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Year 2014, Volume: 31 Issue: 4, 213 - 216, 30.01.2015

Abstract

References

  • Ananthanarayan, C., Sigal, M., Godlewski, W., 1998. General anesthesia for the provision of dental treatment to adults with developmental disability. Anesth. Prog. 45, 12-17.
  • Bragg, C., Miller, B., 1990. Oral ketamine facilitates induction in a combative mentally retarded patient. J. Clin. Anesth. 3, 121. doi:10.1016/0952- 8180(90)90065-B.
  • Caloss, R., Lard, M.D., 2004. Anesthesia for office-based facial cosmetic surgery. Atlas Oral Maxillofac. Surg. Clin. North Am. 12, 163-177. doi:10.1016/j.cxom.2003.10.001.
  • Carrel, R., 1973. Ketamine: A general anesthetic for manageable ambulatory patients. J. Dent. Child. 28, 446.
  • Continuum of depth of sedation. Definition of general anesthesia and levels of sedation/analgesia, 2004, of the American Society of Anesthesiologists (ASA). Guidelines for the use of sedation and general anesthesia by dentists. As adopted by the October 2007 ADA House of Delegates.
  • Guidelines for the use of sedation and general anesthesia by dentists. As adopted by the October 2007 ADA House of Delegates. http://www.ada. org/~/media/ADA/About%20the%20ADA/Files/anesthesia_use_guidelines.ashx.
  • Gullikson, J., 1973. Oral findings in children with Down’s syndrome. J. Dent. Child. 40, 293.
  • Hagberg, C., Georgi, R., Krier, C., 2005. Complications of managing the airway. Best Pract. Res. Clin. Anaesthesiol. 19, 641-659. doi:10.1016/j. bpa.2005.08.002.
  • Haywood, P.T., Karalliedde, L.D., 1999. General anesthesia for disabled patient in dental practice. Anesth. Prog. 45, 134-138.
  • Johnson, R., Machen, J.B., 1973. Behavior modification techniques and maternal anxiety. J. Dent. Child. 40, 272.
  • Messieha, Z., 2009. Risks of general anesthesia for the special needs dental patient. Spec. Care Dentist. 29, 21-25. doi:10.1111/j.1754- 4505.2008.00058.x.
  • Nolan, J., Chalkiadis, G.A., Low, J., Olesch, C.A., Brown, T.C., 2000. Anaesthesia and pain management in cerebral palsy. Anesthesia. 55, 32- 41. doi:10.1046/j.1365-2044.2000.01065.x. Yılmaz et al.

Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey

Year 2014, Volume: 31 Issue: 4, 213 - 216, 30.01.2015

Abstract

Special need patients have increased risk for oral diseases throughout their life. Sedation and general anesthesia is generally the preferred treatment for special needs patients though it provides optimal conditions for dental treatment. This study was aimed to describe our anesthetic experience in dental treatments of 519 special needs patients at a dental faculty in the north side of Turkey during a three-year period. The data referring to patient’s demographic information, anesthetic techniques, agents, dental treatment duration and the type of dental procedure during the period from 2009 to 2012 were retrospectively collected. All of the patients had moderate or severe intellectual disability, and not cooperating fully with dental treatment. There were for different anesthetic techniques in application: face mask, face mask combined with intravenous sedation, total intravenous anesthesia, and nasal entubating general anesthesia. Two intravenous (IV) anesthesic agent, Propofol (Propofol) and Midazolam (Dormicum) were used either alone or combined. Sevoflurane (Sevorane) was used as inhalation anesthesia and Vecuronium bromide (Norcuron) was used in patients that require nasal entubation. The mean age was 19 yr (range 3 to 81), and males predominated females by a ratio of 271Ä248. Of 519 patients, 204 patients were ASA grade 1, 315 patients were ASA grade 2. Cognitive impairments include; Alzheimer disease (1 patient) and dementia (1 patient). Central nervous system disorders (CNS) include; ataxia (1 patient), autism (38 patients), cerebral palsy (7 patients), hydrocephaly (1 patient), multiple sclerosis (1 patient). Specific syndromes include; Down syndrome (35 patients), Epidermolysisbullosa (1 patient), Reye’s syndrome (1 patient). Only minor complications such as nose bleeding, nausea/vomiting, restlessness, dizziness, shivering and desaturation (saturation under 90) were seen during the immediate postoperative period. A multidisciplinary approach between the dentist and anesthesiologist are important to manage successful treatment of these patients.

