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Pediatric Dentistry and General Anesthesia

Yıl 2019, Cilt: 19 Sayı: 3, 658 - 664, 30.09.2019

Cansu Özşin Özler Tülin İleri Keçeli Meryem Uzamış Tekçiçek

https://doi.org/10.17098/amj.624720

Öz

Dental caries and periodontal diseases are important
public health problems. Pediatric dentists are responsible for the prevention
of these diseases, as well as the appropriate treatment. However, it may not
always be possible to fulfill the essential treatment procedure especially in
young, disabled children as well as in children with systemic diseases. General
anesthesia, is one of the advanced behavioral techniques used in pediatric
dentistry in some special cases where treatment cannot be performed in the
clinical setting. This method is frequently used in children who are not
compatible, who have an advanced fear of dental treatment, who need plenty of
dental procedures, and major surgical procedures as well as those who have
severe nausea reflex. Although general anesthesia in dentistry seems to be an
efficient treatment service in terms of completing all procedures in one
session  regardless of patient
cooperation, care should be taken by regarding the risks to the general health
of the patient when deciding on general anesthesia . It is recommended that it
should be performed in an environment where all necessary equipment for general
anesthesia  and an experienced
anesthetist team are present.

Anahtar Kelimeler

Anesthesia general pedodontics

Kaynakça

  • Organization WHO. https://www.who.int/news-room/fact-sheets/detail/oral-health. [Date of access: 17.06.2019].
  • Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007; 369:51-9.
  • Gokalp SG, Dogan BG, Tekcicek MT, Berberoglu A, Unluer S. National survey of oral health status of children and adults in Turkey. Community Dent Health. 2010;27:12-7.
  • Cameron AC, Widmer RP. Dental Caries. In: Cameron AC, Widmer RP, editors. Handbook of Pediatric Dentistry Mosby; Elsevier; 2013.
  • Bonecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res 2012; 26(1):103-7.
  • Pitts NB, Ekstrand KR, Foundation I. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:e41-52.
  • AAPD. Behaviour Guidance for the pediatric dental patient. Reference Manual 2015;40(6):18-9.
  • Savanheimo N, Sundberg SA, Virtanen JI, Vehkalahti MM. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service. BMC Oral Health 2012;12:45.
  • Silva C, Lavado C, Areias C, Mourao J, Andrade D. Conscious sedation vs general anesthesia in pediatric dentistry - a review. MedicalExpress (São Paulo, online) 2015;2(1):M150104.
  • Rashewsky S, Parameswaran A, Sloane C, Ferguson F, Epstein R. Time and cost analysis: pediatric dental rehabilitation with general anesthesia in the office and the hospital settings. Anesth Prog 2012;59:147-53.
  • AAPD. Policy for selecting anesthesia providers for the delivery of office-based deep-sedation /general anesthesia. https://www.aapd.org/research/oral-health-policies--recommendations/selecting-anesthesia-providers-for-the-delivery-of-office-based-deep-sedation-general-anesthesia/, Erişim tarihi: 17.06.2019.
  • No authors listed. Use of Anesthesia Providers in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient. Pediatr Dent 2017;39:308-11.
  • Kannikeswaran N, Mahajan PV, Sethuraman U, Groebe A, Chen X. Sedation medication received and adverse events related to sedation for brain MRI in children with and without developmental disabilities. Paediatr Anaesth 2009; 19:250-6.
  • Association AD. Guidelines for the use of sedation and general anesthesia by dentists. http://www.ada.org/~/media/ADA/Education%20and%20Careers/Files/anesthesia_use_guidelines.pdf, Erişim tarihi: 17.06.2019.
  • Burgette JM, Quinonez RB. Cost-effectiveness of Treating Severe Childhood Caries under General Anesthesia versus Conscious Sedation. JDR Clin Trans Res. 2018;3:336-45.
  • Chen YP, Hsieh CY, Hsu WT, Wu FY, Shih WY. A 10-year trend of dental treatments under general anesthesia of children in Taipei Veterans General Hospital. J Chin Med Assoc 2017;80:262-8.
  • Rudie MN, Milano MM, Roberts MW, Divaris K. Trends and Characteristics of Pediatric Dentistry Patients Treated under General Anesthesia. J Clin Pediatr Dent 2018;42:303-6.
  • Shin B, Yoo S, Kim J, Kim S, Kim J. A survey of dental treatment under general anesthesia in a Korean university hospital pediatric dental clinic. J Dent Anesth Pain Med. 2016;16:203-8.
  • AAPD. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. 2016. https://www.aapd.org/media/policies_guidelines/p_eccclassifications.pdf, Erişim tarihi: 17.06.2019.
  • Akpinar H. Genel Anestezi altında dental tedavi yapılan olguların değerlendirilmesi. Cukurova Med J 2019; 44(2):341-6.
  • Guidry J, Bagher S, Felemban O, Rich A, Loo C. Reasons of repeat dental treatment under general anaesthesia: A retrospective study. Eur J Paediatr Dent. 2017; 18:313-8.
  • Yi Y, Lee J, Yi H, Asher S, Feldman L, Rivas-Morello C, et al. Variables Affecting General Anesthesia Time for Pediatric Dental Cases. Pediatr Dent 2015; 37:508-12.
  • Ganzberg S. The FDA Warning on Anesthesia Drugs. Anesth Prog 2017;64:57-8.
  • Davidson AJ, Sun LS. Clinical Evidence for Any Effect of Anesthesia on the Developing Brain. Anesthesiology 2018;128:840-53.
  • Clark HM, Saxen MA, Yepes JF, Jones JE, Vinson LA, Eckert GJ, et al. Comparison of Intubated Versus Nonintubated Airway Management in Children Under General Anesthesia Provided by Dentist Anesthesiologists. Pediatr Dent 2019;41:52-5.
  • Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR. Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children. Anesth Prog 2018;65:225-30.
  • Lee HH, Milgrom P, Starks H, Burke W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth 2013;23:741-6.
  • Forsyth AR, Seminario AL, Scott J, Berg J, Ivanova I, Lee H. General anesthesia time for pediatric dental cases. Pediatr Dent 2012;34:129-35.

