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Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?

Year 2018, Volume: 8 Issue: 1, 44 - 47, 12.04.2018
https://doi.org/10.16899/gopctd.414742

Abstract

Amaç:
Genel anestezi ile diş tedavisi, hekime ve
hastaya konforlu bir süreç sağlamakta kısa sürede birçok tedavi hastaya
uygulanabilmektedir. Bu çalışma ile
Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi’nde genel anestezi altında
yapılan diş tedavilerinin retrospektif olarak incelenmesi amaçlanmıştır.



Gereç
ve yöntem:
Ocak
2015 - Eylül 2015 tarihleri arasında genel anestezi altında yapılan diş
tedavileri, retrospektif olarak değerlendirilmiştir. Hastaların yaş, kilo, genel
anestezi endikasyon nedenleri, yapılan diş tedavileri ve ek sistemik
hastalıkları değerlendirildi.



Bulgular: Hastalar ortalama yaş grubu 8 ± 6, ortalama
ağırlıkları ise 25 ± 17 kg olarak belirlendi. Hastaların % 53.8’i erkek %
46.2’si kız hastalardı. Diş tedavisi uygulanan hastaların %59.9’unu (n = 790)
sağlıklı ancak kooperasyon  kurulamayan
hastalar, % 32.8’i (n = 431) geniş cerrahi operasyon geçirecek hastalar, %
7.3’ünü (n = 97) zihinsel/fiziksel engeli olan hastalardan oluşmaktaydı. Hastaların % 11.6’sına (n = 153)
restoratif diş tedavisi, % 59.8’ine (n = 788) diş çekimi, % 20.5’ine (n = 270)
restoratif diş tedavisi + diş çekimi, %7.3’üne (n = 97) çene cerrahisi, % 0.8’ine
periodontal tedavi uygulanmıştır.



Sonuç: Davranış yönetim stratejileri ile çocuk
hastaların ikna edilerek diş tedavileri uygulanabilir. Ancak son yıllarda bu
uygulamadan giderek uzaklaşılmakta, farmakolojik yöntemler ön plana
çıkmaktadır. Genel anestezinin kullanımı diş hekimliği uygulamalarında hızla
artmaktadır. Ancak gereksiz genel anestezi uygulamalarından kaçınmak için
endikasyonu belirlemede kullanılan yöntemlerin etkin ve doğru bir şekilde
uygulanması gerekmektedir. Çalışmamızda genel anestezi sağlıklı çocuk
hastalarda yüksek oranda tercih edilmiştir. Türkiye’de diş hekimlerinin genel
anestezi endikasyonunu belirlemede kullandıkları yöntemlerin ve bunların doğru
şekilde uygulanıp uygulanmadığının incelendiği ileri çalışmalara ihtiyaç
vardır.

References

  • 1. El Batawi HY, Panigrahi P, Awad MA. Perceived outcomes and satisfaction of Saudi parents and their children following dental rehabilitation under general anesthesia: A 2-year follow-up. J Int Soc Prev Community Dent 2014;4:S153-60.
  • 2. Lehtonen V, Sándor GK, Ylikontiola LP et al. Dental treatment need and dental general anesthetics among preschool-age children with cleft lip and palate in northern Finland. Eur J Oral Sci 2015;123:254-9.
  • 3. Savanheimo N, Vehkalahti MM. Five-year follow-up of children receiving comprehensive dental care under general anesthesia. BMC Oral Health 2014;14:154.
  • 4. Mallineni SK, Yiu CK. Dental treatment under general anesthesia for special-needs patients: analysis of the literature. J Investig Clin Dent 2016;7:325-331.
  • 5. Aminabadi NA, Najafpour E, Aghaee S, Sighari Deljavan A, Jamali Z, Shirazi S. Use of general anaesthesia in paediatric dentistry: barriers to discriminate between true and false cases. Eur Arch Paediatr Dent 2016;17:89-95.
  • 6. Mitchell L, Murray JJ. Management of the handicapped and the anxious child: a retrospective study of dental treatment carried out under general anaesthesia. J Paediatr Dent 1985;1:9-14.
  • 7. Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anesthesia. ASDC J Dent Child 1997;64:210-1, 228.
  • 8. .American Academy of Pediatric Dentistry. Guideline on the elective use o minimal, moderate, and deep sedation and general anesthesia in pediatric dental patients. Pediatr Dent. 2004;26:95-103.
  • 9. Hosey MT; UK National Clinical Guidelines in Pediatric Dentistry. UK National Clinical Guidelines in Paediatric Dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry. Int J Paediatr Dent 2002;12:359-72.
  • 10. Rosenberg M; American Dental Association. New guidelines for the use and teaching of general anesthesia and sedation by dentists. J Mass Dent Soc 2010;58:22-7.
  • 11. Landier W, Tse AM. Use of complementary and alternative medical interventions for the management of procedure-related pain, anxiety, and distress in pediatric oncology: an integrative review. J Pediatr Nurs 2010;25:566-79.
  • 12. Adair SM, Rockman RA, Schafer TE, Waller JL. Survey of behavior management teaching in pediatric dentistry advanced education programs. Pediatr Dent 2004;26:151-8.
  • 13. Wilson S. Pharmacological management of the pediatric dental patient. Pediatr Dent 2004;26:131-6.
  • 14. Hicks CG, Jones JE, Saxen MA et al. Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists: a survey of directors of dentist anesthesiologist and pediatric dentistry residencies. Anesth Prog 2012;59:3-11.
  • 15. Bimstein E, Azari AF, Riley JL 3rd. Predoctoral and postdoctoral students' perspectives about pediatric dental behavior guidance. J Dent Educ 2011;75(5):616-25.
  • 16. Ashley PF, Williams CE, Moles DR, Parry J. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. Cochrane Database Syst Rev 2015:CD006334.

