A Survey of Dental Treatment under General Anesthesia in Division of Pediatric Dentistry, Ajou University Hospital

2014 ◽  
Vol 14 (4) ◽  
pp. 205 ◽  
Author(s):  
Soo-Yeon Choi ◽  
Eun-Kyung Kong ◽  
Kwang-Woo Baek
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
University Hospital

Oral Health Education in Children before Dental Treatment under General Anesthesia

2016 ◽  
Vol 40 (5) ◽  
pp. 417-421 ◽  
Author(s):  
Marie-Cécile Valéra ◽  
Isabelle Aragon ◽  
Paul Monsarrat ◽  
Fréderic Vaysse ◽  
Emmanuelle Noirrit-Esclassan
Keyword(s):  
Oral Health ◽  
General Anesthesia ◽  
Food Consumption ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
University Hospital ◽  
Preventive Program ◽  
Oral Rehabilitation ◽  
Parents And Children

Objective: The aim of this study was to evaluate the attitude of parents towards the oral health of their children before oral rehabilitation under general anesthesia (GA).Study design: Children receiving dental treatment under GA between November 2013 and July 2014 in the Pediatric Dentistry Department (University Hospital Center, Toulouse, France) were enrolled in an oral health preventive program. An anonymous questionnaire was self-administered by the parents during the pre-operative session. Results: The sample comprised 67 children with a mean age of 4.8 years. 48 % of the parents had difficulties in maintaining the oral hygiene of their child. Two thirds of them reported a lack of cooperation. An adult cleaned the child's teeth in 43% of the cases. 14% of the study population brushed their teeth twice a day or more. In addition, half of the parents reported that they modified food consumption or teeth cleaning habits of their children since the initial consultation. Conclusions: This study suggests a low compliance of parents and children with the recommendations on oral hygiene and food consumption given at the initial visit and demonstrates the feasibility of a preventive program in this population.

scholarly journals A survey of dental treatment under general anesthesia in a Korean university hospital pediatric dental clinic

2016 ◽  
Vol 16 (3) ◽  
pp. 203 ◽  
Author(s):  
Bisol Shin ◽  
Seunghoon Yoo ◽  
Jongsoo Kim ◽  
Seungoh Kim ◽  
Jongbin Kim
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
University Hospital ◽  
Dental Clinic ◽  
Hospital Pediatric

scholarly journals Prevalence of methylenetetrahydrofolate reductase gene polymorphisms (C677T, and A1298C) among Saudi children receiving dental treatment

2021 ◽  
Vol 41 (1) ◽  
pp. 1-7
Author(s):  
Amina M. Bagher ◽  
Alexander P. Young ◽  
Thikryat Neamatallah ◽  
Reham M. Al-Amoudi ◽  
Sara M. Bagher ◽  
...  
Keyword(s):  
Sample Size ◽  
Methylenetetrahydrofolate Reductase ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
University Hospital ◽  
Gene Variants ◽  
Cross Sectional ◽  
Dental Patients ◽  
Reductase Gene ◽  
King Abdulaziz University

BACKGROUND: Methylenetetrahydrofolate reductase, the encoded by the MTHFR gene, plays a crucial role in converting the amino acid homocysteine to methionine. Two polymorphisms of the MTHFR gene, C677T and A1298C, reportedly reduce enzyme activity, resulting in hyperhomocysteinemia. Patients with C677T and A1298C polymorphisms may be at higher risk for developing abnormal hyperhomocysteinemia, which has been linked to catastrophic neurological including fatal outcomes. OBJECTIVE: Determine the prevalence of the MTHFR gene variants C677T and A1298C among pediatric dental patients treated at King Abdulaziz University Hospital. DESIGN: Cross-sectional. SETTING: Clinics of pediatric dentistry department. SUBJECTS AND METHODS: Healthy Saudi children 6–12 years old with no known allergies were screened for eligibility between May and December 2019. A single investigator collected saliva samples. The MTHFR C677T and A1298C polymorphisms were analyzed using polymerase chain reaction and restriction fragment length polymorphism. MAIN OUTCOME MEASURE: The prevalence of MTHFR gene variants (C677T and A1298C) among the subjects. SAMPLE SIZE: 138. RESULTS: MTHFR C677T polymorphism was present in 36.2% of the sample and 90.0% of children carrying this allele were heterozygotes. MTHFR A1298C polymorphism was present in 91.3% of the sample and 77.0% of the children carrying this allele were heterozygotes. No linkage disequilibrium between MTHFR C677T and MTHFR A1298C was observed within this sample. CONCLUSIONS: Our study found a high frequency of the MTHFR A1298C genotype, which was substantially more abundant than expected based on a Hardy-Weinberg distribution. Therefore, caution is advised in using N 2 O in Saudi children as the increased prevalence of this MTHFR allele may increase the incidence of serious adverse effects among these children. LIMITATIONS: Further studies are recommended with a larger sample size from randomly selected hospitals from different regions of Saudi Arabia. CONFLICT OF INTEREST: None.

