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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
; Zavod za oralnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska; Klinika za stomatologiju KBC-a Zagreb, Zagreb, Hrvatska
Bernard Janković
; Zavod za endodonciju i restaurativnu dentalnu medicinu Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska; Klinika za stomatologiju KBC-a Zagreb, Zagreb, Hrvatska
Marin Lozić
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje KBC-a Zagreb, Zagreb, Hrvatska
Dragana Gabrić
; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Klinika za stomatologiju KBC-a Zagreb, Zagreb, Hrvatska
Tihomir Kuna
; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Klinika za stomatologiju KBC-a Zagreb, Zagreb, Hrvatska
Vasilije Stambolija
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje KBC-a Zagreb, Zagreb, Hrvatska
Željko Verzak
; Zavod za dječju i preventivnu stomatologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Klinika za stomatologiju KBC-a Zagreb, Zagreb, Hrvatska
Sažetak
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.
Ključne riječi
Full mouth rehabilitation; General Anesthesia; Dental Caries; Tooth Extraction; Postoperative Complications
Hrčak ID:
218005
URI
Datum izdavanja:
19.3.2019.
Posjeta: 3.428 *