How often is general anesthesia preferred in dental treatment of child patients in the north of Turkey?

Year 2018, Volume: 8 Issue: 1, 44 - 47, 12.04.2018
https://doi.org/10.16899/gopctd.414742

Abstract

Aim:
With general anesthesia, dental treatment
provides a comfortable process to the patient and the physician. In short time,
many treatments can be applied to the patients. This study aimed to
retrospectively examine the dental treatments performed under general
anesthesia at Ondokuz Mayıs University Faculty of Dentistry.

Materials
and Methods:
Dental
treatments under general anesthesia between January 2015 and September 2015
were evaluated retrospectively. Age, weight, reasons for general anesthesia
indication, dental treatment and additional systemic diseases were evaluated.

Results:
Patients were determined as mean age group 8 ±
6, mean weight 25 ± 17 kg. 53.8% of the patients were male and 46.2% of the
patients were female. 59.9% (n = 790) of the dental treatment patients were
healthy, but not cooperatable, 32.8% (n = 431) had extensive surgery and 7.3%
(n = 97) were mentally / physically disabled patients. Restorative dental
treatment was performed in 11.6% of the patients (n = 153), tooth extraction in
59.8% (n = 788), restorative dental treatment + tooth extraction in 20.5% (n =
270), jaw surgery in 7.3% (n = 97) and 0.8% periodontal treatment.







Conclusion:
Behavior management strategies can be used to
convince child patients and to treat teeth. However, in recent years, this
practice has gradually moved away from the practice and pharmacological methods
have come to the forefront. The use of general anesthesia is increasing rapidly
in dental practice. However, in order to avoid unnecessary general anesthesia
applications, the methods used to determine the indications need to be applied
effectively and correctly. In our study, general anesthesia was highly
preferred in healthy children. There is a need for further studies in Turkey to
examine the methods used by dentists to determine the indication for general
anesthesia and whether they are applied correctly.

