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Dental General Anesthesia

Candice Delbet-Dupas, Laurent Devoize, Arnaud Depeyre, Aurélien Mulliez, Isabelle Barthélémy, Nathalie Pham Dang
PURPOSE: Most patients with severe odontogenic infections are successfully treated with large spectrum probabilistic antibioc therapy, drainage of the collections and tooth treatment or extraction and are discharged home before antibiotic sensitivity results were available. The investigators hypothesized whether bacteriological sampling should be systematically performed in the management of patients with severe odontogenic infections. METHODS: The investigators implemented a prospective observational study...
March 2, 2019: Journal of Stomatology, Oral and Maxillofacial Surgery
Ryota Watanabe, Graeme Doodnaught, Caroline Proulx, Jean-Philippe Auger, Beatriz Monteiro, Yvan Dumais, Guy Beauchamp, Mariela Segura, Paulo Steagall
This study aimed to evaluate pain scores, analgesic requirements, food intake and serum inflammatory cytokines in cats before and after clinically recommended dental treatment. Twenty-four cats were included in a prospective, blinded clinical trial. Cats were equally divided into minimal (minimal dental treatment) or severe (multiple dental extractions) oral disease groups. They were admitted (day 0) and underwent oral examination/radiographs/treatment under general anesthesia (day 1; acepromazine-hydromorphone-propofol-isoflurane-meloxicam-local anesthetic blocks)...
2019: PloS One
Holly M Clark, Mark A Saxen, Juan F Yepes, James E Jones, Laquia A Vinson, George J Eckert, Qing Tang
Purpose: Use of general anesthesia (GA) for comprehensive dental treatment of children is an essential health benefit. Pediatric dentists utilize dentist anesthesiologists to provide GA for dental rehabilitation of severe early childhood caries. Dentist anesthesiologists deliver GA using intubated or nonintubated GA. The purpose of this study was to compare the incidence of respiratory complications when intubated versus nonintubated general anesthesia was completed by dentist anesthesiologists in a pediatric dentistry setting...
January 15, 2019: Pediatric Dentistry
Brandy Edmonds, Tiffany Williams, Caroline Carrico
Purpose: The purpose of this study was to assess the prevalence of and factors that contribute to sibling-recurrent dental general anesthesia (DGA) at the Department of Pediatric Dentistry, Virginia Commonwealth University, Richmond, Va., USA. Methods: Subjects were recruited from July 25, 2017 to March 15, 2018. The guardian of patients with siblings who attended a university pediatric dental clinic were provided a questionnaire to assess the prevalence and factors associated with recurrent DGA. A provider survey was completed to ensure inclusion/exclusion criteria were met...
January 15, 2019: Pediatric Dentistry
Jessica T Ogawa, John Kiang, Delma-Jean Watts, Priya Hirway, Carol Lewis
Purpose: Dental pathology is common among refugees. The purpose of this study was to identify pediatric refugees at increased risk of caries, poor clinic attendance, and need for urgent or surgical intervention under general anesthesia. Methods: A retrospective chart review of newly arrived pediatric refugees to the United States was performed. Data collected included demographics, caries risk, treatment urgency, missed appointments, and surgical intervention under general anesthesia. Bivariate analyses were used...
January 15, 2019: Pediatric Dentistry
Jan Bellows, Mary L Berg, Sonnya Dennis, Ralph Harvey, Heidi B Lobprise, Christopher J Snyder, Amy E S Stone, Andrea G Van de Wetering
The 2019 AAHA Dental Care Guidelines for Dogs and Cats outline a comprehensive approach to support companion animal practices in improving the oral health and often, the quality of life of their canine and feline patients. The guidelines are an update of the 2013 AAHA Dental Care Guidelines for Dogs and Cats. A photographically illustrated, 12-step protocol describes the essential steps in an oral health assessment, dental cleaning, and periodontal therapy. Recommendations are given for general anesthesia, pain management, facilities, and equipment necessary for safe and effective delivery of care...
