Local and general anesthesia and premature extraction of deciduous teeth

Abstract

The premature extraction under general anesthesia differs significantly from the same manipulation made with local anesthesia. The aim of the study is to compare the number, the type and the position of the prematurely extracted deciduous teeth in children treated with local and under general anesthesia. Subjects of monitoring were 60 children. The clinical group consists of 30 children with teeth for premature extraction under general anesthesia and the control group consists of 30 with children for premature extraction under local anesthesia. The dental status was examined and registered by the DMFT. The number and type of these teeth were calculated and registered in special cards. Results: The children from the first group had a greater average number of prematurely extracted teeth per child 3,22 ± 0,28 and for the children from the second group that number is 1,03 ± 0,07. The children from the first group have 23 premature extracted anterior teeth. For the first group of children -55 second temporary molars were prematurely extracted, in the second group -25 teeth. A greater number of deciduous teeth in the lower jaw in the two studied groups of children were prematurely extracted -49 teeth in the first group and 43 teeth for the second group. Conclusion: These results demonstrate the connection between the carious activity, premature tooth loss and the need of prevention of younger children, especially with ECC, where the upper incisors are strongly damaged at a very young age.

Case report: the Hall technique as a method of choice in case of asymptomatic closed pulpitis in primary teeth

“…Among 5-and 7-year-old children the most affected group of teeth are the primary molars, and the most common type of caries is the approximal (18,26,27). Complicated caries is one of the main reasons for premature loss of primary teeth in childhood age (7). The data received by Andreeva for children with premature loss of teeth show that at least half of the children have fear from dental treatment.…”

“…In children with high caries risk the carious process runs fast and very aggressively. In most of the cases it is followed by a pulpal inflammation, which requires endodontic treatment and restoration with preformed metal crowns or even extraction and placement of space maintainers (6,7,8). The indications for conventional fillings in primary dentition are relatively limited due to the two extreme methods of treatment: non-operational (preventive) treatment and the severe forms of caries with significant destruction of the hard tooth tissues (9).…”