keyword
https://read.qxmd.com/read/38296761/oral-implant-rehabilitation-under-general-anesthesia-for-patients-with-cognitive-and-physical-disabilities-a-14-year-cohort-study
#21
JOURNAL ARTICLE
Marie-Sophie Bogner, Vivien Chambas, Jean-Luc Veyrune, Denise Faulks, Martine Hennequin
STATEMENT OF PROBLEM: Oral rehabilitation with implants is an alternative to the provision of removable dentures in all patients for whom missing teeth require replacement. However, individuals with cognitive, mental health issues, and/or physical disabilities are often excluded from implant-supported prostheses because of the high perceived risk of failure linked to poor oral health, presence of parafunction, or systemic conditions. PURPOSE: The purpose of this cohort study was to describe the protocols, outcomes, and survival rates of oral rehabilitation with implant-supported prostheses in patients with cognitive and physical disabilities treated under general anesthesia (GA) in a French unit of Special Care Dentistry...
January 30, 2024: Journal of Prosthetic Dentistry
https://read.qxmd.com/read/38256352/dental-treatment-in-special-needs-patients-and-uncooperative-young-children-a-retrospective-study
#22
JOURNAL ARTICLE
Matteo Biasotto, Augusto Poropat, Davide Porrelli, Giulia Ottaviani, Katia Rupel, Magdalena Theodora Bogdan Preda, Roberto Di Lenarda, Margherita Gobbo
Background and Objectives: Special Needs Patients (SNPs) and young non-collaborative children are more predisposed to develop oral pathologies due to poor collaboration and scarce access to dental treatment. The aim of this retrospective study was to analyze a sample of SNPs who received dental treatments either under general anesthesia (GA) or deep sedation (DS) over a period of 6 years. The number and type of procedure were analyzed. Materials and Methods: In total, 131 patients were included and mostly (>90%) treated under GA...
January 3, 2024: Medicina
https://read.qxmd.com/read/38239523/neurological-complications-of-local-anesthesia-in-dentistry-a-review
#23
REVIEW
Hashsaam Ghafoor, Saad Haroon, Sundus Atique, Anwar Ul Huda, Osman Ahmed, Ali O Mohamed Bel Khair, Aijaz Abdus Samad
Local anesthesia is a technique that temporarily desensitizes a specific body area, typically for a surgical procedure, dental work, or pain management. It is described as a sensation loss in a specific area of the body due to depression of excitation in the nerve endings or due to the inhibition of the conduction process within the peripheral nerves. It allows for safer and more comfortable medical procedures, reducing the need for general anesthesia and facilitating faster recovery. Local anesthesia is generally safe, but like any medical intervention, it carries potential risks and side effects...
December 2023: Curēus
https://read.qxmd.com/read/38239171/a-study-on-related-factors-affecting-dental-fear-in-preschool-children
#24
JOURNAL ARTICLE
Ruobing Peng, Linhua Liu, Youjian Peng, Jun Li, Tiantian Mao
This study aims to examine the manifestations of dental anxiety (DA) and its influencing factors during dental visits among preschool children. The data of 166 preschool children who visited the Department of Dentistry of our hospital from April 2021 to April 2023 with oral problems were retrieved. Their DA performance was investigated using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). In addition, based on their general data and potential risk factor information, we performed logistic regression analysis to identify the factors influencing DA...
January 2024: Journal of Clinical Pediatric Dentistry
https://read.qxmd.com/read/38221700/ventricular-tachycardia-following-ephedrine-during-dexmedetomidine-dental-procedural-sedation
#25
JOURNAL ARTICLE
Shota Abe, Kanami Suzuki, Maki Hamamura, Takashi Tamanoi, Koji Takahashi, Keiichiro Wakamatsu, Kenji Yoshida, Hiroyoshi Kawaai, Shinya Yamazaki
We present the case of a 46-year-old man who received ephedrine for hypotension after surgery for a mandibular lesion under intravenous (IV) moderate sedation with dexmedetomidine (DEX) and experienced transient ventricular tachycardia (VT). The patient was scheduled to have cystectomy and multiple apicoectomies for the mandibular periapical infection and the simple bone cyst. Other than obesity, snoring, and a nonalcoholic fatty liver, he denied any other significant medical history, medications, or allergies...
