Outcomes of dental procedures performed on children under general anesthesia

2004 ◽  
Vol 27 (2) ◽  
pp. 181-183 ◽  
Author(s):  
Ali Al-Eheideb ◽  
Neal Herman
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
Positive Outcome ◽  
High Rate ◽  
Definitive Treatment ◽  
Class Iii ◽  
Posterior Teeth ◽  
Composite Restorations ◽  
Anterior Teeth ◽  
Dental Procedures

The purpose of this study was to evaluate the integrity and longevity of restorative and pulpal procedures performed on primary teeth under general anesthesia (GA). Fifty-four children, who received comprehensive dental treatment under general anesthesia between 1993 and 1995, were included. The postoperative examination period ranged from 6 to 27 months. Children were examined and the quality of the restorations were recorded and evaluated. Behavior problems and inability to cooperate were the main reasons for treatment under GA. Results showed that restoration of posterior teeth with stainless steel crowns (SSC) were more successful (95.5%) when compared to amalgam or composite restorations (50%). In the anterior teeth, strip crowns had a success rate similar to that of Class III, IV and V composite resin materials. Pulpotomies showed an extremely high rate of success (97.1%), while sealants were retained 68.3% of the time. In conclusion, SSC are more likely to be successful and last longer than multisurface amalgam or composite restorations in children treated under general anesthesia. Definitive treatment is more likely to ensure a more positive outcome for children treated under general anesthesia due to less frequent complications from failed restorations or pulpal procedures.

A Retrospective Audit of Dental Treatment Provided to Special Needs Patients under General Anesthesia During a Ten-Year Period

2018 ◽  
Vol 42 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Sreekanth Kumar Mallineni ◽  
Cynthia Kar Y Yiu
Keyword(s):  
Stainless Steel ◽  
General Anesthesia ◽  
Special Needs ◽  
Recovery Time ◽  
Dental Treatment ◽  
Composite Restorations ◽  
Dental Procedures ◽  
Significant Difference ◽  
Operative Recovery ◽  
Amalgam Restorations

Objective: The purpose of this study was to perform a comprehensive audit of dental treatment provided to special needs patients (SNP) under general anesthesia (GA) over a ten-year period. Study design: Special needs patients who received dental treatment under GA as an in-patient at Queen Mary Hospital, Hong Kong SAR during the time period January 2002 and December 2011 were included in the study. The study population was divided into three groups, based on age (<6years, 6–12 years, >12 years). One-way ANOVA was used to evaluate the effect of “age group” on duration of treatment, post-recovery time, treatment procedures and utilization of different restorative materials. Kappa statistics were used for intra-examiner reliability. Results: A total of 275 patients (174 males and 101 females) were included in the study. The mean age of the patients at the time they received GA was 12.37±10.18 years. Dental procedures performed were mostly restorative in nature (47%). The >12 years group had significantly shorter treatment duration (p<0.05). No significant difference in post-operative recovery time was observed among the three age groups (p>0.05). The <6 years group received significantly less preventive, but more restorative procedures (p<0.05). Significantly fewer extractions were performed in the 6–12 years group (p<0.05). The use of composite restorations was significantly higher in the <6 years group; while amalgam restorations were more frequently used in the >12 years group (P<0.05). Stainless steel crowns were more frequently employed in SNP under 12 years of age (p<0.05). Intra-examiner reliability was good (k=0.94). Conclusions: Most of the dental procedures performed under GA on SNP were restorative procedures. For children less than 6 years of age, had longer treatment time under GA. Composite restorations and stainless steel crowns were more frequently used in the primary dentition and amalgam restorations were more frequently employed in the permanent dentition.

scholarly journals Dental treatment in child with congenital heart disease under general anesthesia: Clinical case report

2021 ◽  
Vol 10 (6) ◽  
pp. e56510615907
Author(s):  
Aluísio Eustáquio de Freitas Miranda Filho ◽  
Diego Henrique da Silva Soares ◽  
Petrus Leonardo Alves dos Santos ◽  
Marcelo Reis Chaves ◽  
Nádia Carolina Teixeira Marques ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
General Anesthesia ◽  
Congenital Heart ◽  
Dental Treatment ◽  
Heart Diseases ◽  
Structural Defects ◽  
Anterior Teeth ◽  
Dental Procedures