March 2019: Journal of the American Animal Hospital Association
Yasmine Elhamouly, Karin Ml Dowidar
Ectrodactyly ectodermal dysplasia with clefting is a rare syndrome resulting from TP63 gene mutations. It is inherited in autosomal dominant manner or as a de novo transfiguration. It is characterized by a triad of ectodermal dysplasia, ectrodactyly, and facial clefts. This report represents a clinical case of 5 years and 6 months-old male child with ectrodactyly ectodermal dysplasia cleft lip and palate syndrome requiring treatment of his carious teeth. After history taking and clinical examination, the necessary treatment was provided under general anesthesia due to the definitely negative behavior of the child...
February 5, 2019: Special Care in Dentistry
Shin Hye Chung, Kyung A Chun, Hae-Young Kim, Young-Sun Kim, Juhea Chang
INTRODUCTION: The aim of this study was to determine the prognostic factors of periapical healing of teeth after single-visit nonsurgical endodontic treatment under general anesthesia in special needs patients. METHODS: This retrospective study collected 448 teeth from 241 patients (mean age = 27.4 years, standard deviation = 13.9 years). A total of 271 teeth (60.5%) with clinical and radiographic follow-up records longer than 12 months (mean [standard deviation] = 56...
February 2019: Journal of Endodontics
Anna-Lena Hillebrecht, Valentina Hrasky, Christoph Anten, Annette Wiegand
OBJECTIVES: This study aimed to assess self- and proxy-rated changes in the oral health-related quality of life (OHRQoL) in adult patients with intellectual disabilities after dental treatment in general anesthesia. METHODS: The OHRQoL in 52 adult patients with intellectual and developmental disabilities was assessed prior to dental treatment in general anesthesia (t0), 2 to 3 (t1) and 12 weeks (t2) postoperatively. Therefore, patients and primary cargivers were surveyed using either the 5-item short form of the Oral Health Impact Profile translated into easy language (OHIP-G5-easy, self-rating, n = 27) or the 14-item short form of the Oral Health Impact Profile (OHIP-G14, proxy-rating, n = 51), respectively...
February 1, 2019: Clinical Oral Investigations
Yumi Ohtawa, Mizuki Yoshida, Kenichi Fukuda
The purpose of this study was to survey parental satisfaction with ambulatory anesthesia during dental treatment in disabled patients. Factors associated with parental preference for general anesthesia during future dental treatment in such patients were also investigated. A questionnaire was mailed to the parents of 181 disabled individuals who underwent dental treatment under ambulatory anesthesia at Tokyo Dental College Suidobashi Hospital between 2012 and 2016. A total of 71 responses were received (39...
January 31, 2019: Bulletin of Tokyo Dental College
Masakazu Hamada, Hidetaka Shimizu, Ayako Takasu, Kyoko Nishiyama, Yoshiaki Yura
Intraosseous venous malformation of the mandible is rare. A 59-year-old woman was referred to our hospital for evaluation of a radiolucent lesion in the left body of the mandible that had been detected on a routine radiologic dental checkup. The patient wished for follow-up rather than operation. After 2 years' follow-up, the radiolucent lesion had slowly grown, and the patient decided to have an operation. The lesion was removed surgically using the piezosurgery system, and conservation of the inferior alveolar nerve was achieved under general anesthesia...
July 2018: Annals of Maxillofacial Surgery
Kong E You-Ten, Fabricio B Zasso
Transnasal humidified rapid-insufflation ventilatory exchange is a recently described technique for safer management of difficult airways and a novel ventilation technique under anesthesia. Its full potential in patient safety and benefits are still being investigated. We describe the use of transnasal humidified rapid-insufflation ventilatory exchange for deep sedation during dental extractions in a patient with severe cystic fibrosis as a precondition for lung transplantation. Patient wanted to have the procedure under general anesthesia with intubation due to extreme anxiety...
January 10, 2019: A&A practice
M Elise Graham, Abigail K Neal, Ian C Newberry, Matthew A Firpo, Albert H Park
OBJECTIVE: To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA). STUDY DESIGN: Case series with chart review. SETTING: Tertiary pediatric hospital. SUBJECTS AND METHODS: Records for all pediatric patients (<18 years) treated for PTAs in the emergency department from 2005 to 2015 were reviewed and stratified into awake, CS, and GA groups for comparison...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Madoka Funahara, Souichi Yanamoto, Sakiko Soutome, Saki Hayashida, Masahiro Umeda
BACKGROUND: Increased amount of tongue coating has been reported to be associated with increased bacteria count in the saliva and aspiration pneumonia in elderly people. However, the implications of tongue coating for prevention of postoperative complications in patients undergoing major oncologic or cardiac surgery has not been well documented. The purpose of this study is to investigate the number of bacteria on the tongue before and after surgery and factors affecting it. METHODS: Fifty-four patients who underwent oncologic or cardiac surgery under general anesthesia at Nagasaki University Hospital were enrolled in the study...