December 1, 2023: Anesthesia Progress
https://read.qxmd.com/read/38221699/tracheal-bronchus-detected-during-general-anesthesia-a-case-report
#26
JOURNAL ARTICLE
Toru Yamamoto, Tatsuru Tsurumaki, Hiroko Kanemaru, Kenji Seo
A tracheal bronchus is a congenital abnormality of the tracheobronchial tree in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We herein report a case in which a tracheal bronchus was incidentally found after induction of general anesthesia, and we discuss the potential airway management problems that may have ensued. An 80-year-old man was scheduled for buccal mucosa resection and abdominal skin grafting for treatment of squamous cell carcinoma of the left buccal mucosa...
December 1, 2023: Anesthesia Progress
https://read.qxmd.com/read/38221697/a-case-of-anterior-arytenoid-cartilage-dislocation-during-nasal-tracheal-intubation-using-an-indirect-video-laryngoscope
#27
JOURNAL ARTICLE
Keiko Fujii-Abe, Maho Ikeda, Manami Yajima, Hiroshi Kawahara
Arytenoid cartilage dislocation can occur as a complication of tracheal intubation and laryngeal trauma, but its occurrence with indirect video laryngoscopy has not been reported. This paper reports anterior arytenoid dislocation occurring after nasotracheal intubation performed under indirect laryngoscopy using a video laryngoscope (McGRATH MAC; Medtronic). The dislocation is presumed to have resulted from the laryngoscope blade being initially inserted too deeply and applying pressure to the posterior aspect of the left cricoarytenoid joint...
December 1, 2023: Anesthesia Progress
https://read.qxmd.com/read/38221696/anesthetic-management-of-a-patient-with-spinocerebellar-ataxia-type-1
#28
JOURNAL ARTICLE
Sakura Takeda, Sumire Idzuchi, Kentaro Mizuta
Spinocerebellar ataxia type 1 (SCA1) is one of the autosomal dominant spinocerebellar degeneration (SCD) diseases characterized by progressive cerebellar ataxia, muscle atrophy, and peripheral neuropathy. We report the management of a 43-year-old man with SCA1 who underwent general anesthesia for open reduction and internal fixation of a mandibular fracture. Although anesthesia-induced vocal cord paralysis has been reported in patients with SCD, nasotracheal intubation was performed uneventfully with video laryngoscope...
December 1, 2023: Anesthesia Progress
https://read.qxmd.com/read/38205476/evaluation-of-clinical-success-caries-recurrence-and-oral-health-related-quality-of-life-of-children-undergoing-full-mouth-rehabilitation-for-early-childhood-caries-a-prospective-cohort-study
#29
JOURNAL ARTICLE
Mebin George Mathew, Ganesh Jeevanandan
AIM: This prospective cohort study aimed to assess the clinical success, caries recurrence, and oral health-related quality of life of children undergoing full mouth rehabilitation for early childhood caries under general anesthesia. The study sought to understand the long-term impact of these interventions on early childhood caries (ECC) management. METHODOLOGY: The study included 300 children aged three to six years diagnosed with ECC requiring full mouth rehabilitation under general anesthesia...
December 2023: Curēus
https://read.qxmd.com/read/38202066/oral-health-statuses-of-children-and-young-adults-with-autism-spectrum-disorder-an-umbrella-review
#30
REVIEW
Waqas Sami, Mohammad Shakil Ahmad, Riyaz Ahamed Shaik, Mohammad Miraj, Sadiya Ahmad, Muhammed Hamza Molla
This study aimed to comprehensively evaluate the oral health statuses of children and adults within the autism spectrum disorder (ASD) population through an umbrella review approach. The prevalence of dental caries, periodontal disease, and associated variables were investigated across selected studies. A systematic search was conducted across databases including PubMed, Scopus, EMBASE, Science Citation Index, Science Direct, Web of Science, MEDLINE, and Wiley Online Library to identify relevant studies. The assessed variables included dental caries prevalence, periodontal disease prevalence, oral hygiene indicators, and the necessity of dental treatment...
