Fatma KOÇYİĞİT, Serpil BAYINDIR, Zafer GÜNDOĞDU

Mental motor retarde hastalarda sedoanaljezi konforu ile orodental tedavi

Amaç: Mental ve motor retardasyonu olup iletişimi mümkün olmayan hastalarda dental tedavi ve diş çekimi esnasında lokal anesteziye ek anestezi yöntemlerine gereksinimi arttırmıştır. Bu amaçla en çok tercih edilen anestezi yöntemi sedoanaljezidir. Bu çalışmada mental ve motor retardasyonu olan hastalarda uygulanan sedoanaljezi sonrası memnuniyeti ve oluşan komplikasyonları belirlemeyi amaçladık. Metod: 2014-2016 yılı arasında diş çekimi için sedoanaljezi uygulanan mental ve motor retardasyonu olan 58 olgu retrospektif olarak incelendi. Bulgular: 58 hasta çalışmaya dahil edildi. Bu hastaların 38i erkek % 65,5 ve 20si kadın % 34,5 hastaydı. Hastaların 33ünde serebralpalsi % 56,8 , 25inde otizm % 43,2 tanısı vardı. Laringospazm % 1,7 , bulantı % 6,8 , kusma % 5,2 görüldü. Entübasyona sadece bir hastada gereksinim oldu. Serebralpalsi grubunda iki, otizmli hasta grubunda ise üç hasta yakınında memnuniyet oranın az olduğu, diğerlerinin memnuniyetin mükemmel olduğu gözlemlendi. Sonuç: Mental ve motor retardasyon olan hasta grubu iletişim kurmada güçlük nedeniyle daha az oranda ağız diş sağlığı hizmeti alabilmektedirler. Koordinasyon güçlüğünün önüne geçebilmek ve kompleks medikal problemlerinin çözülmesi için uygun sedoanaljezi eşliğinde dental tedavi seçeneklerinin sunulması gerekmektedir.

Anahtar Kelimeler:

Mental ve motor retardasyon, Orodental tedavi, Sedoanaljezi

Orodental treatment with sedoanalgesia comfort in patients who are mental motor retarde

Aim: The patients who are mental motor retardation and noncmmunicative, increased the need for additional anesthesia methods for dental treament and toothextraction. The most preferred anesthesia for this purpose is sedoanalgesia. This study is aimed to determine satisfaction and complications after sedoanalgesia in patients with mental and motor retardation. Method: 58 patients with mental and motor retardion who undewent sedoanalgesia for toothextraction between the years 2014 and 2016 were retrospectively studied. Results: Study included 58 patients with 38 % 65,5 male and 20 % 34,5 female patients. Complications observed were laryngospasm % 1,7 , nause % 6,8, vomiting % 5,2 . Intubation was required in only one patient. When the satisfaction rates were questioned, two relatives of the cerebralpasy patients, three relatives of the autısm patients had less satisfield. The others had perfect satisfaction. Conclusion: Mental motor retardation patients are less able to recive oral health services because of difficulty in communicating. Sedoanalgesia is necessary to resolve the coordination difficulty and complex medical problems at the dental treatment options.

Keywords:

Mental motor retardation, Orodental, Sedoanalgesia,

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