The Use of General Anesthesia in Behavior Management

2014 ◽  
pp. 185-195
Author(s):  
Marcio A. da Fonseca ◽  
Travis Nelson
Keyword(s):  
General Anesthesia ◽  
Behavior Management

scholarly journals Oral Health Care Delivery for Children During COVID-19 Pandemic—A Retrospective Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Avia Fux-Noy ◽  
Luna Mattar ◽  
Aviv Shmueli ◽  
Elinor Halperson ◽  
Diana Ram ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Deep Sedation ◽  
Care Delivery ◽  
Medical Center ◽  
Pediatric Dentistry ◽  
Control Measures ◽  
Healthy Children ◽  
Efficient Treatment ◽  
Dental Staff

Aim: COVID-19 outbreak and the lockdown period following was a very challenging time for pediatric dentistry. We aimed to find whether the characteristics of dental care provided to children at the Department of Pediatric Dentistry at Hadassah medical center, Jerusalem, Israel, differed between the periods, before COVID-19 outbreak, during the lockdown period and during the period that followed it.Materials and Methods: We retrospectively reviewed computerized records of patients who visited the pediatric dental clinic at three different periods: pre-lockdown period, lockdown period, and post-lockdown period.Results: Nine-hundred and forty-nine children were included in the study; most of them were healthy children between 3 and 6 years old. During lockdown, all scheduled appointments except for treatments under general anesthesia and deep sedation were canceled due to the government's restrictions; the frequency of treatments with non-pharmacological behavior management, general anesthesia or deep sedation was higher than in the previous or subsequent periods and the use of inhaled/conscious sedation was significantly lower. During lockdown most of the children were diagnosed with dentoalveolar abscess (32.3%), compared to 14 and 21% at the previous or subsequent periods, respectively (P < 0.001). Treatments combination during lockdown included more extractions, pulpectomies and pulp extirpation and less permanent restorations (P < 0.001). None of the staff members was infected with COVID-19 at the clinic during these periods. We concluded that dentists should be updated about Covid-19 modes of transmission and the recommended infection control measures in dental settings. Effective management protocols can help the dental staff to continue to provide efficient treatment and prevent Covid-19 contamination.

Success of Dental Treatments under Behavior Management, Sedation and General Anesthesia

2019 ◽  
Vol 43 (6) ◽  
pp. 413-416 ◽  
Author(s):  
Sigalit Blumer ◽  
Liora Costa ◽  
Benjamin Peretz
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Success Rates ◽  
Therapeutic Success ◽  
Risk Of Failure ◽  
Successful Approach ◽  
Dental Records ◽  
Amalgam Restorations ◽  
Care Study

Objective: To present comparative data with the aim of assisting the practitioner to choose between behavior modification (BM) techniques, pharmacologic sedation (N2O-O2 alone or combined with midazolam 0.5 mg/kg) or routine general anesthesia (GA) for the most successful approach in enabling pediatric dental care. Study design: Dental records of 56 children treated in a university dental clinic between 2006–2016 were reviewed, and data on age, gender, required treatment (amalgam restorations, composite restorations, pulpotomy, and stainless steel crowns [SSC]), treatment approaches and therapeutic success at final follow-up were retrieved. Results: Treatment under GA had the best success rates compared to both BM and pharmacologic sedation. N2O-O2 alone had a 6.1-fold greater risk of failure compared to N2O-O2+midazolam (p- <0.008). Amalgam restorations had a 2.61-fold greater risk of failure than SSC (p- <0.008). Conclusions: The GA mode yielded significantly greater success than the N2O-O2 mode alone. There were no significant differences in success rates between GA and combined midazolam 0.5 mg/kg+N2O-O2. When choosing restoration material, it is important to remember the high success rate of SSC compared to amalgam restoration.

scholarly journals Behavior Management Techniques Adopted by Pediatric Dentists in Egypt

2019 ◽  
Author(s):  
Samah Kanzel ◽  
Fatma Abdelgawad ◽  
Kamal El Motayam
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Young Patients ◽  
Parental Presence ◽  
Pediatric Dentist ◽  
Pediatric Dentists ◽  
Natural Response ◽  
Management Techniques ◽  
Behavior Management Techniques

Abstract Background: Dental treatment exposes the patients to an environment that may trigger natural response of fear, leading to difficulties in accepting treatment or even dental avoidance. The study aimed to identify the most common behavior management techniques (BMT) adopted by pediatric dentist in Egypt for managing uncooperative children. Methods: Questionnaires were hand delivered to pediatric dentists, which designed to record participants demographic and practice information, their current use of BMT, to determine the most common behavior management techniques used for each patient age; and their relationship to practitioner gender, total year in practice and position in the faculty. Results: Surveys were returned by 72 pediatric dentists (27.8% were males and 72.2% were females). Parental presence was practiced by all participants mainly for patients less than 2 years (93.1%). Tell-show-do was considered the most used technique (95.8%) for patients 3-5 years. Their employment of advanced techniques by respondents was less than basic techniques, being least for sedation and highest for general anesthesia mainly for the very young patients (73.2%). Conclusions: Presence of parents at the operatory became imperative for patients less than two years to gain their cooperation, unless general anesthesia will be used for them.