Perception of Protective Stabilization by Pediatric Dentists: A Qualitative Study

2020 ◽  
pp. 238008442096393
Author(s):  
M. Marty ◽  
A. Marquet ◽  
M.C. Valéra
Keyword(s):  
Dental Treatment ◽  
Physical Restraint ◽  
Psychological Impact ◽  
Young Patients ◽  
Pediatric Dentistry ◽  
University Hospital ◽  
Medical Team ◽  
Oxygen Inhalation ◽  
Pediatric Dentists ◽  
The Impact

Introduction: Pediatric dentists sometimes have to care for children who refuse to cooperate with the oral examination or dental treatment. Behavior management strategies are used, such as “tell-show-do,” distraction, and positive reinforcement. Anxiety management can also be performed by the use of conscious sedation (oral premedication, nitrous oxide/oxygen inhalation). Unfortunately, these techniques are sometimes insufficient for providing oral care, and protective stabilization may be an option in some situations. Little is known on the impact of physical restraint and how practitioners feel about it. The objective of this study was to evaluate the perception of dentists using protective stabilization for dental care in children. Methods: Semistructured qualitative interviews on the perception of pediatric dentists concerning protective stabilization were conducted in the pediatric dentistry department of the University Hospital of Toulouse, France. A thematic analysis of interview transcripts was provided via NVivo software. Results: This analysis highlighted 3 main themes. First, the perceptions of dentists concerning protective stabilization showed that this procedure has a major psychological impact and led to a feeling of professional failure. Second, the reasons for which the child was stabilized were described; these concerned the child (behavior, age, number of treatments) and the environment (the parents and the medical team). Finally, we detailed how dentists manage the effects of using of protective stabilization. Conclusion: Dental surgeons must balance their requirement to make concrete decisions regarding the provision of care with their personal convictions about protective stabilization. This study also shows the need for specific training on this subject, as well as the desire of certain dentists that public authorities implement legislation on this matter. Knowledge Transfer Statement: The findings of this study will improve the management of young patients by identifying situations where protective stabilization may be useful (age of the child, diagnosis, protection of the child or the medical team), while showing its psychological impact on practitioners. Finally, this work provides a basis for decision makers to propose a framework for the use of physical restraint.

scholarly journals Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment

2015 ◽  
Vol 6 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Sutharshana Vellingiri
Keyword(s):  
Patient Satisfaction ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Dental Care ◽  
Dental Treatment ◽  
Well Being ◽  
Healthcare Services ◽  
Pediatric Dentistry ◽  
Parental Satisfaction ◽  
Dental Practitioners

ABSTRACT Background Investigators have begun to address the relationship of parental satisfaction with dental care for children since the dentist/physician and the patient are all aware of the services being provided. These determining characters are essential for compliance of the patient, as patient satisfaction is directly related to health-related issues, needs, and practice. Patient satisfaction has an important role in determining the utilization of the healthcare services and the compliance behavior of the patients. Factors which can influence the patients’ decision to seek care and follow through to the completion of the treatment process can affect the physiologic and functional outcomes of the treatment. Hence, this survey was done to evaluate parent's preference to general or local anesthesia in their children's dental treatments. Materials and methods In this survey, a modified and adapted questionnaire from a previously tested survey that was used to assess parental satisfaction with dental treatments under general anesthesia in pediatric dentistry, was used to assess parents’ preference to general or local anesthesia. Parents whose children were going to undergo treatments in Department of Pedodontics, Saveetha Dental College, was issued with this questionnaire and clinical examination of teeth present and treatment to be done was examined. Results Ninety-seven percent of the parents preferred local anesthesia to general anesthesia. Parents preferred general anesthesia most only in case child below the age of 3 and when multiple settings are required of and their knowledge about anesthesia and its side effects was found to low and preferred local anesthesia in most cases. Conclusion Parents play a unique role in dental care and over all well being of the child. Some parents and dental practitioners prefer the presence of a parent with their child during the delivery of in-office dental care. Parents are aware of their child's previous dental experiences and are also aware of the child's interest and fear. Most of the parent's preference was to local anesthesia (97%) and preferred general anesthesia under given circumstances. How to cite this article Vellingiri S, Gurunathan D. Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment. World J Dent 2015;6(3):154-160.