Çocuk Diş Hekimliği ve Genel Anestezi

Yıl 2019, Cilt: 19 Sayı: 3, 658 - 664, 30.09.2019

Cansu Özşin Özler Tülin İleri Keçeli Meryem Uzamış Tekçiçek

https://doi.org/10.17098/amj.624720

Öz




 Diş
çürüğü ve diş eti hastalıkları önemli halk sağlığı problemlerindendir. Çocuk
diş hekimleri bu hastalıkların önlenmesi ve hastalıklardan korunmadaki esas
görevlerinin yanı sıra, uygun tedavilerinin yapılmasından da sorumludur. Ancak
özellikle küçük, sistemik hastalığı olan ve engelli çocukların diş hekimliği
klinik ortamında gerekli tedavileri yapılamayabilir.  Genel anestezi; çocuk diş hekimliğinde, tedavinin
klinik ortamda uygulanamadığı bazı özel durumlarda başvurulan ileri davranış
önlendirme tekniklerinden biridir. Bu yöntem uyumlu olmayan, ileri düzeyde diş
tedavisi korkusu olan, çok fazla dental işlem gereksinimi olan çocuklarda,
büyük cerrahi işlemler gerekliliğinde ve şiddetli bulantı refleksi olan
çocuklarda sıklıkla tercih edilmektedir. Diş hekimliğinde genel anestezi ile
tek seansta tüm işlemlerin tamamlanabilmesi ve hasta uyumu gerektirmemesi
bakımından verimli bir tedavi hizmeti gibi görünse de, hastanın genel sağlığı
açısından riskler taşıyor olması nedeniyle genel anesteziye karar verilirken
çok dikkatli olunmalıdır. Genel anestezi için gerekli tüm donanımın olduğu bir
ortamda ve tecrübeli bir anestezist sorumluluğundaki ekip tarafından
uygulanması önerilir.

