Comparison of Canine Overlap in Pediatric Patients Requiring Stainless Steel Crown Placement Under General Anesthesia Before and After the Procedure

Objectives: Despite the increasing popularity of pediatric dental treatments under general anesthesia, information is scarce regarding occlusal changes in patients receiving stainless steel crowns (SSCs) under general anesthesia. This study sought to compare canine overlap before and after general anesthesia in children receiving SSCs. In case of a change, the possibility of returning to the preoperative state and the time required for this process were also evaluated. Materials and Methods: This interventional, before-and-after study was performed on 60 children between 2 to 7 years of age requiring dental treatment under general anesthesia. The contact point of the most prominent area of the maxillary primary canine and mandibular primary canine was marked before and immediately after general anesthesia and at one and two weeks postoperatively. The change in canine overlap was analyzed using repeated measures analysis of variance (ANOVA) and linear regression test. Results: Canine overlap significantly decreased immediately after general anesthesia (P<0.05). The mean bite opening was 0.51±0.22 mm at the site of the right canine and 0.50±0.185 mm at the site of the left canine. These values returned to their normal preoperative state after one week (P<0.05). Repeated measures ANOVA showed significant differences in this respect between the time points (P=0.002). Conclusions: The occlusion and vertical dimension of pediatric patients may change following dental treatment under general anesthesia; the magnitude of change in canine overlap may vary depending on the class of occlusion and number of SSCs placed. These changes are temporary and often resolve within a week.

Download Full-text

Effect of Intrapapillary Local Anesthetic on Postoperative Pain Following Dental Treatment Under General Anesthesia in Pediatric Patients

Anesthesia Progress ◽

10.2344/anpr-68-02-06 ◽

2021 ◽

Vol 68 (4) ◽

pp. 206-213

Author(s):

Kelly Lipp ◽

Paul Casamassimo ◽

Ann Griffen ◽

Megann Smiley ◽

Jason Bryant ◽

...

Keyword(s):

Stainless Steel ◽

General Anesthesia ◽

Local Anesthetic ◽

Severe Pain ◽

Pediatric Patients ◽

Dental Treatment ◽

Group Iv ◽

Control Group ◽

Blinded Study ◽

Experimental Group

Objective: This randomized, prospective, blinded study compared pain in children following dental treatment under general anesthesia (GA) using 1 of 2 established analgesia methods. Methods: Patients age 4 to 7 years were randomly assigned to a control group (intravenous [IV] analgesics) or experimental group (IV analgesics and intrapapillary local anesthetic infiltrations) between July 2017 and February 2018. During recovery from surgery, Faces, Legs, Activity, Cry, and Consolability (FLACC) scores were recorded upon regaining consciousness and reassessed every 15 minutes until discharge. Overall pain occurrence (FLACC ≥1) and moderate/severe pain occurrence (FLACC ≥4) were analyzed using mixed effects logistic regression (N = 88). Results: The experimental group had a 17% lower overall pain occurrence than the control group (16 vs 33%; p = .02). Moderate/severe pain occurrence between the groups was not significant (9 vs 22%; p = .23). The dental treatment subjects received (number of completed stainless steel crowns, extractions, and/or pulpotomies) did not significantly affect pain occurrence. Conclusion: Local anesthesia intrapapillary infiltrations around stainless steel crowns decrease overall pain occurrence but not moderate/severe pain occurrence following dental treatment under GA in pediatric patients.

Download Full-text

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

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-42.2.13 ◽

2018 ◽

Vol 42 (2) ◽

pp. 155-160 ◽

Cited By ~ 8

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.

Download Full-text

Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia

Acta Odontologica Scandinavica ◽

10.3109/00016357.2014.919661 ◽

2014 ◽

Vol 73 (1) ◽

pp. 1-7 ◽

Cited By ~ 21

Author(s):

Karin Ridell ◽

Margareta Borgström ◽

Elisabeth Lager ◽

Gunilla Magnusson ◽

Susanne Brogårdh-Roth ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

General Anesthesia ◽

Dental Treatment ◽

Health Related Quality ◽

Before And After ◽

Related Quality ◽

Health Related

Download Full-text

Oral mucosa transplantation may improve tear film osmolarity in dogs with keratoconjunctivitis sicca - a preliminary study

Arquivo Brasileiro de Medicina Veterinária e Zootecnia ◽

10.1590/1678-4162-12421 ◽

2021 ◽

Vol 73 (6) ◽

pp. 1278-1286

Author(s):

F.L.C. Brito ◽

A. Kuner ◽

J.N. Voitena ◽

T.O.C. Marinho

Keyword(s):

Oral Mucosa ◽

Repeated Measures ◽

Keratoconjunctivitis Sicca ◽

Tear Film ◽

Normality Test ◽

Group I ◽

Schirmer Tear Test ◽

Before And After ◽

The Right ◽

Surgical Treatments

ABSTRACT The objective of this study was to evaluate the use of cyclosporine 1% alone or associated with oral mucosa transplantation (OMT) in dogs with dry keratoconjunctivitis (KCS). Schirmer Tear Test (STT-1) and Tear Film Osmolarity (TFO) were measured in both eyes of 30 adult dogs (before and 45 days after treatment. The animals were divided into three groups (10 dogs for group): control (normal dogs), group I (GI, treated with 1% cyclosporine alone), and group II (GII, treated with 1% cyclosporine and OMT). All STT-1 and TFO values were subjected to the Shapiro-Wilk normality test, and all were normally distributed. STT-1 and TFO values before and after treatment were subjected to the T-Student Test. The STT‐1 and TFO values of the right eye were subjected to Repeated Measures ANOVA followed by a Tukey Test for comparison between groups I and II. Means with a value of p≤0.05 were considered significant. There was a decreased osmolarity in both groups after treatment. Mean osmolarity in GII (322.60±16.56 mOsm/L) was significantly lower than GI (336.40±5.66 mOsm/L). The OMT associated with cyclosporine 1% improved the osmolarity of the tear film in dogs with KCS with a seeming synergism between the clinical and surgical treatments.