Children Oral Health Following Treatment under General Anesthesia: A Retrospective Study

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Oral Health ◽  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Caries Experience ◽  
P Value ◽  
Behavior Changes ◽  
Carious Lesions ◽  
Number Of Patients ◽  
Significant Difference

Introduction: Dental treatment for children can be provided and completed in dental chair using one or more behavior management methods applied in dentistry. When these methods did not work, special behavior management technique such as treatment under general anesthesia (GA) may be provided for optimal dental treatment. The purpose of this study was to evaluate long term oral health status such as oral hygiene (OH), recall rate, behavior changes and development of new or recurrent carious lesions in children who received dental treatment under GA. Methods: Data were collected retrospectively from dental records of 433 children who received dental treatment under GA between 2006 and 2010. Collected data looked at 1) Age, 2) Gender, 3) OH before treatment and at the recall visits, 4) Behavior changes, 5) New or recurrent caries experience, and 6) Treatment of these lesions. Results: Age of patients ranged between 2 and 13 yrs. Boys to girls were 223 (51%) to 210 (48%) respectively. OH post operatively was significantly improved in comparison to that before treatment (p-Value < 0.0001). However, OH was almost the same among patients who attended recall visits (p-Value = 0.79). Number of patients who attended recall visits reduced significantly by time (p-Value < 0.0001). There was significant improvement in patient cooperation post operatively in comparison to that pre-operatively (p-Value < 0.0001). There was no significant difference in the incidence of new or recurrent carious lesions through recall visits (p-Value = 0.73). Conclusion: Dental treatment under GA did not seem to be effective in the improvement of OH or in reducing caries experience. However, children behavior showed some improvement in the follow up visits due to no active treatment required or simple dental procedures may be implemented.

Comprehensive Dental Care of Pediatric Patients Treated Under General Anesthesia in a Hospital Setting in Saudia Arabia

2006 ◽  
Vol 7 (1) ◽  
pp. 79-88 ◽  
Author(s):  
Manal Ibrahim Al-Malik ◽  
Maha Abdulla Al-Sarheed
Keyword(s):  
General Anesthesia ◽  
Dental Care ◽  
Behavior Management ◽  
Pediatric Patients ◽  
Dental Treatment ◽  
Hospital Setting ◽  
Oral Rehabilitation ◽  
Main Indication ◽  
Restorative Treatment ◽  
The Mean

Abstract The aims of this study were to determine the characteristics of patients and type of dental treatment carried out using dental general anesthesia (DGA) during two years in a following three year period. A total of 182 patients received treatment between 1999 and 2001. The mean age was 4.9 years. The main indication for DGA was behavior management problems. Complete oral rehabilitation including complex restorative treatment and extractions was provided under DGA at a single visit. Failure to return for recalls was common; 83% of patients returned for the post-operative recall but only 26% after a three year period. Most of the patients requiring further treatment accepted it in the dental chair. Only one patient received a second DGA during the three years following treatment. Citation Al-Malik MI, Al-Sarheed MA. Comprehensive Dental Care of Pediatric Patients Treated Under General Anesthesia in a Hospital Setting in Saudi Arabia. J Contemp Dent Pract 2006 February;(7)1:079-088.

scholarly journals Mothers' perceptions about pediatric dental sedation as an alternative to dental general anesthesia

2015 ◽  
Vol 63 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Alessandra Rodrigues de Almeida LIMA ◽  
Marcelo MEDEIROS ◽  
Luciane Rezende COSTA
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Dental Treatment ◽  
Parental Perceptions ◽  
Negative Behavior ◽  
Moderate Sedation ◽  
The Poor ◽  
Oral Sedation ◽  
Pharmacological Method ◽  
Insight Into