Congenital heart diseases consist of structural defects of the heart and represent serious malformations, which manifest in newborns, contributing significantly to perinatal mortality. The dental management of patients with this condition may require caution by professionals, owing to the possibility of bleeding and the risk of causing an infectious endocarditis due to the variety of microorganisms residing in the oral cavity. The present case report aimed to detail dental care under general anesthesia in a hospital for a child with congenital heart disease. Female patient, 4 years old, was diagnosed with atrial and interventricular communication and hemodynamic repercussion 21 days after birth. The patient received dental treatment according to the proposed plan, which included dental restorations, conservative pulp therapy and extraction of lower anterior teeth. Posteriorly, a removable partial prosthesis was made for the patient for the purpose of functional aesthetic rehabilitation. The use of general anesthesia may reduce the risk of infective endocarditis and allows the performance of several dental procedures with a single antibiotic prophylaxis, since the cardiac pediatric patient needs a correct planning of the procedures to be performed.

scholarly journals Dentinogenesis imperfecta type II

2020 ◽  
Author(s):  
Heloisa Aparecida Orsini Vieira ◽  
Aldevina Campos de Freitas ◽  
Regina Maura Fernandes ◽  
Daniele Lucca Longo ◽  
Raquel Assed Bezerra da Silva ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Well Being ◽  
Deciduous Teeth ◽  
Clinical Aspects ◽  
Type I ◽  
Osteogenesis Imperfecta Type ◽  
Type Ii ◽  
Dentinogenesis Imperfecta ◽  
Posterior Teeth ◽  
Anterior Teeth

Dentinogenesis imperfecta (DI) is a hereditary developmental disorder of dentin formation that can occur associated with osteogenesis imperfecta (type I), isolated (type II), or in a specific isolated resident group of Brandywine, in southern Maryland (type III). This work aims at reporting a clinical case of DI type II in childhood with a 34-year follow up. The child at issue was taken to the dental health service at a very young age, which favored an appropriate treatment, avoiding complications, and portending a favorable long-term prognosis, besides safeguarding the patient physical and mental well-being. The clinical aspects of this condition are teeth with short crowns and gray-brown coloration, and an altered consistency of affected dental elements. Radiographically, the teeth present bulbous crowns, cervical constriction, thin roots, and early obliteration of the root canal and pulp chambers due to excessive dentin production. Rehabilitation treatment included the use of stainless-steel crowns for reconstructing deciduous molars and composite resin restorations on the anterior deciduous teeth. As for permanent dentition, it consisted of aesthetic-functional rehabilitation using metal crowns on the first molars and ceramic crowns and facets on the anterior teeth. Endodontic, prosthetic and restorative treatment was performed on other posterior teeth. Preventive measures were instituted. DI may cause serious changes in dentin structure, affecting function and aesthetics in both dentitions. The sooner it is administered, the more promising the multidisciplinary dental treatment will be in promoting health and minimizing damage to affected individuals.

scholarly journals The different amount of composite and amalgam restoration in posterior teeth of patient

2014 ◽  
Vol 26 (1) ◽  
Author(s):  
Fitri Dwi Primadisya ◽  
Milly Armilia Andang
Keyword(s):  
Dental Caries ◽  
Dental Treatment ◽  
Dental Restoration ◽  
Posterior Teeth ◽  
Composite Restorations ◽  
Posterior Tooth ◽  
Amalgam Restoration ◽  
Significant Difference ◽  
Composite Restoration

Introduction: Dental caries is a problem that usually happens in the society. One of the treatments for dental caries is restoration. Dental restoration material which one usually used are compsite and amalgam. The aim of this research is to acknowledge the different amount between the usage of composite and amalgam restoration in posterior teeth of patient in RSKGM Bandung. Methods: Type of research was descriptive. Sample were taken from patients data who had dental treatment of composite and amalgam restoration in posterior teeth in RSKGM Bandung on 1st July – 31st December 2011. Differences result of two restoration inthis research analyzed with test-t analysis.Results: Total amount of posterior teeth restorated was 1485 teeth, which 1445 teeth were restored using composite and 40 teeth were restored using amalgam. It showed that the usage of composite restoration was more than amalgam restoration.Conclusion: there is a significant difference between the number of composite restorations and amalgam on the posterior tooth. The average number of composite restorations is greater than amalgam restoration.

scholarly journals Controversial and unresolved issues of modern therapeutic dentistry from the point of view of practical dentists (according to the survey-questionnaire)