Download Full-text

An objective criteria used to support a practitioner's decision between sedation versus general anesthesia for the dental treatment of uncooperative pediatric patients

Pediatric Dental Journal ◽

10.1016/j.pdj.2020.06.007 ◽

2020 ◽

Vol 30 (3) ◽

pp. 155-160

Author(s):

M. Mohan ◽

R. Glenn Rosivack ◽

Ziad Masoud ◽

Mary J. Burke ◽

Kenneth Markowitz ◽

...

Keyword(s):

General Anesthesia ◽

Pediatric Patients ◽

Dental Treatment

Download Full-text

Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children

Anesthesia Progress ◽

10.2344/anpr-65-03-04 ◽

2018 ◽

Vol 65 (4) ◽

pp. 225-230 ◽

Cited By ~ 3

Author(s):

Robert L. Campbell ◽

Navin S. Shetty ◽

Kaavya S. Shetty ◽

Herbert L. Pope ◽

Jeffrey R. Campbell

Keyword(s):

General Anesthesia ◽

Recovery Time ◽

Pediatric Patients ◽

Dental Treatment ◽

Age Groups ◽

Pulmonary Complications ◽

Dental Practice ◽

Dental Surgery ◽

Dental Rehabilitation ◽

Sedative Agents

Dental treatment of young pediatric patients can be confounded by lack of cooperation for dental rehabilitation procedures and even examination and/or radiographs. With the recent US Food and Drug Administration warning applied to many anesthetic/sedative agents for children less than 3 years old, a retrospective review of general anesthesia (GA) cases from 1 private pediatric dental practice was studied for age, gender, body mass index, anesthetic duration, airway management used, extent of dental surgical treatment, recovery time, and cardiac/pulmonary complications. For the 2016 calendar year, 351 consecutive GA cases were identified with patients aged 2–13 years. Of these, 336 underwent nasal endotracheal intubation. Forty-six of 351 patients (13%) were younger than 3 years. Median anesthesia duration was approximately 1.7 hours for all age groups. Dental treatment consisting of 8–9 teeth including crowns, fillings, and extractions was most frequently encountered. One hundred sixty-eight patients (48%), however, required care for 10–18 teeth. There were no episodes of significant oxygen desaturation. The overall complication rate was 1.1%, with 2 cases of postextubation croup, 1 case of mild intraoperative bronchospasm, and 1 case of intraoperative bradycardia. Complications did not correlate with children being overweight or obese.

Download Full-text

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

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-7-1-79 ◽

2006 ◽

Vol 7 (1) ◽

pp. 79-88 ◽

Cited By ~ 4

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.

Download Full-text

Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1911 ◽

2016 ◽

Vol 17 (8) ◽

pp. 675-678 ◽

Cited By ~ 4

Author(s):

Ravish Ahuja ◽

Bhuvan Jyoti ◽

Vinod Shewale ◽

Shridhar Shetty ◽

Santosh Kumar Subudhi

Keyword(s):

Mental Retardation ◽

Oral Health ◽

General Anesthesia ◽

Retrospective Analysis ◽

Comparative Evaluation ◽

Pediatric Patients ◽

Dental Treatment ◽

Study Groups ◽

Age Group ◽

Restorative Treatment

ABSTRACT Introduction Behavioral management of patients forms one of the foremost components of pediatric dental treatment. Some children readily cooperate with dental treatment, while others require general anesthesia as a part of treatment protocol for carrying out various dental procedures. Hence, we evaluated the pediatric patients with and without mental retardation, who underwent dental treatment under general anesthesia. Materials and methods The present study analyzed the record of 480 pediatric patients reporting in the department of pedodontics from 2008 to 2014. Analysis of the records of the patients who underwent dental treatment under general anesthesia was done and all the patients were divided into two study groups depending upon their mental level. For the purpose of evaluation, the patients were also grouped according to their age; 4 to 7 years, 8 to 12 years, and 13 to 18 years. Measurement of decayed, missing, and filled teeth and scores for both deciduous and permanent dentition was done before and after the commencement of the dental treatment. Chisquare test and independent t-test were used for evaluating the level of significance. Results While comparing the patients in the two groups, maximum number of patients is present in the age group of 13 to 18 years. While comparing the indices’ score between the two study groups in various age intervals, no statistically significant results were obtained. Restorative treatment and dental extractions were the most common dental treatments that were seen at a higher frequency in the intellectual disability study group. Conclusion In patients with mental retardation, a higher frequency of restorative treatment and extractions occurs as compared to healthy subjects of similar age group. Therefore, they require special attention regarding maintenance of their oral health. Clinical significance Special attention should be given for maintaining the oral health of patients with special health care needs as compared to their physically and mentally normal counterparts. How to cite this article Ahuja R, Jyoti B, Shewale V, Shetty S, Subudhi SK, Kaur M. Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016;17(8):675-678.

Download Full-text