GENEL ANESTEZİ ALTINDA YAPILAN DENTAL TEDAVİLERİN UZUN DÖNEM BAŞARI ORANLARI

Kooperasyon güçlüğü yaşanan çocuklarda ve zihinsel ve fiziksel engelli bireylerde dental tedavilerin genel anestezi altında gerçekleştirilmesi, tedavi sürecini oldukça kolaylaştırmaktadır. Klinikte uygulanan tedavi protokolüyle genel anestezi altında yapılan tedavi planlaması birbirinden farklı olabilir. Genel anestezi altında yapılan dental tedavinin başarısızlık riskinin en aza indirilmesi ve tedavi planlamasının doğru yapılması oldukça önemlidir. Tedavi protokolü oluşturulurken daha önce erken çocukluk çağı çürüklerinin dental tedavisi, farklı restorasyon materyalleri, engelli bireylerin dental tedavisi, tek seansta yapılan endodontik tedavi ile ilgili yapılmış çalışmalardan yararlanılmalı ve tedavilerin bildirilen uzun dönem başarı oranları dikkate alınmalıdır. Ayrıca, yüksek çürük riski grubundaki hastalarda dental tedavi sonrası tekrarlayan çürük lezyonlarına dair bir eğilim görülmektedir. Çocuk diş hekimleri sadece dental tedaviye odaklanmamalı, aynı zamanda oral hijyen eğitiminin verilmesi ve genel anestezi sonrasında düzenli kontrol randevuları ile oral hijyenin idame ettirilmesi konusunda da dikkatli olmalıdır.

Anahtar Kelimeler:

Genel anestezi, Erken çocukluk çağı çürükleri, Kompozit restorasyonlar, Paslanmaz çelik kron, Tek seans endodontik tedavi, Pulpotomi, Sekonder çürük

LONG-TERM SUCCESS RATES OF DENTAL TREATMENTS UNDER GENERAL ANESTHESIA

Performing dental treatments under general anesthesia in children with impaired cooperation or mentally and physically disabled patients facilitates the treatment process considerably. Clinical treatment protocol and the planning under general anesthesia may differ from each other. It is very important to minimize the risk of failure of dental treatment under general anesthesia and to plan the dental treatment correctly. While preparing treatment protocol, studies on the dental treatment of early childhood caries, different restoration materials, dental treatment of disabled individuals, endodontic treatment in single visit should be utilized and reported longterm success rates of treatments should be taken into consideration. In addition, there is a trend for recurrent caries after dental treatment in patients at high risk of caries. Pediatric dentists should not only focus on dental treatment, but should also be careful in providing oral hygiene training and maintaining oral hygiene through regular check-up appointments after general anesthesia.

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