Retrospective Evaluation of Dental Treatment under General Anaesthesia

Özkan, Ahmet Selim; Erdoğan, Mehmet Ali; Şanlı, Mukadder; Kaçmaz, Osman; Durmuş, Mahmut; Çolak, Cemil

doi:10.5152/tjar.2015.82542

Cited by 18 publications

(25 citation statements)

References 13 publications

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“…Dental tedavilerde verimliliği arttırabilmek ve uygun ,doğru tedavileri uygulayabilmek için; Uyumsuz yada mental retarde çocuklarda, büyük cerrahi işlem gerektiren maksillofasial ameliyatlarda, sistemik hastalığı olan bireylerdeki komplike diş tedavilerinde (özellikle hipertansiyon, diyabet, epilepsi gibi yakın takip gereken durumlarda), dental fobisi olan hastalarda, öğürme refleksi nedeniyle işlemi yapılamayanlarda, işlem süresinin uzunluğu nedeniyle lokal anesteziğin yeterli olamayacağı tedavilerde ve birden fazla seans gerektiren işlemler gibi zaman ve maliyet açısından daha avantajlı olacağı düşünülen durumlarda genel anestezi endikasyonu vardır 2,3 . Literatürde özellikle pedodontik hastalarda dental genel anestezi konularını içeren bir çok yayın bulunmaktadır 10,11 .…”

Section: Introductionunclassified

Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

Akpınar

2019

Cukurova Medical Journal

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Öz Purpose: General anesthesia applications in dentistry are becoming increasingly widespread. Risks related to anesthesia should be seriously questioned in the patient group under dental treatment planning under general anesthesia. We aimed to evaluate the clinical and demographic data of patients who were operated with general anesthesia and sedation during our study in our hospital, and discussed in the light of the literature. Materials and Methods: A retrospective study of 3380 cases treated between April 2014 and April 2016 was reviewed. Demographic data obtained from patient files, ASA Scores, length of hospital stay,type of anesthesia, duration of anesthesia,complications occurring, anesthetic agents and analgesics used, patients with syndrome and the desired consultations were evaluated Results: Of the 3380 cases, 55% were female, 45% were male and the mean age was 11.23 ± 12.09. The distribution according to ASA scores was 84.4% ASA I, 15.2% ASA II, 0.4% ASA III. In 3085 patients the procedure was performed by outpatient surgery procedure, while 276 patients were treated inpatient. The consultations requested from the patients were mostly from the pediatric and neurology clinics. The most common postoperative complication was bradycardia, and the least complication was difficult intubation. The most common causes of comorbidities were mental retardation, congenital heart disease, and epilepsy. Conclusion: The method of anesthesia is also important especially in the pediatric age group due to the frequency of genetic syndromes, mental retardation, concomitant cardiac and respiratory problems. Precautions should be taken to avoid mortality and morbidity due to anesthesia. Vital risks should be avoided.

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Section: Introductionunclassified

Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

Akpınar

2019

Cukurova Medical Journal

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“…Society of Anesthesiology (ASA) physical status score ≥3 and/or who are scheduled for a procedure that is performed under general anesthesia for a duration >90 minutes are not recommended for day surgeries (outpatient/ambulatory) and should be offered a hospital stay overnight 4 .…”

Section: Patients Who Have An Americanmentioning

confidence: 99%

“…Appropriate patient selection for day surgeries performed in an office or outpatient facility provides a safer approach, but adverse events that require hospitalization may occur after OMF surgeries [4][5][6] . The rate of unanticipated hospital admissions following ambulatory surgeries was previously reported as 2.67% 5 .…”

Section: Patients Who Have An Americanmentioning

confidence: 99%

“…The rate of unanticipated hospital admissions was 0.13% in patients after dental surgery 3 . Studies that have investigated unexpected hospital admissions after ambulatory surgeries suggest that careful preoperative evaluations be performed to select patients suitable for day surgeries and recommend considering the need for an overnight hospital stay to reduce patient morbidity [4][5][6] . It has also been suggested that lack of availability of an overnight hospital stay had the potential for worse patient outcomes 3 .…”

Section: Patients Who Have An Americanmentioning

confidence: 99%

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Overnight hospital stay and/or extended recovery period may allow long-duration oral and maxillofacial surgeries in the operating room of a dental hospital in an outpatient setting: a single-center experience