Clinical Usefulness of Proseal Laryngeal Mask Airway for Anesthesia during Dental Procedures in Children

2015 ◽  
Vol 39 (2) ◽  
pp. 179-182 ◽  
Author(s):  
Young-Jae Kim ◽  
Hong-Keun Hyun ◽  
Jung-Wook Kim ◽  
Ki-Taeg Jang ◽  
Sang-Hoon Lee ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Oxygen Desaturation ◽  
Proseal Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
University Hospital ◽  
Anesthetic Care ◽  
Dental Procedures

Aim: Although the Proseal laryngeal mask airway (PLMA) has been widely used in anesthesia, little is known about its clinical effectiveness during dental procedures. We describe the clinical feasibility of the PLMA for managing airways in the field of pediatric dentistry. .Study design: We reviewed the medical records of children who underwent airway management with the use of the PLMA from January 2011 to December 2012 at an outpatient facility at Seoul National Dental University Hospital. Results: During the study period, the airways of 19 children were managed with the PLMA for dental procedures. During its placement, blood pressure and heart rate were stably maintained. There were no interruptions of the dental procedures. None of the children experienced oxygen desaturation or ventilation difficulty. In one patient, the PLMA was dislodged for a short time, but the problem was easily solved with repositioning. After transferring to the post-anesthetic care unit, there were no incidences of oxygen desaturation or vomiting. All of the children were discharged from the hospital without complications. Conclusion: The PLMA can be successfully used in airway management during dental treatment in children.

Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia

2017 ◽  
Vol 41 (6) ◽  
pp. 482-485 ◽  
Author(s):  
Alexandra Delfiner ◽  
Aaron Myers ◽  
Christie Lumsden ◽  
Steve Chussid ◽  
Richard Yoon
Keyword(s):  
General Anesthesia ◽  
Medical History ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Disease ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
And Behavior

Objective: To describe characteristics and identify common comorbidities of children receiving dental treatment under general anesthesia at Children's Hospital of New York-Presbyterian. Study design: Electronic medical records of all children that received dental treatment under general anesthesia through the Division of Pediatric Dentistry from 2012–2014 were reviewed. Data describing patient characteristics (age, sex, race/ethnicity, insurance carrier, and American Society of Anesthesiologists physical status classification system), medical history, and justification for treatment were collected. Descriptive statistics, including frequencies, percentages and t-tests, were calculated. Results: A total of 298 electronic medical records were reviewed, of which 50 records were excluded due to missing information. Of the 248 electronic medical records included, the average age was 5-years-old and 58% were male. The most common reason for dental treatment under general anesthesia was extent and severity of dental disease (53%), followed by significant medical history (47%) and behavior/pre-cooperative age (39%). Those who were ASA III or IV were older (6.6-years) (p<.001). Common medical comorbidities appear evenly distributed: autism (12%), cardiac anomalies (14%), developmental delay (14%), genetic syndromes/chromosomal disorders (13%), and neurological disorders (12%). Younger age groups (1 to 2 years and 3 to 5 years) had a high percentage of hospitalizations due to the extent and severity of the dental disease (83%) and behavior (77%) (p<0.001). Conclusions: No single comorbidity was seen more often than others in this patient population. The range of medical conditions in this population may be a reflection of the range of pediatric specialty services at Children's Hospital of NewYork-Presbyterian.

scholarly journals Knowledge and Awareness about Ketamine as Anaesthetic among Dental Students - A Survey

2020 ◽  
pp. 182-190
Author(s):  
Debarun David ◽  
Dhanraj Ganapathy
Keyword(s):  
Adverse Effects ◽  
General Anesthesia ◽  
Questionnaire Survey ◽  
Patient Management ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Adults And Children ◽  
Anxiety And Fear

Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. Pediatric dentistry often involves patients with high levels of anxiety and fear and possibly a few positive dental experiences. Patient management can involve behavioral approaches, as well as the use of sedation or general anesthesia with a variety of agents, including ketamine. The aim of this study was to assess the knowledge and awareness of ketamine as an anesthetic among dental students. A questionnaire survey was carried out online containing 10 questions that were sent to 100 dental students through survey planet software and the data was collected and statistically analysed. 74% of the students were aware about the uses and adverse effects of ketamine .Within the limits of this study, it may be concluded that most of the students were aware of ketamine as an anesthetic.

scholarly journals Kawasaki Disease and General Anesthesia for Dental Treatment: A Case Report

2021 ◽  
Vol 68 (3) ◽  
pp. 146-153
Author(s):  
Sarah Lee ◽  
David B. Guthrie ◽  
Ralph H. Epstein
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Kawasaki Disease ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Developed Countries ◽  
University Hospital ◽  
Coronary Artery Thrombosis ◽  
Dental Rehabilitation ◽  
Acquired Heart Disease

Kawasaki disease (KD) is an acute vasculitis of childhood and is the leading cause of acquired heart disease in children in developed countries. Failure to quickly diagnose and treat patients with KD can result in severe cardiac sequelae, especially coronary artery aneurysms (CAAs). Patients with a prior diagnosis of KD who require general anesthesia (GA) may present unique challenges depending on the severity of any cardiovascular sequelae. This case report describes the perioperative management of a 5-year-old male patient previously diagnosed with incomplete KD approximately 1 year before presenting to Stony Brook University Hospital for full mouth dental rehabilitation under GA. Most uniquely, the patient was at high risk for coronary artery thrombosis due to a giant CAA of his right coronary artery and a small CAA of his left anterior descending artery. The discussion also includes the implications of dental treatment under GA for patients with a history of KD.

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