General anesthesia in the management of early childhood caries: an overview

Oubenyahya, Hanan; Bouhabba, Najib

doi:10.17245/jdapm.2019.19.6.313

Cited by 35 publications

(32 citation statements)

References 39 publications

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“…Choice of dental treatment modality was found to be different in both time periods. In general, ECC treatment approaches under GA fall under two main categories: extractions only, or an approach that combines all treatments, including preventive, restorative and surgical procedures [ 31 ]. The choice is influenced by many factors: the restorability of the tooth, caries risk, parents' compliance and wishes, socioeconomical status, as well as the resources that are available [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…In general, ECC treatment approaches under GA fall under two main categories: extractions only, or an approach that combines all treatments, including preventive, restorative and surgical procedures [ 31 ]. The choice is influenced by many factors: the restorability of the tooth, caries risk, parents' compliance and wishes, socioeconomical status, as well as the resources that are available [ 31 ]. In our study, significantly more patients were treated with restorative treatment approaches including strip crowns, stainless steel crowns, pulpotomies and fillings between 2007–2011 compared to 2002–2006.…”

Section: Discussionmentioning

confidence: 99%

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Associated factors to caries experience of children undergoing general anaesthesia and treatment needs characteristics over a 10 year period

et al. 2020

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Background Aim of this study was to describe the characteristics of 1- to 6-year-old children who underwent general anesthesia (GA) in a German specialized pediatric dental institution between 2002 and 2011, and to evaluate the risk factors (age, migration background, nutritional status) for caries experience (dmf-s) in these children. Methods A cross-sectional study with retrospective data collection was designed. Children who underwent comprehensive dental treatment under GA were enrolled in the study. The data were collected from patient records and included personal background: age, sex, dmf-s, nutritional status, reasons for GA and treatments provided. Mann–Whitney-U test, Chi-square tests, and linear regression modelling were applied for statistical analyses. Results 652 children (median age: 3 years [IQR: 2–4], 41.6% female) were treated under GA between 2002 and 2011. Of these, 30.8% had migration background, 17.3% were underweight and 14.8% overweight. The median dmf-s was 28 (IQR: 19–43.5). Univariate, only age and migration showed a significant association with dmf-s (p < 0.01) up to the age of 5 years. In the linear regression analysis, this association of dmf-s with age (OR: 4.04/CI: 2.81–5.27; p < 0.01) and migration (OR: 4.26/CI: 0.89–7.62; p = 0.013) was confirmed. At the patient level, tooth extraction was the most chosen option in both time periods, however, more restorative approaches were taken between 2007 and 2011 including pulp therapy and the use of strip and stainless steel crowns compared to 2002–2006. Conclusions Children aged 1–6 years treated under GA showed a high caries experience (dmf-s), whereby age as well as migration, but not BMI, were relevant risk factors. Although tooth extraction is the first choice in most cases in the first time period, more conservative procedures were performed in the second half of the follow-up period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associated factors to caries experience of children undergoing general anaesthesia and treatment needs characteristics over a 10 year period

et al. 2020

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“…Sometimes deep sedation or general anesthesia is a treatment of choice (and the only possible option) because of the patient's extensive treatment needs, acute situational anxiety, uncooperative age-appropriate behavior, limited cognitive functioning, physical disability, or medical conditions that require deep sedation or general anesthesia to complete dental treatment in a safe and humane fashion [14]. The aim of using general anesthesia is to restore optimal oral health in a single visit with all diligence, without worries about young patient cooperation [15].…”

Section: Discussionmentioning

confidence: 99%

Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

Chybicki

Lipczyńska-Lewandowska

Ratajek-Gruda

et al. 2020

Case Reports in Dentistry

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The article describes a rare case of radicular cyst associated with deciduous right upper molars in a 5 y.o. male patient. The cyst developed asymptomatically in the maxillary sinus, thus causing considerable displacement of both premolar germs. Due to the severity of surgery, the patient was treated under general anesthesia in a one-day surgery system with use of the enucleation method. The extent of the lesion results in necessity of removal of the second premolar germ. Early diagnosis of the lesion would have resulted in a more conservative treatment plan. The purpose of this article is to lay emphasis on the pedodontist’s role in early diagnosis of such lesions.

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“…The management of proximal caries under general anesthesia has been a topic of interest to pediatric dentists across the world [ 9 , 13 , 14 , 16 ]. Traditionally, the SSC has been viewed as an aggressive form of treating dental caries in primary molars [ 12 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The management of early childhood caries in children is often carried out under general anesthesia [ 8 , 9 ]. The management of proximal caries in primary teeth is a controversial topic [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Survival Rates of Stainless-Steel Crowns Placed with and without Pulpotomy: A Two-Year Retrospective Study

Almotawah

Pani

Alkharashi

et al. 2020

International Journal of Dentistry

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Aim. This study aimed to retrospectively compare the survival outcomes over two years between teeth with proximal dental caries that were restored with stainless-steel crowns to those that were pulpotomized and then restored with a stainless-steel crown in patients who were rehabilitated under general anesthesia. Participants and Methods. The records of 131 patients aged between two to six years who had stainless-steel crowns placed under general anesthesia and had two-year follow-up were screened. 340 teeth with moderate proximal caries on the radiograph (D2) were included in the study. Of these, 164 teeth were treated with a pulpotomy and stainless-steel crown, while 176 teeth were crowned without a pulpotomy. The type of each tooth was compared using the Chi-squared test and Kaplan–Meier survival analysis, and curves were plotted based on the two-year outcomes. Results. Treatment: the sample comprised 59 males (mean age 4.73 years, SD ± 1.4 years) and 72 females (mean age 5.2 years, SD ± 2.0 years). The Kaplan–Meier regression model showed no significant difference in survival outcomes between teeth that had been pulpotomized and those that had not ( p = 0.283). Conclusion. Within the limitations of the current study, we can conclude that performing a pulpotomy does not influence the survival outcome of mild/moderate proximal caries restored with stainless-steel crowns under general anesthesia.

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General anesthesia in the management of early childhood caries: an overview

Cited by 35 publications

References 39 publications

Associated factors to caries experience of children undergoing general anaesthesia and treatment needs characteristics over a 10 year period

Associated factors to caries experience of children undergoing general anaesthesia and treatment needs characteristics over a 10 year period

Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

Comparison of Survival Rates of Stainless-Steel Crowns Placed with and without Pulpotomy: A Two-Year Retrospective Study

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