Anahtar Kelimeler

Anestezi genel pedodonti

Kaynakça

  • Organization WHO. https://www.who.int/news-room/fact-sheets/detail/oral-health. [Date of access: 17.06.2019].
  • Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007; 369:51-9.
  • Gokalp SG, Dogan BG, Tekcicek MT, Berberoglu A, Unluer S. National survey of oral health status of children and adults in Turkey. Community Dent Health. 2010;27:12-7.
  • Cameron AC, Widmer RP. Dental Caries. In: Cameron AC, Widmer RP, editors. Handbook of Pediatric Dentistry Mosby; Elsevier; 2013.
  • Bonecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res 2012; 26(1):103-7.
  • Pitts NB, Ekstrand KR, Foundation I. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:e41-52.
  • AAPD. Behaviour Guidance for the pediatric dental patient. Reference Manual 2015;40(6):18-9.
  • Savanheimo N, Sundberg SA, Virtanen JI, Vehkalahti MM. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service. BMC Oral Health 2012;12:45.
  • Silva C, Lavado C, Areias C, Mourao J, Andrade D. Conscious sedation vs general anesthesia in pediatric dentistry - a review. MedicalExpress (São Paulo, online) 2015;2(1):M150104.
  • Rashewsky S, Parameswaran A, Sloane C, Ferguson F, Epstein R. Time and cost analysis: pediatric dental rehabilitation with general anesthesia in the office and the hospital settings. Anesth Prog 2012;59:147-53.
  • AAPD. Policy for selecting anesthesia providers for the delivery of office-based deep-sedation /general anesthesia. https://www.aapd.org/research/oral-health-policies--recommendations/selecting-anesthesia-providers-for-the-delivery-of-office-based-deep-sedation-general-anesthesia/, Erişim tarihi: 17.06.2019.
  • No authors listed. Use of Anesthesia Providers in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient. Pediatr Dent 2017;39:308-11.
  • Kannikeswaran N, Mahajan PV, Sethuraman U, Groebe A, Chen X. Sedation medication received and adverse events related to sedation for brain MRI in children with and without developmental disabilities. Paediatr Anaesth 2009; 19:250-6.
  • Association AD. Guidelines for the use of sedation and general anesthesia by dentists. http://www.ada.org/~/media/ADA/Education%20and%20Careers/Files/anesthesia_use_guidelines.pdf, Erişim tarihi: 17.06.2019.
  • Burgette JM, Quinonez RB. Cost-effectiveness of Treating Severe Childhood Caries under General Anesthesia versus Conscious Sedation. JDR Clin Trans Res. 2018;3:336-45.
  • Chen YP, Hsieh CY, Hsu WT, Wu FY, Shih WY. A 10-year trend of dental treatments under general anesthesia of children in Taipei Veterans General Hospital. J Chin Med Assoc 2017;80:262-8.
  • Rudie MN, Milano MM, Roberts MW, Divaris K. Trends and Characteristics of Pediatric Dentistry Patients Treated under General Anesthesia. J Clin Pediatr Dent 2018;42:303-6.
  • Shin B, Yoo S, Kim J, Kim S, Kim J. A survey of dental treatment under general anesthesia in a Korean university hospital pediatric dental clinic. J Dent Anesth Pain Med. 2016;16:203-8.
  • AAPD. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. 2016. https://www.aapd.org/media/policies_guidelines/p_eccclassifications.pdf, Erişim tarihi: 17.06.2019.
  • Akpinar H. Genel Anestezi altında dental tedavi yapılan olguların değerlendirilmesi. Cukurova Med J 2019; 44(2):341-6.
  • Guidry J, Bagher S, Felemban O, Rich A, Loo C. Reasons of repeat dental treatment under general anaesthesia: A retrospective study. Eur J Paediatr Dent. 2017; 18:313-8.
  • Yi Y, Lee J, Yi H, Asher S, Feldman L, Rivas-Morello C, et al. Variables Affecting General Anesthesia Time for Pediatric Dental Cases. Pediatr Dent 2015; 37:508-12.
  • Ganzberg S. The FDA Warning on Anesthesia Drugs. Anesth Prog 2017;64:57-8.
  • Davidson AJ, Sun LS. Clinical Evidence for Any Effect of Anesthesia on the Developing Brain. Anesthesiology 2018;128:840-53.
  • Clark HM, Saxen MA, Yepes JF, Jones JE, Vinson LA, Eckert GJ, et al. Comparison of Intubated Versus Nonintubated Airway Management in Children Under General Anesthesia Provided by Dentist Anesthesiologists. Pediatr Dent 2019;41:52-5.
  • Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR. Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children. Anesth Prog 2018;65:225-30.
  • Lee HH, Milgrom P, Starks H, Burke W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth 2013;23:741-6.
  • Forsyth AR, Seminario AL, Scott J, Berg J, Ivanova I, Lee H. General anesthesia time for pediatric dental cases. Pediatr Dent 2012;34:129-35.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Cansu Özşin Özler