December 22, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38191396/the-residency-levels-effect-on-pediatric-dental-rehabilitation-operation-time
#31
JOURNAL ARTICLE
Raniah Baakdah, Shahad Al-Kharouby, Shrouq Al-Sharif, Rabab Al-Nakhli, Yara Al-Sulami, Raghad Al-Qarni, Mohammed Yasir Al-Hindi
BACKGROUND: Postgraduate pediatric dental residents' competency, to perform dental rehabilitation procedures under General anesthesia (GA), at different levels of training is challenging for operation time control. An adequate operation time (OT) for children decreases morbidity risk and improves hospital time utilization efficiency. The aim of the study is to assess the effect of pediatric dental resident training level on OT for pediatric dental rehabilitation procedures under GA at King Abdulaziz Medical City (KAMC)...
January 8, 2024: BMC Medical Education
https://read.qxmd.com/read/38186788/oral-rehabilitation-of-a-14-year-old-quadriplegic-child-with-cerebral-palsy-under-general-anesthesia-a-case-report
#32
Mansi Baviskar, Akshaya Mudaliar, Sanjana Ratnakar Kodical, Chinmaya Chaudhary, Parnaja Valke
Cerebral palsy is a neuromuscular disorder in which patients deal with dysfunction in motor coordination in addition to other problems like epilepsy. Due to disrupted motor functions, the oromotor coordination is also affected, leading to higher incidence of dental caries, which is also due to increased consumption of medications. This case report deals with the oral rehabilitation of a quadriplegic 14-year-old child with cerebral palsy, suffering from severe dental pain and who was treated under general anesthesia...
November 2023: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38166658/an-ambulatory-dental-treatment-of-a-child-with-rett-syndrome-and-limited-mouth-opening-under-muscle-relaxant-free-general-anesthesia-a-case-report
#33
JOURNAL ARTICLE
Xiao Tan, Bo Zhu, Yanchen Li, Yuguang Huang
BACKGROUND: Rett Syndrome (RTT) is a rare, severe, and progressive developmental disorder with intellectual disability. Anesthesia in RTT patients presents a range of challenges. We report a child with RTT who received dental treatment under muscle relaxant-free general anesthesia in our ambulatory center. CASE PRESENTATION: A 15-year-old girl with RTT was admitted to our dental clinic with multiple dental caries and residual roots. Dental treatment was scheduled under ambulatory general anesthesia...
January 2, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38151551/a-rare-case-of-the-auriculotemporal-and-inferior-alveolar-nerves-communication
#34
JOURNAL ARTICLE
Eli Tsakiris, Norio Kitagawa, Keiko Fukino, Devendra Shekhawat, Joe Iwanaga, R Shane Tubbs
This case study describes anatomical variations in the branching pattern of the posterior division of the trigeminal nerve and its clinical implications for dental and craniofacial surgery. The study presents two uncommon variations observed in an elderly male cadaver. A communicating branch connecting one of three roots of the auriculotemporal nerve and inferior alveolar nerve just before entering the mandibular foramen on the right side, and three communicating branches between the IAN and lingual nerve on the left side...
December 27, 2023: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38123935/selecting-an-esthetic-full-coverage-restorative-material-for-high-caries-risk-primary-molars
#35
JOURNAL ARTICLE
Patrick Ruck, Elizabeth S Gosnell
Full-coverage restorations are indicated for posterior primary teeth as definitive treatments for high caries-risk children and in patients whose treatment is being performed under general anesthesia. Advances in biomaterials and parental preferences have driven interest in esthetic full coverage treatment options for primary posterior teeth. The prefabricated resin crown offers a 'flex fit' adaptation over the anatomic cervical convexity of the primary clinical crown, similar in functionality to a stainless steel crown...
