Interrelations Between Anesthetic Substances, General Condition of the Patient and Implant Rehabilitation Procedure

2017 ◽  
Vol 68 (7) ◽  
pp. 1674-1676
Author(s):  
Manuel Florin Rosu ◽  
Doriana Agop Forna ◽  
Norina Consuela Forna
Keyword(s):  
General Anesthesia ◽  
General Condition ◽  
Sinus Lift ◽  
General State ◽  
Therapeutic Approaches ◽  
Prosthetic Rehabilitation ◽  
Therapeutic Success ◽  
Dental Surgery ◽  
Evaluation Protocol ◽  
Clinical Cases

The purpose of this study is to quantify the existing interrelationship between the anesthetic substances used in the implanto-prosthetic rehabilitation procedures with the general state of the patient, as well as the specific implant rehabilitation work.The analyzed lot brought together 110 patients, candidates for implanto-prosthetic rehabilitation, subjected to a general and local evaluation protocol for choosing general anesthesia in accordance with the general state and complexity of the implanto-prosthetic algorithm. Regarding connection between therapeutic approaches in oral implantation and types of anesthesia , we obtained correlative aspects between the use of inhalosedation and implantation algorithm in 80% clinical cases and augmentation with implantation was found in 20%.General anesthesia with Midazolam has been correlated with implantation and augmentation in 77% clinical cases and sinus lift and implantation was found in 23% clinical cases.General anesthesia with Midazolam was used in 64% clinical cases with implantation and sinus lift and 36% clinical cases with implantation.Careful monitoring of the patient and proper dental surgery where the intervention is performed are the key for a therapeutic success regarding sedation and anesthesia.

scholarly journals An Investigation of the Long and Short Term Behavioral Effects of General Anesthesia on Pediatric Dental Patients With Autism

2021 ◽  
Vol 2 ◽  
Author(s):  
Janine Tran ◽  
Jung-Wei Chen ◽  
Larry Trapp ◽  
Laura McCormack
Keyword(s):  
General Anesthesia ◽  
Sleep Disturbances ◽  
Activity Level ◽  
Behavioral Effects ◽  
Healthy Children ◽  
Post Discharge ◽  
Dental Surgery ◽  
Dental Patients ◽  
Post Surgery

Purpose: The purpose of this study was to compare the incidence of short and long term adverse behavioral effects of general anesthesia (GA) in healthy vs. moderate to severe autistic (ASD) children.Methods: Forty healthy and 37 ASD children, aged 3–17 years, undergoing GA for dental surgery participated in this study. Their anesthesia records were reviewed, and their parents answered telephone surveys to assess activity level, sleep disturbances, gastrointestinal disturbances, central nervous system effects, and respiratory depression. Three follow-up surveys were taken 8 h, 24 h, and 3 months post-surgery.Results: Four hundred fifty-five incidences of adverse behavioral effects occurred within 8 h post-surgery. Significantly more ASD patients had difficulty walking (P = 0.016) and nausea (P = 0.030), while more healthy children snored in the car ride home (P = 0.036) and talked about the dental surgery (P = 0.027). Three months post-discharge, sixASD patients acted in a way that concerned caregivers compared to 0 healthy patients, (P = 0.008). Incidence of adverse behavioral effects significantly decreased from 8 to 24 h overall.Conclusions: Most behavioral effects occur within 8 h post-surgery. There are potential long term adverse behavioral effects in ASD children from GA, but the chance is low and generally not long lasting.

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.

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.

Preoperative algorithm for sinus lift procedure

2018 ◽  
Vol 7 (4) ◽  
pp. 1-5
Author(s):  
Piotr Hadrowicz ◽  
Joanna Hadrowicz ◽  
Radosław Milcarz
Keyword(s):  
Postoperative Complications ◽  
Dental Implants ◽  
Interdisciplinary Management ◽  
Sinus Lift ◽  
Prosthetic Rehabilitation ◽  
Procedural Outcome

The dental implants are becoming more used by dental surgeons to perform prosthetic rehabilitation, therefore sinus lift procedure is more often performed. The complications after this procedure by the ENT specialists will be observed. So far a valid algorithm of candidates with naso-sinusal diseases for sinus lift procedure was not established. The interdisciplinary management, including ENT specialist, not only increases the expectation of a better procedural outcome, but also provides a better control while complications occur. The authors postulate that knowledge about sinus lift technique and possible postoperative complications should be well known, both by stomatologists and ENT specialists.

