IADR Abstract Archives
Dental Treatments Under GA on 2331 Pediatric Patients: Observational Study
Objectives: The use of general anesthesia (GA) to provide dental treatments is not only reserved to children who are medically compromised or have disabilities, but it is also seen as a strategy for treating healthy children who are uncooperative, because of young age or extreme anxiety. This study retrospectively analyzed the characteristics of dental treatments conducted under GA in pediatric dental patients.
Methods: Data from pediatric patients, who underwent dental treatments under GA at the AORN Santobono-Pausilipon Pediatric Hospital, Naples, Italy, from January 2011 to December 2022, were recorded. The following data were collected: gender distribution; average age; health status; anesthetic procedure; adverse events; dental procedure performed.
Results: 2331 pediatric patients (1359 (58.3%) males and 972 (41.7%) females) were treated. Mean age was 6.3±2.6 years. 1748 (75%) patients were healthy and uncooperative and 583 (25%) patients were medically compromised and/or disabled. Among medically compromised and/or disabled children, 443 (76%) were autistic patients, 71 (12%) were epileptic patients, 20 (3.5%) were patients with Down syndrome, 26 (4.5%) were patients with psychomotor retardation, 23 (4%) were patients with other syndromes. In relation to the anesthetic procedure, 848 patients (36.4%) underwent oral endotracheal intubation, 83 patients (3.6%) underwent nasal endotracheal intubation and 1400 patients (60%) were treated with facial mask. Two adverse events occurred (1 massive intra-operative bleeding and 1 postanesthesia delayed awakening). Relatively to the dental procedure, 2086 (89.5%) patients were submitted to dental extractions (5.61±3.6 teeth were extracted for each patient); 53 (2.3%) patients to supernumerary teeth removals; 6 (0.2%) patients to odontomas removals; 23 (0.9%) patients to soft tissues neoformations excisions; 158 (6.8%) patients to frenulectomies and 5 (0.2%) patients to cysts excisions.
Conclusions: Different types of dental treatments under GA can be safely provided in a hospital setting both for healthy uncooperative and for medically compromised and/or disabled children.
Methods: Data from pediatric patients, who underwent dental treatments under GA at the AORN Santobono-Pausilipon Pediatric Hospital, Naples, Italy, from January 2011 to December 2022, were recorded. The following data were collected: gender distribution; average age; health status; anesthetic procedure; adverse events; dental procedure performed.
Results: 2331 pediatric patients (1359 (58.3%) males and 972 (41.7%) females) were treated. Mean age was 6.3±2.6 years. 1748 (75%) patients were healthy and uncooperative and 583 (25%) patients were medically compromised and/or disabled. Among medically compromised and/or disabled children, 443 (76%) were autistic patients, 71 (12%) were epileptic patients, 20 (3.5%) were patients with Down syndrome, 26 (4.5%) were patients with psychomotor retardation, 23 (4%) were patients with other syndromes. In relation to the anesthetic procedure, 848 patients (36.4%) underwent oral endotracheal intubation, 83 patients (3.6%) underwent nasal endotracheal intubation and 1400 patients (60%) were treated with facial mask. Two adverse events occurred (1 massive intra-operative bleeding and 1 postanesthesia delayed awakening). Relatively to the dental procedure, 2086 (89.5%) patients were submitted to dental extractions (5.61±3.6 teeth were extracted for each patient); 53 (2.3%) patients to supernumerary teeth removals; 6 (0.2%) patients to odontomas removals; 23 (0.9%) patients to soft tissues neoformations excisions; 158 (6.8%) patients to frenulectomies and 5 (0.2%) patients to cysts excisions.
Conclusions: Different types of dental treatments under GA can be safely provided in a hospital setting both for healthy uncooperative and for medically compromised and/or disabled children.