Dental Treatments during full mouth rehabilitation under General Anesthesia in Healthy and special needs pediatric dental patients in Baghdad, Iraq

Sami Malik Abdulhameed

Abstract


Dental treatments under general anesthesia (GA) in healthy and disabled children are rarely reported. This retrospective study evaluated the characteristics and treatment modalities performed under general anesthesia in pediatric dental patients at Bagh- dad Private Hospitals, and compared the different treatment patterns performed in healthy children and children with special health care needs.

The data were reviewed in pediatric patients from 1 to 18 years old who underwent dental treatment performed under general anesthesia from January 1990 to December 2011. Patients with special health care needs who had at least one type of mental or physical disability were assigned to the disabled group (Group A) and the other healthy patients were assigned to the healthy group (Group B). The treatment modalities of operative restoration, crowns, pulp therapy, sealant and extracted teeth were com- pared in the two groups.

A total of 105 patients were assigned to group B and 80 to group A. The patients in group A were significantly older than those in group B. There were no significant differences in the mean number of teeth treated between the two groups. However, there was a significantly greater mean total number of teeth extracted in group A patients (p < 0.001). In addition, there were more stainless steel crown reconstructions (p < 0.05) and pulp therapies (p < 0.001) performed in group B patients. In group A, there were no significant differences in the total number of teeth extracted between the 1-3 year old patients and the 3-6 year-old patients (p = 0.99). For very young children or those with special health care needs, dental treatment performed under general anesthesia is beneficial and efficient. The findings of this study suggest that underlying medical or mental conditions may influence the dental condition and treatment modality provided.


Keywords


dental care, disabled, general anesthesia, dental treatment, teeth extracted

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References


American Academy of Pediatric Dentistry Clinical Affairs Committee. American Academy of Pediatric Dentistry Council on Clinical Affairs-Guideline on behavior guid- ance for the pediatric dental patient. Pedi- atr Dent 2005- 2006;27:92-100.

Roeters J, Burgersdijk R. The need for general anesthesia for the dental treatment of mentally handicapped patients: a follow-up study. ASDC J Dent Child 1985;52:344-6.

Enger DJ, Mourino AP. A survey of 200 pediatric dental general anesthesia cases. ASDC J Dent Child 1985;52:36-

Vermeulen M, Vinckier F, Vandenbroucke J. Dental gen- eral anesthesia: clinical characteristics of 933 patients. ASDC J Dent Child 1991;58:27-30.

Bohaty B, Spencer P. Trends in dental treatment rendered under general anesthesia, 1978 to 1990. J Clin Pediatr

Dent 1992;16:222-4.

Mason C, Holt RD, Rule DC. The changing pattern of day-care treatment for children in a London dental teach- ing hospital. Br Dent J 1995;179:136-40.

Wong FS, Fearne JM, Brook AH. Planning future general anaesthetic services in paediatric dentistry on the basis of evidence: an analysis of children treated in the Day Stay Centre at the Royal Hospitals NHS Trust, London, between 1985-95. Int Dent J 1997;47:285-92.

Savanheimo N, Vehkalahti MM, Pihakari A, Numminen M. Reasons for and parental satisfaction with children’s dental care under general anaesthesia. Int J Paediatr Dent 2005;15:448-54.

Tsai CL, Tsai YL, Lin YT, Lin YT. A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and/or a disability. Chang Gung Med J 2006;29:412-8.

O’Sullivan EA, Curzon ME. The efficacy of comprehen- sive dental care for children under general anes- thesia. Br Dent J 1991;171:56-8.

Tarján I, Mikecz G, Denes J. General anaesthesia of out- patients in pedodontics. J Int Assoc Dent Child

;20:59-61.

Al-Eheideb AA, Herman NG. Outcomes of dental proce- dures performed on children under general an- esthesia. J Clin Pediatr Dent 2003;27:181-3.

Harrison MG, Roberts GJ. Comprehensive dental treat- ment of healthy and chronically sick children under intu- bation general anaesthesia during a 5-year period. Br Dent J 1998;184:503-6.

Ibricevic H, Al-Jame Q, Honkala S. Pediatric dental pro- cedures under general anesthesia at the Amiri Hospital in Kuwait. J Clin Pediatr Dent 2001;25:337-42.

Vignehsa H, Soh G, Lo GL, Chellappah NK. Dental health of disabled children in Singapore. Aust Dent J 1991;36:151-6.

Nunn JH, Gordon PH, Carmichael CL. Dental disease and current treatment needs in a group of physi- cally handi- capped children. Community Dent Health 1993;10:389-96.

Shyama M, Al-Mutawa SA, Morris RE, Sugathan T, Honkala E. Dental caries experience of disabled children and young adults in Kuwait. Community Dent Health 2001;18:181-6.

Gizani S, Declerck D, Vinckier F, Martens L, Marks L, Goffin G. Oral health condition of 12-year-old handi- capped children in Flanders (Belgium). Community Dent Oral Epidemiol 1997;25:352-7.

Mielnik-Blaszczak M, Krawczyk D, Pels E, Michalowski A, Borowska M. Needs for dental treatment in handi- capped children. Ann Univ Mariae Curie-Sklodowska Med 2003;58:1-6

Chia-Ling Tsai, et al A Retrospective Study of Dental Treatment under General Anesthesia of Children with or without A Chronic Illness and/or A Disability Chang Gung Med J 2006;29:412-8

Postoperative complications of pediatric dental general anesthesia

procedure provided in Jeddah hospitals, Saudi Arabia Najat Farsi*1, Rania Ba’akdah2, Abdulaziz Boker3 and Abdullah Almushayt1 BMC Oral Health 2009, 9:6 doi:10.1186/1472-68319-6




DOI: http://dx.doi.org/10.26477/idj.v34i1.175

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