DENTAL TREATMENT AND ANESTHESIA PROCEDURE IN PEDIATRIC PATIENTS WITH SYSTEMIC DISEASE*

Aybüke Bahadır Sezer; Zeynep Aslı Güçlü; Dilek Günay Canpolat; Seher Orbay Yaşlı

Makale detayları

DENTAL TREATMENT AND ANESTHESIA PROCEDURE IN PEDIATRIC PATIENTS WITH SYSTEMIC DISEASE*

Yazarlar:

Aybüke Bahadır Sezer | Zeynep Aslı Güçlü | Dilek Günay Canpolat | Seher Orbay Yaşlı

Yayıncı:

Erciyes University

Ana Başlıklar:

Çocuk Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.34 Issue 1, pp.27-33

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342627

pISSN:

1018-3655

Anahtar kelimeler:

Özet:

 This retrospective study evaluates factors influencing anesthesia selection and procedure duration for children requiring pharmacological behavior management during dental treatment. This retrospective study involved 209 pediatric patients who underwent surgery under general anesthesia and sedation at Erciyes University, Faculty of Dentistry. Health status, age, anesthesia type, procedure time, filling number, and root canal treatment number were recorded. Logistic and linear regressions examined anesthesia type and procedure duration predictors. Increasing the number of fillings OR 95 CI: 0.857 0.789-0.931; p0.001 and the number of root canal treatments OR 95 CI: 0.546 0.341-0.873; p0.012 reduced the likelihood of sedation. In the presence of combined systemic disease, sedation was preferred OR 95 CI: 45.782 1.713-1223.446; p0.023, and the procedure time increased significantly in the presence of mental retardation p0.041. Increases in age p0.009, number of fillings p0.001, and number of root canal treatments p0.001 significantly increased the procedure time. The procedure time was significantly shorter in the sedated patients than in the general anesthesia group p0.001.Sedation was preferred when combined systemic disease occurred, but general anesthesia was preferred over sedation because the increased number of teeth treated increased the procedure time. The factors affecting the choice of anesthesia and the duration of procedures in pediatric dental treatment are complex; therefore, this study can contribute to create an evidence-based clinical practice guideline based on patient characteristics to improve the safety and treatment outcomes for children.

 This retrospective study evaluates factors influencing anesthesia selection and procedure duration for children requiring pharmacological behavior management during dental treatment. This retrospective study involved 209 pediatric patients who underwent surgery under general anesthesia and sedation at Erciyes University, Faculty of Dentistry. Health status, age, anesthesia type, procedure time, filling number, and root canal treatment number were recorded. Logistic and linear regressions examined anesthesia type and procedure duration predictors. Increasing the number of fillings OR 95 CI: 0.857 0.789-0.931; p0.001 and the number of root canal treatments OR 95 CI: 0.546 0.341-0.873; p0.012 reduced the likelihood of sedation. In the presence of combined systemic disease, sedation was preferred OR 95 CI: 45.782 1.713-1223.446; p0.023, and the procedure time increased significantly in the presence of mental retardation p0.041. Increases in age p0.009, number of fillings p0.001, and number of root canal treatments p0.001 significantly increased the procedure time. The procedure time was significantly shorter in the sedated patients than in the general anesthesia group p0.001.Sedation was preferred when combined systemic disease occurred, but general anesthesia was preferred over sedation because the increased number of teeth treated increased the procedure time. The factors affecting the choice of anesthesia and the duration of procedures in pediatric dental treatment are complex; therefore, this study can contribute to create an evidence-based clinical practice guideline based on patient characteristics to improve the safety and treatment outcomes for children.