2021 ◽  
Vol 19 (3) ◽  
pp. 142-147
Author(s):  
A. I. Nikolaev ◽  
A. N. Ginali ◽  
D. A. Glebova ◽  
A. N. Monakhova ◽  
A. V. Permyakova ◽  
...  
Keyword(s):  
Evidence Base ◽  
Point Of View ◽  
Survey Questionnaire ◽  
Endodontically Treated Teeth ◽  
Network Resource ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Dental Procedures ◽  
Based Medicine ◽  
Dental Professionals

Aim. Using the method of questionnaire survey of dentists to assess their awareness of the current problems of modern practical therapeutic dentistry.Materials and methods. The analysis of the results of a survey- questionnaire of 376 practical dentists, who is practicing a therapeutic dentistry (dentists with legal certificates in fields: ’’therapeutic dentistry” or "general practice dentistry"). Questioning of 238 dentists (63.3%) was carried out in person, questioning of 138 dentists (36.7%) was carried out remotely using the stomweb.com network resource.Results. Significant differences and contradictions in approaches to the implementation of key dental procedures were revealed: aesthetic restoration of anterior teeth, restoration of the contact surfaces of posterior teeth, adhesive preparation, therapeutic tactics for deep caries and reversible forms of pulpitis, approaches to the diagnosis and treatment of cervical non-carious dental defects, preparation tactics cavities, the use of intracanal pins in the restoration of endodontically treated teeth, attitudes towards teeth whitening, fluoride-containing toothpastes and electric toothbrushes, etc.Conclusions. The data obtained indicate the need for targeted scientific research, further trainings on a hans-on courses, addressing several studied issues, based on the principles of evidence-based medicine, as well as the expediency of reforming the education system for dental professionals in order to limit the dissemination of information that does not have scientific justification and/or evidence base.

Intra Operative Use of Anti Emetic Drugs for Children Undergoing Full Dental Rehabilitation under General Anesthesia. A Double Blind Randomized Clinical Trial

2016 ◽  
Vol 40 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Hisham Y El Batawi ◽  
Ahmed A Shorrab
Keyword(s):  
Clinical Trial ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Postoperative Nausea And Vomiting ◽  
Control Group ◽  
Double Blind ◽  
Dental Procedures ◽  
Dental Staff ◽  
Significant Difference ◽  
Dental Rehabilitation

Background: Postoperative Nausea and Vomiting (PONV) is a common complication following dental treatment under general anesthesia (DGA) that may lead to unplanned hospitalization, increased costs and dissatisfaction of parents. Aim: To investigate the incidence of Postoperative Vomiting (POV) on children who underwent dental rehabilitation under general anesthesia and to compare possible preventive effect of Dexamethasone and Ondansetron on occurrences of POV. Study design: A double blind randomized parallel clinical trial was carried out on 352 ASA I children who underwent DGA in a private Saudi hospital in Jeddah. Children were allocated randomly to four groups. Group D of 91 children, received Dexamethasone PONV prophylaxis, group O of 87 children received Ondansetron, group DO of 93 children received combination of the two drugs and group C the control group of 81 children. The three groups were investigated by blinded dental staff for POV episodes, number of times analgesia was needed and post anesthesia care unit time (PACUT). Results: There was a no significant difference between the two drugs on POV. There was a significant difference in POV between control group and groups D, O, and DO. There was significant reduction in need for analgesia in the Dexamethasone groups. The three groups, which had PONV prophylaxis, showed significant reduction in PACUT compared to control group. Conclusions: Antiemetic drugs are useful adjuncts in DGA. Some dental procedures may have higher emetic potential than others. The type of dental procedures done is to be considered when deciding the drug profile in children undergoing DGA.

Epidemiological profile of patients with disabilities undergoing dental treatment under general anesthesia

2021 ◽  
Vol 50 ◽  
Author(s):  
Cyntia Paula Oliveira de Souza LIMA ◽  
Graziane Ribeiro COUTO ◽  
Alina Lúcia de Oliveira BARROS ◽  
Gabriela Mancia de GUTIERREZ ◽  
Maria Teresa Botti Rodrigues SANTOS
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
The State ◽  
Radiographic Examination ◽  
Preventive Actions ◽  
Dental Procedures ◽  
Dental Intervention ◽  
Patients With Special Needs ◽  
Epidemiological Profile

