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Dental General Anesthesia

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...
December 12, 2018: 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
Yafit Hamzani, Eli Rosenfeld, Gavriel Chaushu, Bahaa Haj Yahya
BACKGROUND AND OVERVIEW: Needle breakage when administering local anesthetic in the oral cavity can be of major concern to both the patient and the dentist. Intraoperative navigation has become the most popular advanced imaging technique. CASE DESCRIPTION: In this report, the authors describe a case of needle breakage during inferior alveolar nerve block for a dental procedure. Using preoperative imaging, the authors located the needle and removed it while the patient was under general anesthesia...
October 31, 2018: Journal of the American Dental Association
Shahed Al-Ogayyel, Sanaa Al-Haj Ali
Background: The aim of this retrospective study was to assess and compare the dental treatments performed under general anesthesia (GA) between healthy children and children with special health care needs (SHCN) according to age group and gender at king Fahd hospital, Dhahran, Saudi Arabia. Material and Methods: Data was retrieved from the records of 304 healthy and SHCN children 1 18 years of age who received dental rehabilitation under GA in the period 2015-2018...
October 2018: Journal of Clinical and Experimental Dentistry
Louise Sidenö, Rim Hmaidouch, Jan Brandt, Nadine von Krockow, Paul Weigl
BACKGROUND: Phobic patients avoid dental treatment impairing their oral health and making it challenging to offer them prosthetic rehabilitation. This study evaluated patients' experience of implant-supported prosthetic treatment after implantation performed under general anaesthesia due to dental phobia and severe pharyngeal reflexes (SPR). The effect of gender, age and location of implantation on patient satisfaction was tested. METHODS: Two hundred five patients underwent implantation under general anesthesia both in maxilla and mandible, respectively...
November 1, 2018: BMC Oral Health
Elham Farokh-Gisour, Marjan Hatamvand
Background & Aim: Dentists are exposed to stress and tension as they have a close contact with the patients. The increase in stress may affect the dentists' performance and can be a major threat to the physical and mental health of the patients. Pediatric dentistry requires experience, without which the amateur dentists and students feel lack of self-confidence, and consequently be unable to deal with problematic patients. There is no study investigating stress during pediatric dentistry among the dentistry students as well as general and pediatric dentists in Iran...
2018: Open Dentistry Journal
Chieh Ting Chang, Gary R Badger, Bhavini Acharya, Allen F Gaw, Michelle S Barratt, Brett T Chiquet
Purpose: The purpose of this study was to determine how ethnicity influences parental acceptability of behavior management techniques (BMTs) used during dental treatment of children. This is the first known study to compare ethnic differences in acceptance levels of the BMTs. Methods: Parental acceptance of 10 BMTs (tell-show-do, voice control, non-verbal communication, positive reinforcement, distraction, parental presence/absence, nitrous oxide, protective stabilization, sedation, and general anesthesia) was rated using a visual analogue scale (VAS) after watching vignettes of each technique...
July 15, 2018: Pediatric Dentistry
Jennifer Tung, Christopher Carillo, Richard Udin, Melissa Wilson, Thomas Tanbonliong
Purpose: The purpose of this study was to clinically compare injection pain experience in children using three methods. Methods: This was a randomized clinical trial conducted among 150 children (81 girls, 69 boys), from seven to 14 years of age, who required operative dental treatment. Fifty patients were randomized into one of three groups: DentalVibe® , manual stimulation, or no stimulation (control). During the injection, the pulse rate and perceived pain, using the Wong Baker FACES Pain Rating Scale were recorded...
May 15, 2018: Journal of Dentistry for Children
Yoshitaka Furuya, Masae Yamamoto, Taichi Ito, Takashi Takaki, Takahiko Shibahara, Yasutomo Yajima
An abnormal maxillomandibular ridge relationship frequently hinders oral implant treatment in patients with jaw deformities. Here, we describe a patient who was experiencing difficulty using dentures due to multiple maxillary tooth loss and mandibular prognathism. Treatment comprising sagittal splitting ramus osteotomy and alveolar ridge augmentation using bone grafts harvested from the mandibular ramus followed by implant treatment yielded good outcomes. The patient was a 47-year-old woman presenting with an unstable upper partial denture...