References

  • 1. El Batawi HY, Panigrahi P, Awad MA. Perceived outcomes and satisfaction of Saudi parents and their children following dental rehabilitation under general anesthesia: A 2-year follow-up. J Int Soc Prev Community Dent 2014;4:S153-60.
  • 2. Lehtonen V, Sándor GK, Ylikontiola LP et al. Dental treatment need and dental general anesthetics among preschool-age children with cleft lip and palate in northern Finland. Eur J Oral Sci 2015;123:254-9.
  • 3. Savanheimo N, Vehkalahti MM. Five-year follow-up of children receiving comprehensive dental care under general anesthesia. BMC Oral Health 2014;14:154.
  • 4. Mallineni SK, Yiu CK. Dental treatment under general anesthesia for special-needs patients: analysis of the literature. J Investig Clin Dent 2016;7:325-331.
  • 5. Aminabadi NA, Najafpour E, Aghaee S, Sighari Deljavan A, Jamali Z, Shirazi S. Use of general anaesthesia in paediatric dentistry: barriers to discriminate between true and false cases. Eur Arch Paediatr Dent 2016;17:89-95.
  • 6. Mitchell L, Murray JJ. Management of the handicapped and the anxious child: a retrospective study of dental treatment carried out under general anaesthesia. J Paediatr Dent 1985;1:9-14.
  • 7. Berkowitz RJ, Moss M, Billings RJ, Weinstein P. Clinical outcomes for nursing caries treated using general anesthesia. ASDC J Dent Child 1997;64:210-1, 228.
  • 8. .American Academy of Pediatric Dentistry. Guideline on the elective use o minimal, moderate, and deep sedation and general anesthesia in pediatric dental patients. Pediatr Dent. 2004;26:95-103.
  • 9. Hosey MT; UK National Clinical Guidelines in Pediatric Dentistry. UK National Clinical Guidelines in Paediatric Dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry. Int J Paediatr Dent 2002;12:359-72.
  • 10. Rosenberg M; American Dental Association. New guidelines for the use and teaching of general anesthesia and sedation by dentists. J Mass Dent Soc 2010;58:22-7.
  • 11. Landier W, Tse AM. Use of complementary and alternative medical interventions for the management of procedure-related pain, anxiety, and distress in pediatric oncology: an integrative review. J Pediatr Nurs 2010;25:566-79.
  • 12. Adair SM, Rockman RA, Schafer TE, Waller JL. Survey of behavior management teaching in pediatric dentistry advanced education programs. Pediatr Dent 2004;26:151-8.
  • 13. Wilson S. Pharmacological management of the pediatric dental patient. Pediatr Dent 2004;26:131-6.
  • 14. Hicks CG, Jones JE, Saxen MA et al. Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists: a survey of directors of dentist anesthesiologist and pediatric dentistry residencies. Anesth Prog 2012;59:3-11.
  • 15. Bimstein E, Azari AF, Riley JL 3rd. Predoctoral and postdoctoral students' perspectives about pediatric dental behavior guidance. J Dent Educ 2011;75(5):616-25.
  • 16. Ashley PF, Williams CE, Moles DR, Parry J. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. Cochrane Database Syst Rev 2015:CD006334.
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Aysun Çağlar Torun

Publication Date April 12, 2018
Acceptance Date January 4, 2018
Published in Issue Year 2018 Volume: 8 Issue: 1

Cite

APA Çağlar Torun, A. (2018). Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?. Çağdaş Tıp Dergisi, 8(1), 44-47. https://doi.org/10.16899/gopctd.414742
AMA Çağlar Torun A. Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?. J Contemp Med. March 2018;8(1):44-47. doi:10.16899/gopctd.414742
Chicago Çağlar Torun, Aysun. “Türkiye’nin Kuzeyinde çocuk hastaların Diş Tedavilerinde Genel Anestezi Ne sıklıkta Tercih Ediliyor?”. Çağdaş Tıp Dergisi 8, no. 1 (March 2018): 44-47. https://doi.org/10.16899/gopctd.414742.
EndNote Çağlar Torun A (March 1, 2018) Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?. Çağdaş Tıp Dergisi 8 1 44–47.
IEEE A. Çağlar Torun, “Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?”, J Contemp Med, vol. 8, no. 1, pp. 44–47, 2018, doi: 10.16899/gopctd.414742.
ISNAD Çağlar Torun, Aysun. “Türkiye’nin Kuzeyinde çocuk hastaların Diş Tedavilerinde Genel Anestezi Ne sıklıkta Tercih Ediliyor?”. Çağdaş Tıp Dergisi 8/1 (March 2018), 44-47. https://doi.org/10.16899/gopctd.414742.
JAMA Çağlar Torun A. Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?. J Contemp Med. 2018;8:44–47.
MLA Çağlar Torun, Aysun. “Türkiye’nin Kuzeyinde çocuk hastaların Diş Tedavilerinde Genel Anestezi Ne sıklıkta Tercih Ediliyor?”. Çağdaş Tıp Dergisi, vol. 8, no. 1, 2018, pp. 44-47, doi:10.16899/gopctd.414742.
Vancouver Çağlar Torun A. Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?. J Contemp Med. 2018;8(1):44-7.