ingram M, Miller CS. Death related to dental treatment: a systematic review. Oral surgery, oral medicine, oral pathology and oral radiology. 2017; 123(2), 194-204.
  • Enever GR, Nunn JH, Sheehan JK. A comparison of post‐operative morbidity following out patient dental care under general anaesthesia in paediatric patients with and without disabilities. International journal of paediatricdentistry. 2000; 10(2), 120-125.
  • Mayeda C, Wilson S. Complications with in the first 24 hours after dental rehabilitation under general anesthesia. Pediatr Dent. 2009;31:513 9.
  • Ferrazzano GF, Sangianantoni S, Mitrano RL, Ingenito A, Alcidi B, Cantile T. Assessing changes in oral health-related quality of life and body growth in 3-5 years old children following dental treatment under general anaesthesia due to severe dental caries. European Journal of Paediatric Dentistry. 2019; 20(3), 214-218.
  • Mallineni SK, Yiu C. KY. A retrospective audit of dental treatment provided to special needs patients under general anesthesia during a ten-year period. Journal of Clinical Pediatric Dentistry. 2018; 42(2), 155-160.
  • El Hachem C, El Osta N, Haddad M, Abou Chedid JC, Daou, M. Characteristics of Pediatric and Medically Compromised Patients Treated under General Anesthesia in a Middle Eastern Country. Thejournal of contemporary dental practice. 2021; 22(4), 388-393.
  • Savanheimo N, Vehkalahti MM. Five-year follow-up of children receiving comprehensive dental care under general anesthesia. BMC oral health. 2014; 14(1), 1-8.
  • Chen CY, Chen YW, Tsai TP, Shih WY. Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. Journal of the Chinese Medical Association. 2014; 77(4), 198-202.
  • Pecci-Lloret MP, Guerrero-Gironés J, López-González B, Rodríguez-Lozano FJ, Oñate-Cabrerizo D, Oñate-Sánchez RE, Pecci-Lloret MR. Dental treatments under general anesthesia on children with special health care needs enrolled in the Spanish dental care program. Journal of Clinical Medicine. 2021; 10(2), 182.
  • Lim MAWT, Borromeo GL. The use of general anesthesia to facilitate dental treatment in adult patients with special needs. Journal of dental anesthesia and pain medicine. 2017; 17(2), 91-103.
  • Çına Aksoy M, Akpınar H. Ağız Diş Çene Cerrahisinde Sedasyon Uygulamaları ve Diş Çekimlerinin Retrospektif Olarak Değerlendirilmesi 2019.
  • Şahutoğlu C, Karaca N, Karaman S, Kocabaş NS, Alper I, Uyar M, Aşkar FZ. Günübirlik anestezi uygulamalarımız ve gelişen komplikasyonlar. Ege Tıp Dergisi. 2021; 60(4), 354-364.
  • Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, Liu PL. A clinical sign to predict difficult trachealintubation: a prospecti vestudy. Can AnaesthSoc J 1985; 32: 429-34.
  • Uzun Ş, Erdoğan N, Celebi N, Celiker V. Sifilizli olguda zor entubasyon. Turk Anest Rean Der Dergisi. 2007; 35: 64-7.
  • Sari ME, Ozmen B, Koyuturk AE, Tokay U. 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.
Year 2022, Volume: 9 Issue: 2, 359 - 363, 24.08.2022
https://doi.org/10.15311/selcukdentj.1100552

