A comprehensive analysis of the various facets of administering general anesthesia in pediatric dentistry for full mouth rehabilitation : An overview

Main Article Content

V.Ranjith Akshay Seshadri
Deepa.Gurunnathan

Keywords

Rehabilitation , Dental Care, General Anesthesia, ECC, Pediatric FMR, Psychology

Abstract

Background: While the majority of children are able to receive dental treatment in a standard office setting, there are some who struggle with being in a conscious state during the procedure and do not respond well to usual methods of management. As a result, the purpose of this review is to explore this topic in greater detail.
Evidence Acquisition: To gather relevant information on dental general anesthesia in children, a computerized search was conducted using various databases such as PubMed, MEDLINE, EMBASE, Google Scholar, and Google. The search focused on articles written in English and included both original research and review articles. There was no limitation on the publication date of the articles. After retrieving the articles, a careful selection process was undertaken to identify those that were relevant to the topic. The selected papers were then studied in detail, and the relevant findings were recorded using a data form designed by the author
Results: A thorough preoperative oral examination, along with a comprehensive evaluation of treatment needs, can only be performed following a clinical and radiographic oral examination. To minimize psychological trauma in children undergoing dental GA, effective collaboration among the dental team is necessary. Additionally, before proceeding with comprehensive dental treatment under GA, it's crucial to accurately assess the child's general health and the success rate of the planned procedures. It's also important to determine the optimal timing for the GA dental operation. Ensuring safety during pediatric dental rehabilitation under GA is of utmost importance
Conclusions: While there are specific criteria for selecting cases that require dental GA, dental practitioners still need to exercise their judgment to make a decision. Although instructing parents or caregivers with pre- and post-operative guidelines can assist in mitigating complications, the utilization of trained resuscitation providers, vigilant monitoring, and advanced equipment is crucial in reducing unfavorable outcomes.