Abstract Introduction General anesthesia is commonly used in the dental treatment of people with disabilities, anxious or difficult behavior, who need complex and/or extensive treatments. Objective The aim of this study was to evaluate the epidemiological profile of patients with disabilities undergoing dental treatment under general anesthesia by the team of the Dental Unit for Patients with Special Needs of the Federal University of Sergipe. Material and method Through the analysis of 371 dental records of patients assisted between August 2002 and March 2019. Result The analysis showed that 56.1% of patients were male, the most prevalent age group was 11-20 years, and the most frequent medical conditions were intellectual disability, followed by multiple disabilities. Relative to dental procedures, in 94.1% of the patients, it was observed that 4,056 dental extractions were performed and in 52.3% of patients, 1,156 restorations were performed. In 30.2% of patients, total multiple extractions were performed. Radiographic examination was performed in 51.8% of patients. As regards the origin of patients, 58.8% were from municipalities in the state, other than the capital. Return to the service for follow-up and prevention was observed in 38.5% of patients. Conclusion There is great need for early dental intervention, with specific preventive actions for this group of patients, focusing on those from interior regions of the state.

The Use of General Anesthesia in Pediatric Dental Care of Children at Multi-Dental Centers in Saudi Arabia

2008 ◽  
Vol 33 (2) ◽  
pp. 147-154 ◽  
Author(s):  
Rania Ba'akdah ◽  
Najat Farsi ◽  
Abdulaziz Boker ◽  
Abdullah Al Mushayt
Keyword(s):  
Saudi Arabia ◽  
General Anesthesia ◽  
Dental Care ◽  
Dental Treatment ◽  
Medical Condition ◽  
Medical Status ◽  
Dental Procedures ◽  
The Mean ◽  
Admission Type ◽  
First Time

Objective: High caries reports in young Saudi children strongly suggest the need occasionally for general anesthesia to provide quality dental work. The purpose of this study was to investigate the characteristics of patients, dental procedures and hospital protocols for Pediatric Dental General Anesthesia (PDGA) procedure at multi-dental centers in Jeddah, Saudi Arabia. Study Design: Study sample included 90 children attending PDGA treatment at three governmental hospitals in Jeddah. Collected data included patient's demographics, medical condition, admission type, intra-operative protocols, and dental procedures.Results: Results showed the mean age of treated children was 5±2 years and the majority of them (93%)were treated for the first time under general anesthesia (GA). Long waiting duration for PDGA procedure was reported regardless of the patient age and medical status. Being very young with extensive caries was the major indication for GA (58%). Children mean preoperative fasting times were 10 ± 2 hours. Hospitals were significantly different in some protocols for PDGA procedures. Child behavior during GA induction was significantly related to child's age, premedication use, and hospital admission type. The mean number of treated teeth per child was 14±3.8 and the treatment mostly included restorations. Age was found to significantly affect the type of dental treatment, while gender and medical status did not. Conclusions: PDGA procedure is used mostly for young children with extensive dental caries. Children treated under GA received a comprehensive dental care in Saudi hospitals. Efforts should be directed to improve some of the existing hospitals protocols with PDGA procedure. The long waiting period for PDGA operation indicated the need to improve available facilities in the three hospitals.

scholarly journals Quantification of the Dental Morphology of Orangutans

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
P. Nambiar ◽  
J. John ◽  
Samah M. Al-Amery ◽  
K. Purmal ◽  
W. L. Chai ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Dental Morphology ◽  
Crown Height ◽  
Posterior Teeth ◽  
Crown Length ◽  
Bornean Orangutan ◽  
Anterior Teeth ◽  
Root Canal Morphology ◽  
Canal Morphology

Orangutans are believed to have close biological affinities to humans. Teeth being the hardest tissue provide useful information on primate evolution. Furthermore, knowledge of the pulp chamber and root canal morphology is important for dental treatment. A female Bornean orangutan and a Sumatran male orangutan skull were available for this study. Both of their dentitions, comprising 50 teeth, were scanned employing the cone-beam computed tomography for both metrical and nonmetrical analyses. Measurements included tooth and crown length, root length, enamel covered crown height, root canal length (posterior teeth), length of pulpal space (anterior teeth), and root canal width. Nonmetrical parameters included number of canals per root, number of foramina in each root, and root canal morphology according to Vertucci’s classification. It was found that the enamel covered crown height was the longest in the upper central incisors although the canine was the longest amongst the anterior teeth. Both the upper premolars were three-rooted while the lower second premolar of the Sumatran orangutan was two-rooted, with two foramina. The mandibular lateral incisors of the Bornean orangutan were longer than the central incisors, a feature similar to humans. In addition, secondary dentine deposition was noticed, a feature consistent with aged humans.

Sign in / Sign up

Export Citation Format

Share Document