Retrospective evaluation of sedation techniques for tooth extraction in pediatric patients

Yıl 2018, Volume: 21 Issue: 2, 116 - 122, 20.07.2018

Dilek Günay Canpolat Nükhet Kütük Canay Yılmaz Asan Alper Alkan

https://doi.org/10.7126/cumudj.400765

Öz

Objective: Due to
lack of past experiences and cooperation in anxious and fearful children,
tooth
extraction may be difficult to manage in dentistry.  The aims of this retrospective study were to evaluate
the various sedation techniques, complications and the characteristics of
children whose tooth extraction were performed with deep sedation.

Materials and Methods: After
approval by the Local Ethics Committee, a retrospective analysis was performed
using the records of 885 patients between the ages of 1-15 years, between 2012
and 2014, and treated with deep sedation for tooth extraction. The authors
described the characteristics of children, the various sedation techniques and
complications.

Results: The mean weight of the
patients was 20.09±7.3 kilogram and the mean age was 5.72±2.5 years. The
mean duration of the operations was 16.14±5.4 minutes. Propofol, ketamine,
propofol-ketamine combination, alfentanil, midazolam, sevoflurane inhalation,
sevoflurane inhalation+propofol were used fpr the anesthesia. There were no
statistically significant differences among the anesthesic agents, nausea and
vomiting (p=0.09),  and sore throat
(p=0.857) and arrhythmia, bronchospasm and hypoxia (p>0.05).

Conclusions: We
concluded that, propofol was a better option for deep sedation in pediatric
dental extraction due to short duration time, rapid recovery and less
nausea-vomiting. Ketamine-propofol combination may be used as an alternative to
propofol alone.

Anahtar Kelimeler

children, sedation, tooth, extraction

Kaynakça

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