References

  • Ananthanarayan, C., Sigal, M., Godlewski, W., 1998. General anesthesia for the provision of dental treatment to adults with developmental disability. Anesth. Prog. 45, 12-17.
  • Bragg, C., Miller, B., 1990. Oral ketamine facilitates induction in a combative mentally retarded patient. J. Clin. Anesth. 3, 121. doi:10.1016/0952- 8180(90)90065-B.
  • Caloss, R., Lard, M.D., 2004. Anesthesia for office-based facial cosmetic surgery. Atlas Oral Maxillofac. Surg. Clin. North Am. 12, 163-177. doi:10.1016/j.cxom.2003.10.001.
  • Carrel, R., 1973. Ketamine: A general anesthetic for manageable ambulatory patients. J. Dent. Child. 28, 446.
  • Continuum of depth of sedation. Definition of general anesthesia and levels of sedation/analgesia, 2004, of the American Society of Anesthesiologists (ASA). Guidelines for the use of sedation and general anesthesia by dentists. As adopted by the October 2007 ADA House of Delegates.
  • Guidelines for the use of sedation and general anesthesia by dentists. As adopted by the October 2007 ADA House of Delegates. http://www.ada. org/~/media/ADA/About%20the%20ADA/Files/anesthesia_use_guidelines.ashx.
  • Gullikson, J., 1973. Oral findings in children with Down’s syndrome. J. Dent. Child. 40, 293.
  • Hagberg, C., Georgi, R., Krier, C., 2005. Complications of managing the airway. Best Pract. Res. Clin. Anaesthesiol. 19, 641-659. doi:10.1016/j. bpa.2005.08.002.
  • Haywood, P.T., Karalliedde, L.D., 1999. General anesthesia for disabled patient in dental practice. Anesth. Prog. 45, 134-138.
  • Johnson, R., Machen, J.B., 1973. Behavior modification techniques and maternal anxiety. J. Dent. Child. 40, 272.
  • Messieha, Z., 2009. Risks of general anesthesia for the special needs dental patient. Spec. Care Dentist. 29, 21-25. doi:10.1111/j.1754- 4505.2008.00058.x.
  • Nolan, J., Chalkiadis, G.A., Low, J., Olesch, C.A., Brown, T.C., 2000. Anaesthesia and pain management in cerebral palsy. Anesthesia. 55, 32- 41. doi:10.1046/j.1365-2044.2000.01065.x. Yılmaz et al.
There are 12 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Basic Medical Sciences
Authors

Mehmet Yılmaz This is me

Aysun Çağlar Torun

Burcu Baş

Hatice Duran This is me

İlyas Köse This is me

Halit Furuncuoğlu This is me

Publication Date January 30, 2015
Submission Date May 2, 2014
Published in Issue Year 2014 Volume: 31 Issue: 4

Cite

APA Yılmaz, M., Çağlar Torun, A., Baş, B., Duran, H., et al. (2015). Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey. Journal of Experimental and Clinical Medicine, 31(4), 213-216.
AMA Yılmaz M, Çağlar Torun A, Baş B, Duran H, Köse İ, Furuncuoğlu H. Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey. J. Exp. Clin. Med. February 2015;31(4):213-216.
Chicago Yılmaz, Mehmet, Aysun Çağlar Torun, Burcu Baş, Hatice Duran, İlyas Köse, and Halit Furuncuoğlu. “Anesthetic Management of Dental Procedures in Patients With Special Needs: A Retrospective Analysis of 519 Patients in North of Turkey”. Journal of Experimental and Clinical Medicine 31, no. 4 (February 2015): 213-16.
EndNote Yılmaz M, Çağlar Torun A, Baş B, Duran H, Köse İ, Furuncuoğlu H (February 1, 2015) Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey. Journal of Experimental and Clinical Medicine 31 4 213–216.
IEEE M. Yılmaz, A. Çağlar Torun, B. Baş, H. Duran, İ. Köse, and H. Furuncuoğlu, “Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey”, J. Exp. Clin. Med., vol. 31, no. 4, pp. 213–216, 2015.
ISNAD Yılmaz, Mehmet et al. “Anesthetic Management of Dental Procedures in Patients With Special Needs: A Retrospective Analysis of 519 Patients in North of Turkey”. Journal of Experimental and Clinical Medicine 31/4 (February 2015), 213-216.
JAMA Yılmaz M, Çağlar Torun A, Baş B, Duran H, Köse İ, Furuncuoğlu H. Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey. J. Exp. Clin. Med. 2015;31:213–216.
MLA Yılmaz, Mehmet et al. “Anesthetic Management of Dental Procedures in Patients With Special Needs: A Retrospective Analysis of 519 Patients in North of Turkey”. Journal of Experimental and Clinical Medicine, vol. 31, no. 4, 2015, pp. 213-6.
Vancouver Yılmaz M, Çağlar Torun A, Baş B, Duran H, Köse İ, Furuncuoğlu H. Anesthetic management of dental procedures in patients with special needs: A retrospective analysis of 519 patients in North of Turkey. J. Exp. Clin. Med. 2015;31(4):213-6.