October 18, 2018: Bulletin of Tokyo Dental College
S E Guney, C Araz, R E Tirali, S B Cehreli
Purpose: The study aimed to investigate dental anxiety and oral health-related quality of life among children undergoing dental rehabilitation under general anesthesia (GA) and intravenous sedation (IVS). Materials and Methods: Participants were 99 healthy children aged 3-5 or 6-12 years operated under GA or IVS. Dental anxiety before treatment and 1 month postoperatively were measured using the Frankl behavior scale (FBS), the venham picture test (VPT), the early childhood oral health impact scale (ECOHIS), and the children's fear survey schedule-dental subscale (CFSS-DS)...
October 2018: Nigerian Journal of Clinical Practice
Rocco Franco, M Miranda, L Di Renzo, A Barlattani, A De Lorenzo, P Bollero
BACKGROUND: Myotonic dystrophy type I (DM1) is a genetic autosomal dominant disorder; malignant hyperthermia is a possible complication. It may occur following administration of some halogenated general anesthetics, muscle relaxants, or surgical stress. AIM: The purpose of this case report is to evaluate the dental management of patients with Steinert's disease. CASE REPORT: The patient needed dental extraction. A locore-gional paraperiosteal anesthesia was performed using bupiva-caine without vasoconstrictor and sedation with nitrous oxide...
September 1, 2018: Journal of Contemporary Dental Practice
Amy E Bauer, Judith Stella, Matthew Lemmons, Candace C Croney
Periodontal disease is one of the most common conditions affecting companion dogs. The objectives of this cross-sectional study were: to determine 1) the agreement between visual assessments (VA) of periodontal disease (PD) performed on awake dogs and the reference standard (RS) of a dental examination and radiographs performed with the dog under general anesthesia, and 2) inter-rater reliability (IRR) for two individuals performing VAs of PD on the same dogs. One hundred and eight dogs were recruited from three veterinary practices...
2018: PloS One
Shamit Prabhu, Kevin Fortier, Lisa Newsome, Uday N Reebye
Hereditary sensory and autonomic neuropathy type IV (HSAN IV), or congenital insensitivity to pain with anhidrosis, is an exceptionally rare genetic disorder that results in the complete loss of pain and temperature sensation as well as anhidrosis. Anesthetic management of these patients can be difficult because of significantly increased risks during general anesthesia. Literature on perioperative anesthetic management is typically written in the context of a hospital setting. As such, our case presents a unique report on the anesthetic management of a HSAN IV patient who presented for extraction of 2 teeth in an office-based setting...
2018: Anesthesia Progress
Njinkeng J Nkemngu, Joel N Tochie
Neostigmine is the anticholinesterase drug most commonly used to reverse blockade or speed up recovery from neuromuscular blockade from nondepolarizing neuromuscular blocking drugs. Because of its cardiac muscarinic effects, prior or simultaneous administration of glycopyrrolate or atropine is usually recommended. There have been a few case reports of bradycardia, atrio-ventricular (AV) block, and cardiac arrest following neostigmine/glycopyrrolate administration to reverse neuromuscular block affecting several patients...
2018: Anesthesia Progress
William Murray Thomson, Hillary L Broder
This article describes child oral health-related quality of life measures and provides some examples of their use in determining the effect of clinical interventions, such as dental treatment under general anesthesia, orthodontic treatment, and treatment of orofacial clefting.
October 2018: Pediatric Clinics of North America
Z Y Zhang, B Xia, F Zhou, Y Z Ruan
Objective: To conduct economic evaluation of treatments under dental general anesthesia (DGA) and protective stabilization (PS), in order to compare the cost and the final therapeutic effect of these two treatments. Methods: Retrospectively studied twenty-six 2 to 4 years old patients treated under DGA and twenty-seven treated under PS in the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology. The general information, treatment information and total treatment cost information of patients were collected...
September 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Seon Woo Lim, Eunsun So, Hye Joo Yun, Myong-Hwan Karm, Juhea Chang, Hanbin Lee, Hyun Jeong Kim, Kwang-Suk Seo
Background: When performing dental treatment under general anesthesia in adult patients who have difficulty cooperating due to intellectual disabilities, anesthesia induction may be difficult as well. In particular, patients who refuse to come into the dental office or sit in the dental chair may have to be forced to do so. However, for adult patients with a large physique, physical restraint may be difficult, while oral sedatives as premedication may be helpful. Here, a retrospective analysis was performed to investigate the effect of oral sedatives...
August 2018: Journal of dental anesthesia and pain medicine
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