Results of a major ambulatory oral surgery program using general inhalational anesthesia on disabled patients

Abstract

Objectives: To assess the demographic characteristics and comorbidities of the group to be studied, as well as various quality indicators of a Major Ambulatory Surgery (MAS) program. Quantification of the surgical-anesthetic incidents. Study design: We aimed to perform a retrospective and descriptive analysis of disabled patients who had received oral ambulatory surgery under general anesthesia. Data obtained from the clinical history and telephone interview included the demographic characteristics, socioeconomic status, previous dental history, cause of the mental disability, degree of mental retardation, comorbidity measured according to the scale of the American Society of Anesthesiologists (ASA), anesthesia or preoperative surgical treatments, level of analgesia, length of stay, incidents in the Resuscitation Ward, the rate of substitution, suspensions, patients admitted, complications and the degree of patient satisfaction. Results: We included 112 oral surgery procedures performed on disabled patients who were treated under general inhalational anesthesia as part of MAS during the years 2006-2007. During this period, 577 restorations, 413 extractions, 179 sealants, 102 pulpectomies, 22 root canal treatments, 17 gingivectomies and 3 frenectomies were performed. A total of 75% (78 cases) of the patients had coexisting medical pathology. The average surgery time per patient was 72.69 ±29.78 minutes. The rate of replacement was 100%. The rate of suspension was 1.92%. The percentage of patients readmitted was 1.92%,due to significant bleeding in the mouth, which did not require treatment and the patients were discharged from hospital 24 hours after being admitted. The rate of patients who required re-hospitalization was 3.84%. Conclusions: The MAS performed in this group, despite being on patients with high comorbidity resulted in only a low number of medical incidents reported.

The effect of dentist experience on the treatment of individuals with disability under general anesthesia

“…There is virtually unanimous agreement in the literature in considering caries as the main indication for performing treatment, followed by periodontal disease . We detected significant disparity among the published studies in terms of the dental procedures performed, although extractions generally predominated, which can be explained by the advanced state of tooth decay at the time of the operation and in many cases by the inability to follow appropriate postoperative maintenance .…”

The Structure of a Group of Adult Disabled Patients Treated Dentally Under General Anesthesia

“…There are no clearly defined indications to perform dental procedures under general anesthesia. Similarly classified groups of patients according to general diseases were published by other authors [9][10][11].…”

“…There is a scarce record concerning dental treatment under general anesthesia in adult patients with disabilities [4,9,18,19]. The percentage of patients treated dentally for the first time and subsequently under general anesthesia is shown on Figure 6.…”

“…The authors of numerous studies emphasize that dental treatment under general anesthesia is recommended most for disabled patients [9,17,19,20,[24][25][26][27].…”

Dental Treatment in Patients with Mental Retardation: A Retrospective Study

“…1 Bu has ta lar da odon to jen en fek si yon ris ki olası lı ğı, oral hij ye nin kö tü ol ma sı ve im mun sis temle rin de ki bas kı lan ma dan do la yı sağ lık lı bi rey le re gö re da ha yük sek tir. 2 Men tal re tar das yon lu has talar da sık lık la ko o pe ras yon güç lü ğü gö rü lür ki dental te da vi ler ve hat ta oral mu a ye ne için bi le ge nel anes te zi ye ge rek si nim du yu lur. 3,4 Bu ne den le bu tip has ta la rın ço ğu nun ağız ve diş le re yö ne lik te da vile ri gü nü bir lik ya tış la rı ya pı la rak ge nel anes te zi altın da uy gu la nır.…”