November 15, 2023: Journal of Dentistry for Children
https://read.qxmd.com/read/38076505/effect-of-local-anesthesia-on-postoperative-pain-and-hemostasis-after-dental-rehabilitation-under-general-anesthesia-in-pediatric-patients-a-randomized-control-trial
#36
JOURNAL ARTICLE
Amal R Batarseh
BACKGROUND: This study aimed to investigate the effect of local anesthesia (LA) on postoperative pain and hemostasis after dental rehabilitation under general anesthesia (DRGA) in pediatric patients. METHODS: A total of 43 patients, aged 3-7 years and rated ASA I or II, who had a definitely negative rating on Frankel's behavior rating scale, were included in this two-arm, parallel-design, single-blinded, randomized, controlled study. The patients were allocated equally into two main groups receiving both restorative treatments and tooth extractions...
December 2023: Journal of Dental Anesthesia and Pain Medicine
https://read.qxmd.com/read/38065480/comparison-of-dexmedetomidine-and-a-dexmedetomidine-esketamine-combination-for-reducing-dental-anxiety-in-preschool-children-undergoing-dental-treatment-under-general-anesthesia-a-randomized-controlled-trial
#37
JOURNAL ARTICLE
Fei Xing, Tong-Tong Zhang, Zhihu Yang, Mingcui Qu, Xiaoshan Shi, Yanna Li, Yan Li, Wei Zhang, Zhongyu Wang, Na Xing
BACKGROUND: Dental anxiety is a widespread complication occurring in pediatric patients during dental visits and may lead to undesirable complications. Esketamine may be effective in anxiety. OBJECTIVE: The objective of this study was to investigate the effect of premedication with a dexmedetomidine-esketamine combination compared with dexmedetomidine alone on dental anxiety in preschool children undergoing dental treatment under general anesthesia. METHODS: This is a prospective, double-blinded, randomized controlled trial...
December 6, 2023: Journal of Affective Disorders
https://read.qxmd.com/read/38064486/antimicrobial-use-practices-in-canine-and-feline-dental-procedures-performed-in-primary-care-veterinary-practices-in-the-united-states
#38
JOURNAL ARTICLE
J Scott Weese, Ian Battersby, JoAnn Morrison, Nathaniel Spofford, Maria Soltero-Rivera
This study examined the utilization of antimicrobials in canines and felines receiving dental treatments in veterinary clinics in the United States, retrospectively. A total of 818,150 animals (713,901 procedures in dogs and 104,249 procedures in cats) underwent dental procedures under general anesthesia in 2020. These included dental prophylaxis and extractions. Patient demographic data, antimicrobial treatment, treatment duration, dose, periodontal disease score, whether tooth extractions were performed and how many extractions were performed was recorded...
2023: PloS One
https://read.qxmd.com/read/38056856/-significance-and-points-to-note-of-perioperative-oral-care
#39
JOURNAL ARTICLE
Hiroyasu Komuro, Hisashi Iwata
With the development of minimally invasive surgery for lung cancer, surgical indications for elderly patients have been increasing. However, elderly patients are at risk for aspiration pneumonia, which is accompanied by a decline in swallowing function and results in aspiration pneumonia. More than 700- 1,000 species are present in the oral microbiome, and the progression of the oral microbiome to the lung has been reported to be associated with poor prognosis. Perioperative complications include dental injuries associated with intubation for general anesthesia and postoperative pneumonia...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38054181/the-effect-of-intranasal-dexmedetomidine-on-emergence-delirium-prevention-in-pediatric-ambulatory-dental-rehabilitation-under-general-anesthesia-a-randomized-clinical-trial
#40
RANDOMIZED CONTROLLED TRIAL
Huan He, Qichun Cui, Hengheng Chen, Xiao Huang, Shuai Wang, Tian Yu, Jinqiu Feng, Yun Shao
PURPOSE: Sevoflurane is the preferred anesthetic agent for induction and maintenance of ambulatory surgery due to its property of fast onset and recovery. However, it has been recognized as one of the major contributors of emergence delirium. The aim of this study was to evaluate the preventive effect of intranasal dexmedetomidine on the occurrence of emergence delirium in pediatric patients under general anesthesia with sevoflurane. PATIENTS AND METHODS: Ninety pediatric patients undergoing dental rehabilitation under sevoflurane anesthesia were enrolled in this study...
2023: Drug Design, Development and Therapy
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