scholarly journals Orthodontic-Surgical Treatment of Pattern II: Case Report

2018 ◽  
Vol 20 (1) ◽  
pp. 11
Author(s):  
Sheila Lourdes Molin ◽  
Fabio Pinto Guedes ◽  
Cristhiane Almeida Leite da Silva ◽  
Natalia Sotero Machado Pires
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Therapeutic Approaches ◽  
Prosthetic Rehabilitation ◽  
Angle Class Ii ◽  
Normality Condition ◽  
The Face ◽  
Implant Prosthesis

As más oclusões do Padrão II podem demandar diferentes abordagens terapêuticas. Quando a face é no mínimo aceitável, o tratamento poderá se restringir a região dentoalveolar. No entanto, quando a face é desagradável a correção deve envolver a realização de cirurgia ortognática, além do tratamento ortodôntico. E é exatamente à união sinérgica de todas as especialidades - Implante, Prótese, Cirurgia e Ortodontia – que garante a construção de um sorriso mais estético e saudável e com melhorias significativas na face. O objetivo desse trabalho é descrever um caso clínico de um paciente adulto, negro, Padrão II, deficiência mandibular grave, face desagradável. O tratamento envolveu ortodontia descompensatória, reabilitação protética, cirurgia ortognática e por fim, reanatomização estética dos dentes anteriores superiores, o que permitiu ao paciente uma condição de normalidade oclusal e facial.Palavras chave: Diagnóstico. Má Oclusão de Angle Classe II. Cirurgia Ortognática.AbstractPattern II may require different therapeutic approaches. When the face is at least acceptable, treatment may be restricted to dentoalveolar region. However, when the is unpleasant, correction should involve performing orthognathic surgery, in addition to the orthodontic treatment. And that is exactly the synergic union of all specialties - Implant, prosthesis, surgery and orthodontics - which ensures the construction of a more aesthetic and healthy smile and with significant face improvements. The aim of this study is to describe a case of an adult patient, black, malocclusions class II, severe mandibular deficiency, unpleasant face. The treatment involved descompensatory orthodontics, prosthetic rehabilitation, orthognathic surgery and finally aesthetic reanatomization the upper front teeth, which allowed the patient a normality condition of occlusion and face.Keywords: Diagnosis. Malocclusion, Angle Class II. Orthognathic Surgery

Patterns in Pediatric Dental Surgery under General Anesthesia across 7 State Medicaid Programs

2020 ◽  
Vol 5 (4) ◽  
pp. 358-365
Author(s):  
H.H. Lee ◽  
L. Faundez ◽  
C. Yarbrough ◽  
C.W. Lewis ◽  
A.T. LoSasso
Keyword(s):  
General Anesthesia ◽  
Disease Burden ◽  
Severe Disease ◽  
Anesthesia Provider ◽  
Provider Type ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Individual Level ◽  
Surgical Extraction

Objectives: Children’s access to dental general anesthesia (DGA) is limited, with highly variable wait times. Access factors occur at the levels of facility, dental provider, and anesthesia provider. It is unknown if these factors also influence utilization of dental surgery. We characterized patterns in DGA utilization by system, provider, population, and individual disease levels to explain variation. Methods: We conducted a cross-sectional analysis of Medicaid-enrolled children (≤9 y) who received DGA in Massachusetts, Maryland, Texas, Connecticut, Washington, Illinois, and Florida from 2011 to 2012. DGA events were characterized by the place of service, measures of disease burden, average reimbursements for dental provider and anesthesia provider, and average total expenditures. Results: A total of 10,149,793 children met study eligibility criteria. States with similar patterns of caries-related visits, such as Illinois (16% of Medicaid enrollees had a caries-related claim) and Washington (22%), had different DGA rates (1% and 17%, respectively). Reimbursement rates for dental providers, DGA services, and nonhospital places of services did not consistently align in states with higher DGA rates. Surgical extraction rates, as a proxy for the most severe disease, exceeded 75% in Maryland, which had the lowest DGA rate (0.3%) Conclusions: Variation in DGA rates across states was not explained by reimbursements rates (provider, DGA services, place of service) or population or individual level of caries burden. Efforts to evaluate and alter utilization of DGA should consider factors such as dental and anesthesia provider capacity, health facility capacity (hospital vs. ambulatory surgery center vs. office), and population- and individual-level disease burden. Our negative findings suggest the presence of other social determinants of oral health that influence utilization of services (e.g., race/ethnicity, language preference, immigration status, policy and budget goals), which should be explored. Our findings also raise the specter that variation in surgical rates may represent instances of unmet needs or overtreatment. Knowledge Transfer Statement: The results of this study can be used by clinicians and policy makers as they address policy and clinical interventions to influence children with severe caries. Interventions to change utilization of surgical services on a population level may need to include state-specific factors that extend beyond reimbursement, disease burden, anesthesia provider type, or facility type.

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