Periapical Healing in Single-visit Endodontics under General Anesthesia in Special Needs Patients

Chung, Shin Hye; Chun, Kyung Ah; Kim, Hae Young; Kim, Young Sun; Chang, Jinhwa

doi:10.1016/j.joen.2018.10.020

Cited by 13 publications

(36 citation statements)

References 17 publications

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“…In terms of conventional root canal treatment, 85% percent of outcomes were evaluated as successful, while 10% were uncertain, and 5% failed after a follow‐up of 24 months . Another team showed similar results using the same criteria . These results are in line with the success rates of root canal treatments performed by general dentists, which is recorded as between 31% and 96% …”

Section: Procedures Used For Conservative Restorative Treatment Undersupporting

confidence: 66%

“…The root canal treatment protocol used by the Special Care Unit under general anesthesia has been described in two previous publications . Few other studies describe their protocol in any detail . Procedures should meet the same academic standards as root canal treatments performed under local anesthesia .…”

Section: Procedures Used For Conservative Restorative Treatment Undermentioning

confidence: 99%

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Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Linas

Faulks

Hennequin

et al. 2019

Special Care in Dentistry

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Aims: This work discusses the procedures and outcomes of restorative and endodontic treatments performed under general anesthesia, with examples from the Unit of Special Care Dentistry at the University Hospital of Clermont-Ferrand. Methods and results:The restorative and endodontic treatment techniques used in the Special Care Unit are described. These techniques are compared to existing reports in the literature of treatment procedures under general anesthesia. Little evidence was found in the literature regarding sealants or restorative protocols. A few studies described root canal treatment and pulpotomy protocols carried out under general anesthesia, and the results of these met academic outcome standards. Conclusion:Patients with equal needs should have equal access, equal quality of treatment and equal treatment outcomes, regardless of whether a facilitatory procedure is used to achieve treatment. The provision of restorative treatment under general anesthesia is essential to avoid an excessive number of extractions in patients unable to receive treatment in the chair. Restorative care provided under general anesthesia should be standardized and evaluated in the same way as treatment performed under local anesthesia. In this way, the provision of conservative dental care under general anesthesia could be promoted and the maintenance of a functional dentition encouraged. K E Y W O R D Sendodontics, general anesthesia, operative dentistry

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Section: Procedures Used For Conservative Restorative Treatment Undersupporting

confidence: 66%

Section: Procedures Used For Conservative Restorative Treatment Undermentioning

confidence: 99%

Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Linas

Faulks

Hennequin

et al. 2019

Special Care in Dentistry

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show abstract

“…The administration of GA was inevitable for the study population, who could not comply with treatment because of intellectual and cognitive limitations. The authors had previously published studies on the quality assessment of endodontic treatment under GA [10,11]. These studies validated the outcome assessments of single-visit endodontic and restorative treatments for patients with special needs and supported the treatment regimen under GA be encouraged.…”

Section: Discussionmentioning

confidence: 96%

“…Endodontic procedures were described in previously published articles by the authors [10,11]. After general anesthesia was administered by nasal intubation, digital intraoral radiographies were taken on the teeth (Schick CDR, Sirona, Long Island, NY, USA).…”

Section: Treatment Procedures and Time Measurementmentioning

confidence: 99%

“…To determine the contributing factors to increased operating time, restricting clinical diversities and analyzing cases treated in uniform circumstance is essential. An ideal condition can be obtained in hospital dentistry, where single-visit endodontic treatments are completed under general anesthesia (GA) by a single practitioner without an intermittence [10].…”

Section: Introductionmentioning

confidence: 99%

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Impact of endodontic case difficulty on operating time of single visit nonsurgical endodontic treatment under general anesthesia

Chung

Chang

2021

BMC Oral Health

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Background A Case Difficulty Assessment Form was designed for use in endodontic curricula, and to assist practitioners with treatment planning, referral and recording. The aim of this study was to determine how endodontic case difficulty factors influence the operating time of single-visit nonsurgical endodontic treatments under general anesthesia. Methods Data on 198 single-visit endodontic treatments (80 anterior teeth, 43 premolars, and 75 molars) performed under general anesthesia by a specialized practitioner were obtained from 119 special needs patients (mean [SD] age = 30.7 [14.7] years). Total duration of operation was analyzed with relation to demographic and dental factors and American Association of Endodontists (AAE) Case Difficulty Assessment factors. Mann–Whitney U test, t-test, and Kruskal–Wallis test were used to assess relationships between operating time and confounding factors (p < 0.05). Results High difficulty cases required significantly longer time to complete operations than treatments of minimal-to-moderate difficulty regardless of tooth type (p < 0.05). Demographic factors of the patients rarely influenced operating time length. Among variables included in the AAE Case Difficulty Assessment Form, tooth position, crown morphology, root morphology, canal appearance, and periodontal condition were significantly associated with increased operating time (p < 0.05). Conclusions A higher level of case difficulty contributed to increased duration of endodontic treatment under general anesthesia indicating that Endodontic Case Difficulty Assessment Form is useful for predicting the duration of nonsurgical endodontic treatment. Among many factors, complicated anatomic features of the treated teeth increased case complexity and extended operating time.

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The impact of general medical health status, demographical, and patient-specific variables on need for dental treatment of children and adolescents under general anesthesia

Kries,

Rupf,

Hannig

et al. 2023

Clin Oral Invest

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Periapical Healing in Single-visit Endodontics under General Anesthesia in Special Needs Patients

Cited by 13 publications

References 17 publications

Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes

Impact of endodontic case difficulty on operating time of single visit nonsurgical endodontic treatment under general anesthesia

The impact of general medical health status, demographical, and patient-specific variables on need for dental treatment of children and adolescents under general anesthesia

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