Pediatric Dentistry and General Anesthesia

Year 2019, Volume: 19 Issue: 3, 658 - 664, 30.09.2019

Cansu Özşin Özler , Tülin İleri Keçeli Meryem Uzamış Tekçiçek

https://doi.org/10.17098/amj.624720

Abstract

Dental caries and periodontal diseases are important
public health problems. Pediatric dentists are responsible for the prevention
of these diseases, as well as the appropriate treatment. However, it may not
always be possible to fulfill the essential treatment procedure especially in
young, disabled children as well as in children with systemic diseases. General
anesthesia, is one of the advanced behavioral techniques used in pediatric
dentistry in some special cases where treatment cannot be performed in the
clinical setting. This method is frequently used in children who are not
compatible, who have an advanced fear of dental treatment, who need plenty of
dental procedures, and major surgical procedures as well as those who have
severe nausea reflex. Although general anesthesia in dentistry seems to be an
efficient treatment service in terms of completing all procedures in one
session  regardless of patient
cooperation, care should be taken by regarding the risks to the general health
of the patient when deciding on general anesthesia . It is recommended that it
should be performed in an environment where all necessary equipment for general
anesthesia  and an experienced
anesthetist team are present.

Keywords

Anesthesia, general, pedodontics

Çocuk Diş Hekimliği ve Genel Anestezi

Abstract

 Diş
çürüğü ve diş eti hastalıkları önemli halk sağlığı problemlerindendir. Çocuk
diş hekimleri bu hastalıkların önlenmesi ve hastalıklardan korunmadaki esas
görevlerinin yanı sıra, uygun tedavilerinin yapılmasından da sorumludur. Ancak
özellikle küçük, sistemik hastalığı olan ve engelli çocukların diş hekimliği
klinik ortamında gerekli tedavileri yapılamayabilir.  Genel anestezi; çocuk diş hekimliğinde, tedavinin
klinik ortamda uygulanamadığı bazı özel durumlarda başvurulan ileri davranış
önlendirme tekniklerinden biridir. Bu yöntem uyumlu olmayan, ileri düzeyde diş
tedavisi korkusu olan, çok fazla dental işlem gereksinimi olan çocuklarda,
büyük cerrahi işlemler gerekliliğinde ve şiddetli bulantı refleksi olan
çocuklarda sıklıkla tercih edilmektedir. Diş hekimliğinde genel anestezi ile
tek seansta tüm işlemlerin tamamlanabilmesi ve hasta uyumu gerektirmemesi
bakımından verimli bir tedavi hizmeti gibi görünse de, hastanın genel sağlığı
açısından riskler taşıyor olması nedeniyle genel anesteziye karar verilirken
çok dikkatli olunmalıdır. Genel anestezi için gerekli tüm donanımın olduğu bir
ortamda ve tecrübeli bir anestezist sorumluluğundaki ekip tarafından
uygulanması önerilir.

Keywords

Anestezi, genel, pedodonti

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