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et al. 2020

JKAOMS

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Objectives: The requirement for overnight hospital stay should be considered preoperatively according to patient-related factors, type of surgery, and anesthetic management plan. In this study, we aimed to define the major factors that influence consideration of overnight hospital stay in patients undergoing oral and maxillofacial (OMF) surgery in an operating room (OR) of a dental hospital in an outpatient setting. Materials and Methods: The records of patients who underwent oral procedures under general anesthesia between 2014-2017 were reviewed. Results: A total of 821 patients underwent oral procedures under general anesthesia; 631 of them underwent OMF surgery in the OR of a dental hospital, and 174 of these patients were hospitalized for overnight stay. There was no significant difference in the number of patients with comorbidities between the outpatient and hospitalized patient groups (P=0.389). The duration of surgery was longer in the hospitalized patient group (105.25±57.48 vs 189.62±82.03 minutes; P<0.001). Double-jaw (n=15; 310.00±54.21 minutes) and iliac crest grafting surgeries (n=59; 211.86±61.02 minutes) had the longest durations. Patients who underwent iliac crest grafting had the highest rates of hospitalization (79%). The overall recovery period was longer in outpatients (119.40±41.60 vs 149.83±52.04; P<0.001). Conclusion: Duration of surgery was the main determinant in considering whether a patient required overnight hospital stay. However, patients with an American Society of Anesthesiology physical status score <3 may be scheduled for OMF surgery in the OR of a dental hospital in an outpatient setting regardless of duration of surgery if overnight hospital stay is planned or an extended recovery period is provided until patients meet the discharge criteria.

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“…A nivel de caries, estos autores usan el índice CAOD/cod para evaluar las caries. Dicho índice en dentición permanente en pacientes autistas fue de 3.59±3.60, mientras que en niños sin autismo fue de 2.37±1.9; mientras que el índice en dentición En muchos de los casos para su tratamiento odontológico de hace necesario el uso de la anestesia general[8,133]. el diagnóstico se basa en la mayoría de los casos en criterios clínicos y no genéticos, pudiendo confundirse en algunos casos con un autismo común[134].En la literatura, pocos artículos se han encontrado respecto a las manifestaciones orales de esta patología.…”

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Impacto en la calidad de vida de los tratamientos odontológicos bajo anestesia general en pacientes con discapacidad intelectual

Ugalde¹

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ANTECEDENTES: El cuestionario de calidad de vida relacionada con la salud oral del Hospital Franciscano de Niños (FHC-OHRQOL-Q) es un instrumento diseñado específicamente para padres y cuidadores de pacientes con diversas discapacidades que aún no se ha aplicado en España. El objetivo de este estudio fue adaptarlo al español y evaluar su fiabilidad y validez en pacientes con discapacidad intelectual (ID) tratados bajo anestesia general. MATERIAL Y MÉTODOS: El estudio se realizó en dos estadios diferentes: a) adaptación transcultural del cuestionario y b) estudio transversal en 100 padres y cuidadores de habla española. Todos ellos completaron el FHC-OHRQOL-Q pilotado. Los pacientes fueron examinados de acuerdo con la metodología de la OMS. Se registraron los obturaciones, extracciones dentales, raspados y alisados y tratamientos de endodoncia. Se realizaron análisis de fiabilidad y pruebas de validez para evaluar las características psicométricas del cuestionario. RESULTADOS: La edad media fue de 24 años (rango = 4-71 años). Las causas más frecuentes de ID fueron retraso psicomotor (25%) y parálisis cerebral (24%). 76 de los cuidadores eran familiares, mientras que 24 eran los trabajadores de residencia. Los ítems más frecuentes que respondieron los cuidadores fueron problemas de alimentación y nutrición (80%) y mal aliento / sabor (57%). La fiabilidad y la consistencia interna de las dimensiones (coeficiente alfa de Cronbach) estuvieron por encima del umbral recomendado de 0,7 y se consideraron excelentes (alfa = 0,80-0,95). El análisis de la validez factorial arrojó resultados similares al cuestionario original. La edad ≥21.5 años se empeoró significativamente con síntomas orales (p = 0.034) y preocupaciones parenterales (p = 0.005), el índice de CAOD ≥3 con problemas de la vida diaria (p = 0.02), ≥4 caries con problemas de la vida diaria (p = 0.001) y >2 extracciones dentales con síntomas orales y (p = 0.000) y problemas de la vida diaria (p = 0.002). CONCLUSIONES: El FHC-OHRQOL-Q en español es un instrumento fiable y válido para aplicarlo en la práctica clínica diaria para evaluar el impacto de la OHRQOL en pacientes con ID mayoritariamente adultos, equivalente al cuestionario original, con una fiabilidad y validez similar, y accesible para padres y cuidadores de habla española.

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Retrospective Evaluation of Dental Treatment under General Anaesthesia

Cited by 18 publications

References 13 publications

Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

Genel anestezi altında dental tedavi yapılan olguların değerlendirilmesi

Overnight hospital stay and/or extended recovery period may allow long-duration oral and maxillofacial surgeries in the operating room of a dental hospital in an outpatient setting: a single-center experience

Impacto en la calidad de vida de los tratamientos odontológicos bajo anestesia general en pacientes con discapacidad intelectual

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