December 20, 2018: BMC Oral Health
L Gao, Y Liu, X D Yang
OBJECTIVE: To observe the preoperative sedation, the status of separation from parents, compliance with the mask, hemodynamic parameters and postoperative agitation of intranasal dexmedetomidine (DEX) premedication on children undergoing dental rehabilitation under general anesthesia. METHODS: In the study, 60 children of American Society of Anesthesiology classification (ASA I-II), aged 2-9 years, were randomly assigned to one of two equal groups. Thirty minutes before operation, control group received intranasal placebo (0...
December 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Masanori Tsukamoto, Hitoshi Yamanaka, Takeshi Yokoyama
OBJECTIVES: The selection of an appropriate size of tracheal tube is important for airway management. For nasotracheal intubation, passing the nasal cavity should be taken into account for the selection of tube size. The aim of this study was to investigate the selection of appropriate size of nasotracheal tube in pediatric patients retrospectively. MATERIALS AND METHODS: The 1-12-year patients underwent dental procedures under general anesthesia intubated nasotracheally...
January 2019: Clinical Oral Investigations
Katheleen Miranda Dos Santos, Jennifer Tsi Gerber, Pedro Teruo Mendes Okazaki, Cibele Cândida de Almeida Kintopp, Leandro Eduardo Klüppel, Allan Fernando Giovanini, Rafaela Scariot
Introduction: Plasmacytoma describes a neoplastic proliferation of plasma cells affecting different groups of patients according to location, and may demonstrate heterogeneous tumor progression and survival rate. The present article describes a case of solitary plasmacytoma in the mandible . Presentation of case: A 57-year-old male smoker was referred to the oral and maxillofacial service with extensive injury, approximately 4-5 cm in size, involving the anterior inferior region of mandible...
December 2018: Annals of Medicine and Surgery
Beau D Meyer, Jung Wei Chen, Jessica Y Lee
Most children are able to cooperate during conventional, in-office dental treatment using traditional, communicative behavior guidance techniques that are carefully selected and applied to the developmental needs of a particular child. Children who are unable to cooperate during conventional treatment due to a lack of psychological or emotional maturity and/or the existence of a mental, physical, or medical disability may require pharmacologic techniques such as procedural sedation or general anesthesia to complete rehabilitative dental treatment...
November 2018: General Dentistry
Tae-Heung Kim, Jun-Sang Lee, Ji-Hye Ahn, Cheul-Hong Kim, Ji-Uk Yoon, Eun-Jung Kim
An 87-year-old woman was referred for the extraction of residual teeth and removal of tori prior to prosthetic treatment. After surgery under general anesthesia, the surgical tape was removed to detach the bispectral index sensor and the hair cover. After the surgical tape was removed, skin injury occurred on the left side of her face. After epidermis repositioning and ointment application, a dressing was placed over the injury. Her wound was found to have healed completely on follow-up examination. Medical adhesive related skin injury (MARSI) is a complication that can occur after surgery and subjects at the extremes of age with fragile skin are at a higher risk for such injuries...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Terumi Ayuse, Shinji Kurata, Takuro Sanuki, Gaku Mishima, Kensuke Kiriishi, Mari Kawai, Toshihiro Watanabe, Yu Ozaki-Honda, Naomi Tanoue, Nobuaki Magata, Kaori Yamaguchi, Mizuki Yoshida, Takao Ayuse
AIMS: Although it has been reported that general anesthesia affect the perioperative sleep cycle, no studies have yet evaluated how general anesthesia affects dentally disabled patients. In this study, we investigated the alteration of perioperative sleep cycles in dentally disabled patients receiving dental treatment under general anesthesia. SUBJECTS AND METHODS: The study included 16 patients receiving dental procedures under general anesthesia. Using a sleep monitoring mat, the patients' sleep cycles were measured at home from 5 days before the scheduled surgery date until 5 days after discharge following general anesthesia...
November 5, 2018: Special Care in Dentistry
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