Türkiye’nin kuzeyinde çocuk hastaların diş tedavilerinde genel anestezi ne sıklıkta tercih ediliyor?

Amaç: Genel anestezi ile diş tedavisi, hekime ve hastaya konforlu bir süreç sağlamakta kısa sürede birçok tedavi hastaya uygulanabilmektedir. Bu çalışma ile Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi’nde genel anestezi altında yapılan diş tedavilerinin retrospektif olarak incelenmesi amaçlanmıştır. Gereç ve yöntem: Ocak 2015 - Eylül 2015 tarihleri arasında genel anestezi altında yapılan diş tedavileri, retrospektif olarak değerlendirilmiştir. Hastaların yaş, kilo, genel anestezi endikasyon nedenleri, yapılan diş tedavileri ve ek sistemik hastalıkları değerlendirildi. Bulgular: Hastalar ortalama yaş grubu 8 ± 6, ortalama ağırlıkları ise 25 ± 17 kg olarak belirlendi. Hastaların % 53.8’i erkek % 46.2’si kız hastalardı. Diş tedavisi uygulanan hastaların %59.9’unu (n = 790) sağlıklı ancak kooperasyon kurulamayan hastalar, % 32.8’i (n = 431) geniş cerrahi operasyon geçirecek hastalar, % 7.3’ünü (n = 97) zihinsel/fiziksel engeli olan hastalardan oluşmaktaydı. Hastaların % 11.6’sına (n = 153) restoratif diş tedavisi, % 59.8’ine (n = 788) diş çekimi, % 20.5’ine (n = 270) restoratif diş tedavisi + diş çekimi, %7.3’üne (n = 97) çene cerrahisi, % 0.8’ine periodontal tedavi uygulanmıştır. Sonuç: Davranış yönetim stratejileri ile çocuk hastaların ikna edilerek diş tedavileri uygulanabilir. Ancak son yıllarda bu uygulamadan giderek uzaklaşılmakta, farmakolojik yöntemler ön plana çıkmaktadır. Genel anestezinin kullanımı diş hekimliği uygulamalarında hızla artmaktadır. Ancak gereksiz genel anestezi uygulamalarından kaçınmak için endikasyonu belirlemede kullanılan yöntemlerin etkin ve doğru bir şekilde uygulanması gerekmektedir. Çalışmamızda genel anestezi sağlıklı çocuk hastalarda yüksek oranda tercih edilmiştir. Türkiye’de diş hekimlerinin genel anestezi endikasyonunu belirlemede kullandıkları yöntemlerin ve bunların doğru şekilde uygulanıp uygulanmadığının incelendiği ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

çocuk, Genel anestezi, diş hekimliği

How often is general anesthesia preferred in dental treatment of child patients in the north of Turkey?

Aim: With general anesthesia, dental treatment provides a comfortable process to the patient and the physician. In short time, many treatments can be applied to the patients. This study aimed to retrospectively examine the dental treatments performed under general anesthesia at Ondokuz Mayıs University Faculty of Dentistry.Materials and Methods: Dental treatments under general anesthesia between January 2015 and September 2015 were evaluated retrospectively. Age, weight, reasons for general anesthesia indication, dental treatment and additional systemic diseases were evaluated.Results: Patients were determined as mean age group 8 ± 6, mean weight 25 ± 17 kg. 53.8% of the patients were male and 46.2% of the patients were female. 59.9% (n = 790) of the dental treatment patients were healthy, but not cooperatable, 32.8% (n = 431) had extensive surgery and 7.3% (n = 97) were mentally / physically disabled patients. Restorative dental treatment was performed in 11.6% of the patients (n = 153), tooth extraction in 59.8% (n = 788), restorative dental treatment + tooth extraction in 20.5% (n = 270), jaw surgery in 7.3% (n = 97) and 0.8% periodontal treatment. Conclusion: Behavior management strategies can be used to convince child patients and to treat teeth. However, in recent years, this practice has gradually moved away from the practice and pharmacological methods have come to the forefront. The use of general anesthesia is increasing rapidly in dental practice. However, in order to avoid unnecessary general anesthesia applications, the methods used to determine the indications need to be applied effectively and correctly. In our study, general anesthesia was highly preferred in healthy children. There is a need for further studies in Turkey to examine the methods used by dentists to determine the indication for general anesthesia and whether they are applied correctly.

Keywords:

General anesthesia, dentistry, child,

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