Abstract

References

  • Ghafournia M, Eshghi A, Mosleh H, Iranmanesh P. Complications after dental rehabilitation under general anesthesia in Isfahan during February to May 2016. Dental Research Journal, 2021;18.
  • Zhao J, Yang L, Lai G, Wang J. Clinical outcomes of dental treatment under general anesthesia and its effects on the caries activity and body growth of children: a 2-year retrospective study. Clinical Oral Investigations. 2022; 1-8.
  • López-Velasco A, Puche-Torres M, Carrera-Hueso FJ, Silvestre FJ. General anesthesia for oral and dental care in paediatric patients with special needs: A systematic review. Journal of clinical and experimental dentistry. 2022;13(3), e303.
  • Özkan AS, Erdoğan MA, Şanlı M, Kaçmaz O, Durmuş M, Çolak C. Genel Anestezi Altında Dental Tedavi Uygulamasının Retrospektif Değerlendirilmesi. Turkish Journal of Anesthesia& Reanimation. 2015; 43(5).
  • American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: AAPD. 2020; p.292-310.
  • Bulut M, Gönenç N. 1-12 Yaş Grubu Çocukların Genel Anestezi Altında Yapılan Dental Tedavilerinin İncelenmesi: Bir Retrospektif Çalışma. Turkiye Klinikleri Journal of Dental Sciences. 2022;28(1).
  • Needleman HL, Harpavat S, Wu S, Allred EN, Berde C. Postoperative pain and other sequelae of dental rehabilitations performed on children under general anesthesia. Pediatric dentistry. 2008; 30(2), 111-121.
  • Reuter NG, Westgate PM, Ingram M, Miller CS. Death related to dental treatment: a systematic review. Oral surgery, oral medicine, oral pathology and oral radiology. 2017; 123(2), 194-204.
  • Enever GR, Nunn JH, Sheehan JK. A comparison of post‐operative morbidity following out patient dental care under general anaesthesia in paediatric patients with and without disabilities. International journal of paediatricdentistry. 2000; 10(2), 120-125.
  • Mayeda C, Wilson S. Complications with in the first 24 hours after dental rehabilitation under general anesthesia. Pediatr Dent. 2009;31:513 9.
  • Ferrazzano GF, Sangianantoni S, Mitrano RL, Ingenito A, Alcidi B, Cantile T. Assessing changes in oral health-related quality of life and body growth in 3-5 years old children following dental treatment under general anaesthesia due to severe dental caries. European Journal of Paediatric Dentistry. 2019; 20(3), 214-218.
  • Mallineni SK, Yiu C. KY. A retrospective audit of dental treatment provided to special needs patients under general anesthesia during a ten-year period. Journal of Clinical Pediatric Dentistry. 2018; 42(2), 155-160.
  • El Hachem C, El Osta N, Haddad M, Abou Chedid JC, Daou, M. Characteristics of Pediatric and Medically Compromised Patients Treated under General Anesthesia in a Middle Eastern Country. Thejournal of contemporary dental practice. 2021; 22(4), 388-393.
  • Savanheimo N, Vehkalahti MM. Five-year follow-up of children receiving comprehensive dental care under general anesthesia. BMC oral health. 2014; 14(1), 1-8.
  • Chen CY, Chen YW, Tsai TP, Shih WY. Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. Journal of the Chinese Medical Association. 2014; 77(4), 198-202.
  • Pecci-Lloret MP, Guerrero-Gironés J, López-González B, Rodríguez-Lozano FJ, Oñate-Cabrerizo D, Oñate-Sánchez RE, Pecci-Lloret MR. Dental treatments under general anesthesia on children with special health care needs enrolled in the Spanish dental care program. Journal of Clinical Medicine. 2021; 10(2), 182.
  • Lim MAWT, Borromeo GL. The use of general anesthesia to facilitate dental treatment in adult patients with special needs. Journal of dental anesthesia and pain medicine. 2017; 17(2), 91-103.
  • Çına Aksoy M, Akpınar H. Ağız Diş Çene Cerrahisinde Sedasyon Uygulamaları ve Diş Çekimlerinin Retrospektif Olarak Değerlendirilmesi 2019.
  • Şahutoğlu C, Karaca N, Karaman S, Kocabaş NS, Alper I, Uyar M, Aşkar FZ. Günübirlik anestezi uygulamalarımız ve gelişen komplikasyonlar. Ege Tıp Dergisi. 2021; 60(4), 354-364.
  • Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, Liu PL. A clinical sign to predict difficult trachealintubation: a prospecti vestudy. Can AnaesthSoc J 1985; 32: 429-34.
  • Uzun Ş, Erdoğan N, Celebi N, Celiker V. Sifilizli olguda zor entubasyon. Turk Anest Rean Der Dergisi. 2007; 35: 64-7.
  • Sari ME, Ozmen B, Koyuturk AE, Tokay U. 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.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Onur Gezgin 0000-0002-6550-0618

Publication Date August 24, 2022
Submission Date April 8, 2022
Published in Issue Year 2022 Volume: 9 Issue: 2

Cite

Vancouver Gezgin O. Çocuklarda Genel Anestezi ve Sedasyon Altında Uygulanan Dental Tedavilerin Retrospektif Değerlendirilmesi. Selcuk Dent J. 2022;9(2):359-63.