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References

1. Akshayaa, L., Vignesh Ravindran, and M. Madhulaxmi. 2021. “Choice Of Tricalcium Silicate Cements Among Children For Pulp Capping-A Retrospective Study.” Int J Dentistry Oral Sci 8 (9): 4527–30.
2. American Medical Association. 1904. Journal of the American Medical Association.
3. Asif, Ahsana, Ganesh Jeevanandan, Lavanya Govindaraju, R. Vignesh, and E. M. G Subramanian. 2019. “Comparative Evaluation of Extrusion of Apical Debris in Primary Anterior Teeth Using Two Different Rotary Systems and Hand Files: An In Vitro Study.” Contemporary Clinical Dentistry 10 (3): 512–16.
4. Fuks, Anna, and Benjamin Peretz. 2016. Pediatric Endodontics: Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth. Springer.
5. Glick, David B., Richard M. Cooper, and Andranik Ovassapian. 2012. The Difficult Airway: An Atlas of Tools and Techniques for Clinical Management. Springer Science & Business Media.
6. Hibino, Mitsue, Masatoshi Maeki, Manabu Tokeshi, Yoichi Ishitsuka, Hideyoshi Harashima, and Yuma Yamada. 2023. “A System That Delivers an Antioxidant to Mitochondria for the Treatment of Drug-Induced Liver Injury.” Scientific Reports 13 (1): 6961.
7. Hockenberry, Marilyn J. 2022. Wong’s Nursing Care of Infants and Children - E-Book. Elsevier Health Sciences.
8. Institute of Medicine, Board on Health Promotion and Disease Prevention, and Committee on Assuring the Health of the Public in the 21st Century. 2003. The Future of the Public’s Health in the 21st Century. National Academies Press.
9. Institute of Medicine, Board on Neuroscience and Behavioral Health, and Committee on Health Literacy. 2004. Health Literacy: A Prescription to End Confusion. National Academies Press.
10. Institute of Medicine, Division of Health Care Services, and Committee on Medicare Coverage Extensions. 2000. Extending Medicare Coverage for Preventive and Other Services. National Academies Press.
11. Institute of Medicine, National Research Council, Division of Behavioral and Social Sciences and Education, Board on Children, Youth, and Families, and Committee on Depression, Parenting Practices, and the Healthy Development of Children. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. National Academies Press.
12. James R Hupp, Dmd M. D. Jd Mba, Myron R. Tucker, and ) Edward Ellis (iii. 2019. Contemporary Oral and Maxillofacial Surgery, 7 E: South Asia Edition E-Book. Elsevier India.
13. Lakshmanan, Lakshimi, and Ganesh Jeevanandan. 2021. “Comparison Of Post-Operative Pain After Pulpectomy Using Kedo-S Square File, Hand H File and K File-A Randomized Controlled Trial.” Int J Dentistry Oral Sci 8 (04): 2272–76.
14. Little, James W., Donald Falace, Craig Miller, and Nelson L. Rhodus. 2012. Dental Management of the Medically Compromised Patient - E-Book. Elsevier Health Sciences.
15. Marimuthu, Madhulaxmi. 2021. “Chitralekha. Dental Impactions Performed Under General Anaesthesia-A Retrospective Study On The Frequency and Implications.” Int J Dentistry Oral Sci 8 (02): 1793–96.
16. Mba, E. Albert Reece Md, and John C. Hobbins. 2008. Handbook of Clinical Obstetrics: The Fetus and Mother. John Wiley & Sons.
17. Meiring-Noordstra, Aaltje, Ingeborg C. van der Meulen, Marisa Onrust, Thóra B. Hafsteinsdóttir, and Marie Louise Luttik. 2023. “Relatives’ Experiences of the Transition from Intensive Care to Home for Acutely Admitted Intensive Care Patients-A Qualitative Study.” Nursing in Critical Care, May. https://doi.org/10.1111/nicc.12918.
18. National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, and Committee on Community-Based Solutions to Promote Health Equity in the United States. 2017. Communities in Action: Pathways to Health Equity. National Academies Press.
19. National Research Council, Institute of Medicine, Board on Children, Youth, and Families, and Committee on the Science of Children Birth to Age 8: Deepening and Broadening the Foundation for Success. 2015. Transforming the Workforce for Children Birth Through Age 8: A Unifying Foundation. National Academies Press.
20. Perry, Shannon E., Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson, Kathryn Rhodes Alden, and Mary Catherine Cashion. 2017. Maternal Child Nursing Care - E-Book. Elsevier Health Sciences.
21. Schwendicke, F., J. Frencken, and N. Innes. 2018. Caries Excavation: Evolution of Treating Cavitated Carious Lesions. Karger Medical and Scientific Publishers.
22. Shah, Hemash, and Chris Barker. 2023. Oxford Handbook for the Dental Foundation and Core Training Programmes. Oxford University Press.
23. Shenoy, Rekha P., T. A. Abdul Salam, and Sheeja Varghese. 2019. “Prevalence and Clinical Parameters of Cervical Abrasion as a Function of Population, Age, Gender, and Toothbrushing Habits: A Systematic Review.” World Journal of Dentistry 10 (6): 470–80.
24. Sponheim, S., Ø. Skraastad, E. Helseth, B. Due-Tønnesen, G. Aamodt, and H. Breivik. 2003. “Effects of 0.5 and 1.0 MAC Isoflurane, Sevoflurane and Desflurane on Intracranial and Cerebral Perfusion Pressures in Children.” Acta Anaesthesiologica Scandinavica 47 (8): 932–38.
25. Stefanac, Stephen J., and Samuel P. Nesbit. 2015. Diagnosis and Treatment Planning in Dentistry - E-Book. Elsevier Health Sciences.
26. Teja, Kavalipurapu Venkata, Immadi Laxmi Sujith Kumar, Sindhu Ramesh, Kaligotla Apoorva Vasundhara, and Others. 2021. “Management of External Root Resorption with Biodentine and Platelet-Rich Fibrin Matrix: A Case Report with 3 Year Follow up.” Saudi Endodontic Journal 11 (3): 405.
27. Teja, Kavalipurapu Venkata, and Sindhu Ramesh. 2021. “Nonsurgical Management of Strip Perforation Using Platelet-Rich Fibrin and MTA by Matrix Concept - A Case Report with
One Year Follow-Up.” Contemporary Clinical Dentistry 12 (1): 84–87.
28. Vacanti, Charles, Scott Segal, Pankaj Sikka, and Richard Urman. 2011. Essential Clinical Anesthesia. Cambridge University Press.
29. Vardanyan, Ruben, and Victor Hruby. 2006. Synthesis of Essential Drugs. Elsevier.
30. World Health Organization. 2013. Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Childhood Illnesses. World Health Organization.
31. Wright, Gerald Z., and Ari Kupietzky. 2014. Behavior Management in Dentistry for Children. John Wiley & Sons.
32. Yamaya, Seiji, Fumitake Tezuka, Kosuke Sugiura, Makoto Takeuchi, Hiroaki Manabe, Masatoshi Morimoto, Kazuta Yamashita, et al. 2021. “Risk Factor for Additional Intravenous Medication during Transforaminal Full-Endoscopic Lumbar Discectomy under Local Anesthesia.” Neurologia Medico-Chirurgica 61 (3): 236–42.