Karim Zarina Abdul, Musa Normaizura, Noor Siti Noor Fazliah Mohd
Dental Specialist Clinic, Hospital Kuala Terengganu, 20400 Terengganu.
Malays J Med Sci. 2008 Jul;15(3):31-9.
Dental treatment under general anaesthesia may be needed for some children and adolescents due to medical or behaviour problem. The objective of the study is to identify the type of treatment that has been carried out under GA in Hospital Universiti Sains Malaysia (HUSM). A retrospective record review study from hospital records of dental patients (under 18 years old) receiving dental treatment under GA from 2003 until 2007 were retrieved from the database. Information such as the reason for GA, and the type of treatment provided was recorded in data sheet. The data were analyzed using SPSS 12.0.1 for Windows. It was checked and verified for errors. A total of 349 cases were treated of which 43.6% had medical problems. Patients were mostly diagnosed to have rampant caries (77.1%) and some of them have behavioural problems (34.4%). Treatment pattern in deciduous dentition revealed more extraction (97.8%) as compared to restoration (75.7%) whereas in permanent dentition more restoration was done (24.3%) as compared to extraction (2.2%). Majority of the restorations were done using Glass Ionomer Cements (47.5%). Biopsy (4.3%) contributed mainly to the surgery (24.1%) done during GA. General anesthesia is necessary when dental disease is interfering with health and general well-being of patient and it can facilitated dental treatment allowing dentists to benefit from improved treatment conditions and provide a higher quality of care.
由于医疗或行为问题，一些儿童和青少年可能需要在全身麻醉下进行牙科治疗。本研究的目的是确定马来西亚理科大学医院（HUSM）在全身麻醉下所进行的治疗类型。从数据库中检索了2003年至2007年期间接受全身麻醉下牙科治疗的牙科患者（18岁以下）的医院记录，进行回顾性记录审查研究。诸如全身麻醉的原因以及所提供的治疗类型等信息被记录在数据表中。使用Windows版SPSS 12.0.1对数据进行分析。对数据进行了检查和错误验证。总共治疗了349例病例，其中43.6%有医疗问题。患者大多被诊断为猖獗性龋齿（77.1%），其中一些有行为问题（34.4%）。乳牙列的治疗模式显示拔牙（97.8%）比修复（75.7%）更多，而恒牙列中修复（24.3%）比拔牙（2.2%）更多。大多数修复使用玻璃离子水门汀（47.5%）。活检（4.3%）主要占全身麻醉期间所进行手术（24.1%）的比例。当牙科疾病干扰患者的健康和总体福祉时，全身麻醉是必要的，它可以促进牙科治疗，使牙医受益于改善的治疗条件并提供更高质量的护理。
