Postoperative Morbidity of Dental Paediatric Patients Treated under General Anaesthesia at a University Hospital: An Observational Study

Rajab, Lamis D.; Obaid, Aseel E.; Hamdan, M. A.; Hassona, Yazan

doi:10.1155/2022/9606010

Cited by 4 publications

(9 citation statements)

References 26 publications

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“…Most patients experienced at least one symptom of postoperative morbidity related to the dental procedure or general anesthesia, but most resolved after three days. This finding is consistent with the ones reported in previous research [11,[15][16][17].…”

Section: Discussionsupporting

confidence: 94%

Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities

Šimunović-Erpušina,

Bakarčić,

Cicvarić

et al. 2024

Medicina

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Background and Objectives: General anesthesia induces reversible unconsciousness, eliminating sensation and enabling painless medical procedures. Vital for dental care, it addresses patients with medical conditions, those needing extensive procedures, and those unable to cooperate due to fear. Dental care for patients with disabilities is a significant unmet need, with studies showing increased oral disease prevalence. This research aims to analyze postoperative morbidity both in healthy and disabled children undergoing dental procedures under general anesthesia. Materials and Methods: This study involved 96 children aged 3 to 15 with dental caries. Two groups were formed: the control group (CTL) (52.94%) included healthy patients requiring general anesthesia due to unsatisfactory cooperation, and the other group included children with physical or intellectual disabilities (CD) (47.96%). Postoperative complications were monitored 1 h after the procedure and 1, 3, 7, and 14 days after the procedure by contacting parents/caregivers by phone. The intensity of postoperative pain was assessed using the Wong–Baker faces pain rating scale. General anesthesia was conducted following a standardized protocol for dental procedures. Results: CTL patients complained more often about postoperative pain 1 h after the procedure (p = 0.03). One day after the procedure, oral bleeding (p = 0.04), fever (p = 0.009), and diarrhea (p = 0.037) occurred more often in CD. In the same period, sore throat appeared more often in CTL (p = 0.036). Three days after the dental treatment, there were statistically significant increases in the occurrence of agitation (p = 0.043) and constipation (p = 0.043) in CD. Seven days later, CD demonstrated a higher occurrence of agitation (p = 0.037). According to the Wong–Baker faces pain rating scale, CTL experienced more frequent and intense pain. Conclusions: CD more frequently reported complications like oral bleeding, fever, and diarrhea. In contrast, the CTL group more often reported pain-related symptoms. The conclusion underscores the need for a pain control protocol for CD and emphasizes the importance of frequent monitoring to prevent unwanted consequences during tooth restoration under general anesthesia.

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Section: Discussionsupporting

confidence: 94%

Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities

Šimunović-Erpušina,

Bakarčić,

Cicvarić

et al. 2024

Medicina

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“…The number of extractions has also been identified as an etiological factor for postoperative pain [7,19]. Variations in reported rates for postoperative pain can be attributed to factors such as the age of the participants, the use or nonuse of local anesthesia, the type of dental procedures performed, and the pain assessment tools [7][8][9][10][11]16,20]. The reported rate in our study can be attributed to all participants being below six years of age.…”

Section: Discussionmentioning

confidence: 70%

“…The reported rate in our study can be attributed to all participants being below six years of age. Their level of understanding might not be as refined as that of adults, and they may struggle to respond accurately to questions [11,20]. Another contributing factor could be the duration of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Another contributing factor could be the duration of the procedure. Longer surgeries are often considered more complex and may also contribute to postoperative pain [7][8][9]20].…”

Section: Discussionmentioning

confidence: 99%

“…Weariness decreased to 2% among the participants, but no instances of drowsiness were observed. A well-planned procedure, characterized by cooperation and a conducive working environment among anesthetists, pediatric dentists, and nurses, can optimize operating time, thereby minimizing the duration of surgery and the incidence of both weariness and drowsiness among participants [7,8,20,21].…”

Section: Discussionmentioning

confidence: 99%

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The Evaluation of Postoperative Complications and Oral Health-Related Quality of Life Following Dental General Anesthesia for Early Childhood Caries

Mathew,

Jeevanandan

2023

Cureus

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The study aims to evaluate the postoperative complications and oral health-related quality of life (OHRQoL) following dental general anesthesia for early childhood caries (ECC). Materials and methodsTwo hundred children aged between three and six requiring full-mouth rehabilitation for general anesthesia were recruited for the study. Demographic data and oral health-related quality of life using the Early Childhood Oral Health Impact Scale (ECOHIS) were collected before the surgery. Postoperative complications and oral health-related quality of life were evaluated after 24 hours and at a one-week followup appointment. ResultsAll 200 children returned for the follow-up appointment after one week. Pain was found to be the most common postoperative complication after 24 hours (52%) and one week (6%). The oral health-related quality of life showed a significant improvement after one week (P < 0.001) ConclusionChildren may experience a postoperative complication after full-mouth rehabilitation, which resolves within a week. Dental pain was the most common operative complication in the present study. Oral health-related quality of life showed significant improvement after full-mouth rehabilitation.

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Pain assessment, cognitive and cortical changes with full mouth rehabilitation in a group of children

Metwally,

Ragab,

Kandil

et al. 2024

BMC Oral Health

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Background A change in professionals’ perspectives on the value of general anesthesia (GA) for pediatric patients, including those with disabilities, medical conditions, severe oral issues, and challenging behaviors. Full-mouth rehabilitation under GA allows for the comprehensive treatment of all oral health problems in a single visit, without requiring the child’s active participation. Extensive dental problems are often associated with severe dental pain, which can impact cognitive function, including perception, attention, memory, reasoning, language, communication, and executive functions. Individuals experiencing pain tend to perform less optimally cognitively. Aim This study aimed to investigate changes in cognition, brain function, and cortical alterations in children who underwent extensive dental rehabilitation under GA. Patients andMethods Thirty uncooperative, healthy children aged 6–12 with extensive dental issues were enrolled. Pain levels were assessed using the FLACC and WBFPS scales before treatment, one week after, and three months later. Cognitive assessments, including the WCST, processing speed, digit span, and Trail Making Test, as well as EEG measurements, were also performed. Results The results showed a significant improvement in pain levels reported by the children or their caregivers after the dental procedures, both at one week and three months. All cognitive measures, such as digit span, processing speed, and WCST performance, demonstrated substantial improvements after the treatment. The Trail Making Test also exhibited statistically significant variations before and after the dental procedures. Additionally, the MOCA test revealed a notable improvement in cognitive skills following the treatment. Furthermore, the EEG power ratio, an indicator of changes in the power balance within each frequency band, showed a statistically significant difference after the dental procedures. Conclusion the findings of this study suggest that full-mouth rehabilitation under GA can lead to improved pain management, as well as enhanced cognitive and brain functions in children. Future perspectives More clinical studies with a longer follow-up period and a different age range of children are required to investigate the connection between brain function and oral rehabilitation involving restorations or occlusion issues.

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Postoperative Morbidity of Dental Paediatric Patients Treated under General Anaesthesia at a University Hospital: An Observational Study

Cited by 4 publications

References 26 publications

Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities

Postoperative Morbidity after Dental Treatment under General Anesthesia in Children with and without Disabilities

The Evaluation of Postoperative Complications and Oral Health-Related Quality of Life Following Dental General Anesthesia for Early Childhood Caries

Pain assessment, cognitive and cortical changes with full mouth rehabilitation in a group of children

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