Tülin İleri Keçeli Bu kişi benim

Meryem Uzamış Tekçiçek Bu kişi benim

Yayımlanma Tarihi 30 Eylül 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 19 Sayı: 3

Kaynak Göster

APA Özşin Özler, C., İleri Keçeli, T., & Uzamış Tekçiçek, M. (2019). Çocuk Diş Hekimliği ve Genel Anestezi. Ankara Medical Journal, 19(3), 658-664. https://doi.org/10.17098/amj.624720
AMA Özşin Özler C, İleri Keçeli T, Uzamış Tekçiçek M. Çocuk Diş Hekimliği ve Genel Anestezi. Ankara Med J. Eylül 2019;19(3):658-664. doi:10.17098/amj.624720
Chicago Özşin Özler, Cansu, Tülin İleri Keçeli, ve Meryem Uzamış Tekçiçek. “Çocuk Diş Hekimliği Ve Genel Anestezi”. Ankara Medical Journal 19, sy. 3 (Eylül 2019): 658-64. https://doi.org/10.17098/amj.624720.
EndNote Özşin Özler C, İleri Keçeli T, Uzamış Tekçiçek M (01 Eylül 2019) Çocuk Diş Hekimliği ve Genel Anestezi. Ankara Medical Journal 19 3 658–664.
IEEE C. Özşin Özler, T. İleri Keçeli, ve M. Uzamış Tekçiçek, “Çocuk Diş Hekimliği ve Genel Anestezi”, Ankara Med J, c. 19, sy. 3, ss. 658–664, 2019, doi: 10.17098/amj.624720.
ISNAD Özşin Özler, Cansu vd. “Çocuk Diş Hekimliği Ve Genel Anestezi”. Ankara Medical Journal 19/3 (Eylül 2019), 658-664. https://doi.org/10.17098/amj.624720.
JAMA Özşin Özler C, İleri Keçeli T, Uzamış Tekçiçek M. Çocuk Diş Hekimliği ve Genel Anestezi. Ankara Med J. 2019;19:658–664.
MLA Özşin Özler, Cansu vd. “Çocuk Diş Hekimliği Ve Genel Anestezi”. Ankara Medical Journal, c. 19, sy. 3, 2019, ss. 658-64, doi:10.17098/amj.624720.
Vancouver Özşin Özler C, İleri Keçeli T, Uzamış Tekçiçek M. Çocuk Diş Hekimliği ve Genel Anestezi. Ankara Med J. 2019;19(3):658-64.
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