scholarly journals The Anesthetic Management for a Patient With Trisomy 13

2017 ◽  
Vol 64 (3) ◽  
pp. 162-164 ◽  
Author(s):  
Masanori Tsukamoto ◽  
Takashi Hitosugi ◽  
Kanako Esaki ◽  
Takeshi Yokoyama
Keyword(s):  
Mental Retardation ◽  
Oral Health ◽  
Dental Treatment ◽  
Anesthetic Management ◽  
Well Being ◽  
Health Condition ◽  
Trisomy 13 ◽  
Central Apnea ◽  
Related Quality ◽  
Ventricular Septal Defect Closure

Trisomy 13 is a chromosomal disorder that occurs in complete or partial mosaic forms. It is characterized by central apnea, mental retardation, seizure and congenital heart disease. The survival of the patients with trisomy 13 is the majority dying before one month. Trisomy 13 is the worst life prognosis among all trisomy syndromes. It is reported the cause of death is central apnea. Special needs patients with mental retardation are recognized to have poorer oral health condition. Oral health related quality of life reflects daily activity and well-being. Dental treatment under general anesthesia is sometimes an option for such patients. This patient had received ventricular septal defect closure surgery at 2-year-old. In addition, he had mental retardation and seizure. Dental treatment had been completed without any cerebral and cardiovascular events under non-invasive monitoring with not only cardiac electric velocimetry, but also epileptogenic activity. In addition, postoperative respiratory condition was maintained stable in room air.

scholarly journals Oral health-related quality of life after dental treatment in patients with intellectual disability

2020 ◽  
pp. e576-e583
Author(s):  
V. Rollon-Ugalde ◽  
JA. Coello-Suanzes ◽  
AM. Lopez-Jimenez ◽  
J. Herce-Lopez ◽  
P. Toledano-Valero ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Intellectual Disability ◽  
Oral Health ◽  
Dental Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health

2020 ◽  
Vol 17 (19) ◽  
pp. 7336
Author(s):  
Nicolas Decerle ◽  
Pierre-Yves Cousson ◽  
Emmanuel Nicolas ◽  
Martine Hennequin
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Preoperative Evaluation ◽  
Health Related Quality ◽  
Dental Surgery ◽  
Related Quality ◽  
Health Related

Access to dental treatment could be difficult for some patients due to dental phobia or anxiety, cognitive or sensorial disabilities, systemic disorders, or social difficulties. General anesthesia (GA) was often indicated for dental surgery, and there is almost no available data on adapted procedures and materials that can be applied during GA for maintaining functional teeth on the arches and limiting oral dysfunctions. This study evaluates changes in oral health-related quality of life and mastication in a cohort of uncooperative patients treated under GA according to a comprehensive and conservative dental treatment approach. Dental status, oral health-related quality of life, chewed bolus granulometry, kinematic parameters of mastication, and food refusals were evaluated one month preoperatively (T0), and then one month (T1) and six months post-operatively (T2). One hundred and two adult patients (mean age ± SD: 32.2 ± 9.9 years; range: 18–57.7) participated in the preoperative evaluation, 87 were treated under GA of which 36 participated in the evaluation at T1 and 15 were evaluated at T2. Preoperative and postoperative data comparisons demonstrated that oral rehabilitation under GA helped increase chewing activity and oral health-related quality of life. The conditions for providing dental treatment under GA could be arranged to limit dental extractions in uncooperative patients.

scholarly journals The impact of pregnancy on women’s oral health-related quality of life: a qualitative investigation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Omid Fakheran ◽  
Mahmoud Keyvanara ◽  
Zahra Saied-Moallemi ◽  
Abbasali Khademi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Pregnant Women ◽  
Social Life ◽  
Well Being ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.

MANAGEMENT OF PREGNANT PATIENTS IN DENTAL PRACTICE

2013 ◽  
Vol 5 (2) ◽  
pp. 44-51
Author(s):  
Pramod Tatuskar
Keyword(s):  
Oral Health ◽  
Pathogenic Bacteria ◽  
Dental Treatment ◽  
Medical Practitioner ◽  
Well Being ◽  
Individual Treatment ◽  
Main Concern ◽  
General Medical Practitioner ◽  
Simple Diffusion ◽  
Oral Infections

ABSTRACT Pregnancy is a unique period in a woman's lifetime. Good oral health during pregnancy is important to the overall health of both the expectant mother and her baby. Therefore, it is important to maintain good oral health during pregnancy because it has the potential to reduce the transmission of pathogenic bacteria from mothers to their children. Dental care is safe for the pregnant patient and can prevent long term health problems for both mother and child. During pregnancy dental treatment may be modified but need not be withheld, provided that the risk assessment is made properly for both the patient and the fetus. Oral changes in the mouth are due to the alteration in the levels of estrogen and progesterone. This variation in the female sex hormones causes an increase in oral vasculature permeability and decrease in the host immunity, thus making the pregnant woman more prone to oral infections. Although pregnancy is not a contraindication to dental treatments, the clinician should consult with the patient's physician to clarify individual treatment issues. When prescribing medication during pregnancy, the main concern is the risk of teratogenesis, because drugs cross the placenta by simple diffusion. Drugs are administered during pregnancy only when they are essential for the pregnant woman's well-being, and the drug of choice should always be the one that is the least toxic. Prescribing of systemic drugs of any kind ideally should be performed after consultation with the general medical practitioner or obstetrician.

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

2014 ◽  
Vol 73 (1) ◽  
pp. 1-7 ◽  
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
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