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- Title
RESULTS OF 5 YEAR PRACTICE OF DENTAL REHABILITATION UNDER GENERAL ANESTHESIA IN CLINICAL HOSPITAL CENTER RIJEKA.
- Authors
Ivančić Jokić, Nataša
- Abstract
Introduction: Dental restoration under general anesthesia has become an irreplaceable part of daily work of specialists in pediatric dentistry. Under general anesthesia, teeth are treated in very young children, children with a large number of decayed teeth, children who have a strong dental fear and children with developmental difficulties and disabled people. At Dental Medicine Clinic of CHC Rijeka in cooperation with Anesthesiology, Children's Surgery and Otorhinolaryngology Clinics, dental restorations under general anesthesia have been carried out for five years. Materials and methods: Patients who had indication for dental restoration under general anesthesia are patients of Dental Medicine Clinic, CHC Rijeka. Procedures were performed under general balanced anesthesia with maintenance of the airway by nasal intubation, exceptionally orotracheal intubation. After doing the anesthesia and intubation, a throat tamponade and a fixator were placed. Then, detailed examination of oral cavity was performed and DMF/df index was taken and treatment plan was set. Results: In the period from 2017 to 2022, a total of 459 patients were treated, 66.2% male and 33.8% female. Treatment was performed on 4.181 teeth, 1.140 (27.3%) permanent teeth, and 3.041 (72.7%) primary teeth. 69.9% of permanent and 34.6% of primary teeth were filled, while 30.1% of permanent and 65.4% of primary teeth were extracted. The treatment plan is more radical in order to reduce the possibility of complications and avoid repeated need for tooth restoration under general anesthesia. All necessary treatments were performed in one procedure under general anesthesia. Conclusion: After tooth restoration under general anesthesia, the morphology of the chewing surface is established and the chewing function of the tooth is restored. The balance of the oral microflora is re-established and the risks of caries and development of dental anxiety are reduced.
- Subjects
RIJEKA (Croatia); DENTAL anesthesia; GENERAL anesthesia; PRACTICE of dentistry; DECIDUOUS teeth; PEDIATRIC dentistry; FEAR of dentists; DENTAL fillings
- Publication
Acta Stomatologica Croatica, 2022, Vol 56, Issue 4, p420
- ISSN
0001-7019
- Publication type
Article