OBJECTIVE: Moderate sedation has limits in managing children's behavior. Existing literature lacks insight into parental perceptions about the topic. This study aimed to understand mothers' perceptions concerning sedation after their children undergone dental treatment under sedation. METHODS: Twelve mothers and one godmother of 1.3-8.4 year-old children with definitely negative behavior in the dental chair, who had dental treatment under oral sedation, were in depth interviewed according to a semi-structured guide. Responses were analysed using a thematic content method and deductive approach. Two general themes were addressed: "good facet" and "poor facet" of pediatric dental sedation. RESULTS: Analysis of interview transcripts indicated that participants perceived pediatric dental sedation according to two main analytical categories: the "good facet" and the "poor facet". The good facet included advantages of the procedure (e.g. safety, effective behavior management), rapport and completion of the treatment that was initially planned. The poor facet related to limitations of moderate sedation (when child kept struggling) and their own anxiety during the procedure. CONCLUSION: Despite their own stress, mothers were satisfied with this pharmacological method of behavior management.

scholarly journals The Assessment of the Acceptability of Behavior Management Techniques for Pediatric Patients by Their Mothers Referred to a Pediatric Dental Clinic in Tehran

2019 ◽  
pp. 1-5
Author(s):  
Nazanin Forghani
Keyword(s):  
General Anesthesia ◽  
Behavior Management ◽  
Control Method ◽  
Dental Health ◽  
Postgraduate Education ◽  
Dental Clinic ◽  
Cross Sectional ◽  
Voice Control ◽  
Management Techniques ◽  
Behavior Management Techniques

The use of behavior management techniques for the treatment of children who are uncooperative with a dentist is inevitable. Behavior management techniques are the methods that the dental health team could effectively treat the child and inspires a constructive dental attitude. Objective: Determining the acceptability of behavior management techniques by mothers referred to a pediatric dental clinic in Tehran (2017). Materials and Methods: This cross-sectional descriptive study was conducted in a pediatric dental clinic in Tehran. A film, including 4 different behavior management techniques such as general anesthesia(GA), parents’ separation(PS), Tell-Do-Show and voice control(VC) was produced. Before showing each method, a brief explanation of the characteristics and purposes of methods was given by a pediatric dentist in the film. A total of 50 mothers, referred to this private dental clinic, completed a questionnaire after observing any method in this film. The data were analyzed using t-test and Chi-square Results: 56% of the children were boys and 44% were girls, and they were in the age group of 3 to 10 years old, and children are ranked from first to fifth in the family. Mothers with a primary to postgraduate education were between the ages of 23-50 and had up to 5 kids. The acceptance of Tell-Do-Show by mothers was 100%, Voice Control was 92%, separating the child from parents was 50%, and General Anesthesia was 30%. There was a significant correlation between acceptance of voice control method with child's order, child's age and the number of children in a family, and also between the acceptance of general anesthesia by mothers with mother's education level and child's order (p <0.05). Conclusion: According to the findings, Tell-Do-Show method was the most common method which was accepted by mothers, and general anesthesia was the least accepted method by the mothers.

Success of Dental Treatments under Behavior Management, Sedation and General Anesthesia

2017 ◽  
Vol 41 (4) ◽  
pp. 308-311 ◽  
Author(s):  
Sigalit Blumer ◽  
Liora Costa ◽  
Benjamin Peretz
Keyword(s):  
General Anesthesia ◽  
Behavior Modification ◽  
Behavior Management ◽  
Success Rates ◽  
Therapeutic Success ◽  
Risk Of Failure ◽  
Successful Approach ◽  
Dental Records ◽  
Amalgam Restorations

Objective: To present comparative study aims to assist the practitioner to choose between behavior modification (BM) techniques, pharmacologic sedation (N2O-O2 alone or combined with midazolam 0.5 mg/ kg) or routine general anesthesia (GA) for the most successful approach in enabling pediatric dental care. Study design: Dental records of 56 children treated in a university dental clinic between 2006–2016 were reviewed, and data on age, gender, required treatment (amalgam restorations, composite restorations, pulpotomy, and stainless steel crowns [SSC]), treatment approaches and therapeutic success at final follow-up were retrieved. Results: Treatment under GA had the best success rates compared to both BM and pharmacologic sedation. N2O-O2 alone had a 6.1-fold greater risk of failure compared to N2O-O2+midazolam (p− &lt;0.008). Amalgam restorations had a 2.61-fold greater risk of failure than SSC (p− &lt;0.008). Conclusions: The GA mode yielded significantly greater success than the N2O-O2 mode alone. There were no significant differences in success rates between GA and combined midazolam 0.5 mg/kg+N2O-O2. When choosing restoration material, it is important to remember the high success rate of SSC compared to amalgam restoration.

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