Original scientific paper
https://doi.org/10.15644/asc53/1/7
Dental Treatment Under General Anesthesia in a Day Care Surgery Setting
Vlaho Brailo
orcid.org/0000-0002-8449-871X
; Department of Oral Medicine, School of Dental Medicine University of Zagreb, Zagreb, Croatia; Dental Clinic, University Clinical Hospital Zagreb, Zagreb, Croatia
Bernard Janković
; Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia; Dental Clinic, University Clinical Hospital Zagreb, Zagreb, Croatia
Marin Lozić
; Clinic for Anesthesiology, Reanimatology and Intensive Care, University Clinical Hospital Zagreb, Zagreb, Croatia
Dragana Gabrić
; Department of Oral Surgery, School of Dental Medicine University of Zagreb, Dental Clinic, University Clinical Hospital Zagreb, Zagreb, Croatia
Tihomir Kuna
; Department of Oral Surgery, School of Dental Medicine University of Zagreb, Dental Clinic, University Clinical Hospital Zagreb, Zagreb, Croatia
Vasilije Stambolija
; Clinic for Anesthesiology, Reanimatology and Intensive Care, University Clinical Hospital Zagreb, Zagreb, Croatia
Željko Verzak
; Department of Pediatric Dentistry, School of Dental Medicine University of Zagreb, Dental Clinic, University Clinical Hospital Zagreb, Zagreb, Croatia
Abstract
Objective: To analyze data on full-mouth rehabilitation under general anesthesia (GA) performed at the University Clinical Hospital Zagreb with emphasis on patient characteristics, type of procedure and postoperative complications. Materials and methods: Retrospective chart review of 100 patients treated under GA at the Dental clinic’s day care surgery. Patient’s demographic (sex, age) and clinical data (diagnosis, GA technique, intubation type, procedure duration, number of carious teeth, presence of visible calculus, number of sealed teeth, fillings, extractions and endodontic treatments, discharge time, postoperative complications) were registered. Results: Eighty patients were treatedunder GA because of noncompliance due to different reasons and twenty patients because of either their poor physical condition or extensive dental procedure. Median DMFT per patient was 9(0- 21). Eighty nine patients underwent full-mouth dental restoration and 11 patients underwent other types of procedures. Ninety seven patients were safely discharged the same day. Four patients experienced postoperative complications and three of them were hospitalized for another 24-48 hours for postoperative follow-up. Conclusion: Patients with physical and/or intellectual disabilities have
higher caries activity and increased dental treatment needs compared to the general population. Dental treatment under GA in day care service is a safe and effective way of providing dental care for noncompliant patients.
Keywords
Full mouth rehabilitation; General Anesthesia; Dental Caries; Tooth Extraction; Postoperative Complications
Hrčak ID:
218005
URI
Publication date:
19.3.2019.
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