 This retrospective study evaluates factors influencing anesthesia selection and procedure duration for children requiring pharmacological behavior management during dental treatment. This retrospective study involved 209 pediatric patients who underwent surgery under general anesthesia and sedation at Erciyes University, Faculty of Dentistry. Health status, age, anesthesia type, procedure time, filling number, and root canal treatment number were recorded. Logistic and linear regressions examined anesthesia type and procedure duration predictors. Increasing the number of fillings OR 95 CI: 0.857 0.789-0.931; p0.001 and the number of root canal treatments OR 95 CI: 0.546 0.341-0.873; p0.012 reduced the likelihood of sedation. In the presence of combined systemic disease, sedation was preferred OR 95 CI: 45.782 1.713-1223.446; p0.023, and the procedure time increased significantly in the presence of mental retardation p0.041. Increases in age p0.009, number of fillings p0.001, and number of root canal treatments p0.001 significantly increased the procedure time. The procedure time was significantly shorter in the sedated patients than in the general anesthesia group p0.001.Sedation was preferred when combined systemic disease occurred, but general anesthesia was preferred over sedation because the increased number of teeth treated increased the procedure time. The factors affecting the choice of anesthesia and the duration of procedures in pediatric dental treatment are complex; therefore, this study can contribute to create an evidence-based clinical practice guideline based on patient characteristics to improve the safety and treatment outcomes for children.

 Bu retrospektif çalışma, diş tedavisi sırasında farmakolojik davranış yönetimi gerektiren çocuklar için anestezi seçimini ve işlem süresini etkileyen faktörleri değerlendirmektedir. Çalışmaya Erciyes Üniversitesi Diş Hekimliği Fakültesinde genel anestezi ve sedasyon altında tedavi edilen 209 çocuk hasta dahil edildi. Sağlık durumu, yaşı, anestezi türü, işlem süresi, dolgu sayısı ve kanal tedavi sayısı kaydedildi. Lojistik ve lineer regresyonlar anestezi tipi ve işlem süresinin belirleyicilerini inceledi. Dolgu sayısının arttırılması OR 95 GA: 0.857 0.789-0.931; p0.001 ve kök kanal tedavilerinin sayısının arttırılması OR 95 GA: 0.546 0.341-0.873; p0.012 sedasyon olasılığını azalttı. Kombine sistemik hastalık varlığında sedasyon tercih edildi OR 95 GA: 45.782 1.713-1223.446; p0.023, zeka geriliği varlığında işlem süresi anlamlı olarak arttı p0.041. Yaş p0.009, dolgu sayısı p0.001 ve kanal tedavi sayısı p0.001 arttıkça işlem süresi anlamlı derecede arttı. Sedasyon uygulanan hastalarda işlem süresi genel anestezi uygulanan gruba göre anlamlı olarak daha kısaydı p0.001. Kombine sistemik hastalık oluştuğunda sedasyon tercih edildi ancak tedavi edilen diş sayısının artması işlem süresini arttırdığı için sedasyon yerine genel anestezi tercih edildi. Çocuk hastalarda dental tedavi sürecinde anestezi seçimini etkileyen birçok faktör vardır; bu çalışma çocuklarda işlem güvenliği ve tedavi sonuçlarını iyileştirmek için hazırlanacak hasta özelliklerine dayalı kanıta dayalı klinik uygulama kılavuzu oluşturulmasına katkıda bulunabilir.

Makale detayları

DENTAL TREATMENT AND ANESTHESIA PROCEDURE IN PEDIATRIC PATIENTS WITH SYSTEMIC DISEASE*

Yazarlar:

Aybüke Bahadır Sezer | Zeynep Aslı Güçlü | Dilek Günay Canpolat | Seher Orbay Yaşlı

Yayıncı:

Erciyes University

Ana Başlıklar:

Çocuk Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.34 Issue 1, pp.27-33

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342627

pISSN:

1018-3655

Dental treatment

general anesthesia

pediatric dentistry

sedation in dentistry

special health care needDiş tedavisi

genel anestezi

çocuk diş hekimliği

diş hekimliğinde sedasyon

özel sağlık bakımı ihtiyacı

Sayı

Makale detayları

Yazarlar: Aybüke Bahadır Sezer | Zeynep Aslı Güçlü | Dilek Günay Canpolat | Seher Orbay Yaşlı

Yayıncı: Erciyes University

Ana Başlıklar: Çocuk Diş Hekimliği

Dergi: Sağlık Bilimleri Dergisi Vol.34 Issue 1, pp.27-33

Belge Tipi: Makale

Yayın Tarihi: 7/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001342627

pISSN: 1018-3655

Sayı

Yazarlar:

Aybüke Bahadır Sezer | Zeynep Aslı Güçlü | Dilek Günay Canpolat | Seher Orbay Yaşlı

Yayıncı:

Erciyes University

Ana Başlıklar:

Çocuk Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.34 Issue 1, pp.27-33

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001342627

pISSN:

1018-3655