Scientific Online Resource System

Varna Medical Forum

Prevalence and anesthetic aspects of dental treatment of children by sedation and under general anesthesia

Radosveta Andreeva

Abstract

Modern pediatric dentistry is not complete without the use of general anesthesia as a method of pharmacological behavior management, when it is needed. This method of treatment has become more and more necessary in recent years. The highest is the percentage of children with early childhood caries and with specific health needs treated under the narcosis. Anesthesiology in childhood, as a medical discipline, is developing at a very rapid pace, because the needs of infants and young children associated with general anesthesia are fundamentally different from those of adults. The anesthetic approach is continually being improved through the combined use of general and local analgesia and by the use of newer and less soluble volatile anesthetics, intravenous anesthetics, shorter-acting synthetic opiates and muscle relaxants.

Keywords

general anesthesia , pediatric anesthesiology, dental treatment

Full Text


References

AAPD, Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. 2011; 35: ( 6) 13 – 14.

AAPD. Policy on the use of deep sedation and general anesthesiain the pediatric dental office. Pediatr Dent. 2010; 30:64–5.

AAPD. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2011;33 (special issue):161–73.

Canadian-Institute-for-Health-Information. (2013). Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia.

Eaton JJ, McTigue DJ, Fields Jr HW, Beck M. Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry. Pediatr Dent 2005;27:107-113

Frascone RJ, Jensen J, Wewerka SS, Salzman JG. Use of the pediatric EZ-IO needle by emergency medical services providers. Pediatr Emerg Care 2009;25(5):329-32.

Gazin N, Auger H, Jabre P, et al. Efficacy and safety of the EZ-IO™ intraosseous device: out-of-hospital implementation of a management algorithm for difficult vascular access. Resuscitation 2011;82(1):126-9.

Holt RD, Chidiac RH, Rule DC. Dental treatment for children under general anesthesia in day care facilities at a London dental hospital. Br Dent J 1991; 170: 262-266.

Horton MA, Beamer C. Powered intraosseous insertion provides safe and effective vascular access for pediatric emergency patients. Pediatr Emerg Care 2008;24(6):347-50.

Jamjoom MM, AL-Malik MI, Holt RD, et al. Dental treatment under general anesthesia at a hospital in Jeddah, Saudi Arabia. Int J Paediatr Dent 2001; 11: 110-116.

Klein U, Robinson TJ, Allshouse A. End expired nitrous oxide concentrations compared to flowmeter settings during operative dental treatment in children. Pediatr Dent 2011;33(1):56-62.

McPherson K, Kumar N, Bouras I. Anesthesia for Special Care Dentistry. J of Anesthesia 2013; 1-11.

Neuhaus D. Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it? Curr Opin Anaesthesiol 2014;27(3):282-7.

Oksan D, Ayfer K. Powered intraosseous device (EZ-IO) for critically ill patients. Indian Pediatr 2013;50(7):689-91.

Platikanov V, Rousseff R, Kolarov G at al. Propofol as a day case anesthetic in patients with history of epilepsy. 9th European congress of Intensive care Medicine. Glasgow September 24-28 1996. Proceedings of the 9th European congress of Intensive care Medicine. Glasgow. 1996;727-729.

Rowe R, Cohen RA. An evaluation of a virtual reality airway simulator. Anesth Analg 2002;95(1):62-6.

Santos D, Carron PN, Yersin B, Pasquier M. EZ-IO(®) intraosseous device implementation in a prehospital emergency service: a prospective study and review of the literature. Resuscitation 2013;84(4):440-54.

Schinasi DA, Nadel FM, Hales R, Boswinkel JP, Donoghue AJ. Assessing pediatric residents’ clinical performance in procedural sedation: a simulation-based needs assessment.

Pediatr Emerg Care 2013;29(4):447-52.

Sсhort J, Malik D. Preoperative assessment and preparation for anaesthesia in children. Anaesthesia and Intensive Care Medicine 2009; 10: 489‐494.

Seith RW, Theophilos T, Babl FE. Intranasal fentanyl and highconcentration inhaled nitrous oxide for procedural sedation: a prospective observational pilot study of adverse events and depth of sedation. Acad Emerg Med 2012;19(1):31-6.

.21. Tan GM. A medical crisis management simulation activity for pediatric dental residents and assistants. J Dent Educ 2011;75(6):782-90.

Yung-PanChenaChun-YiHsiehaWen-TingHsuaFu-YaWuaWen-YuShihab, A 10-year trend of dental treatments under general anesthesia of children in Taipei Veterans General Hospital, Journal of the Chinese Medical Association, Volume 80, Issue 4, April 2017, Pages 262-268




DOI: http://dx.doi.org/10.14748/vmf.v7i2.5198

Refbacks

Font Size


|