Xia Bin, Qin Man, Ma Wen-li, Liu He, Wang Jiang-hong, Liu Ke-ying, Liu Rui-chang, Yang Xu-dong, Ge Li-hong
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Department of Anesthesiology, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Feb 18;46(1):35-8.
To retrospectively evaluate the efficiency of dental treatment under general anesthesia (GA) in child patients, and analyze the related factors.
The records of patients treated under GA in the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, between Aug 2008 and Jun 2012 were collected and analyzed. Two hundred and twenty eight records were found, of which 111 patients under 18 years old who were recalled more than 3 months after GA were selected randomly. The unplanned treatments including caries, failed restoration, root canal treatment and space maintenance fall-off etc. were recorded and analyzed. The survival rate and median survival time of the teeth were calculated, and a multivariate analysis was performed by Cox proportional hazard model.
Totally, there were 1 415 teeth treated under GA. The median survival time was 825 days, 77.0% of the teeth were present during their recall period. The median time of the first unplanned treatment was 215 days, and the failed restoration was the main reason for the unplanned treatment. Other factors such as the age at treatment, gender, total number of decayed teeth, reason for GA, and living place were found unassociated with the survival rate.
The effect of dental treatment under GA is satisfied. Regular dental visit after GA is very important for children's dental health.
回顾性评估全身麻醉(GA)下儿童患者牙科治疗的效果,并分析相关因素。
收集并分析2008年8月至2012年6月期间北京大学口腔医学院儿童口腔科在GA下接受治疗患者的记录。共找到228份记录,从中随机选取111例18岁以下且在GA后3个月以上被召回的患者。记录并分析包括龋齿、修复失败、根管治疗和间隙保持器脱落等在内的非计划性治疗情况。计算牙齿的存活率和中位存活时间,并采用Cox比例风险模型进行多因素分析。
GA下共治疗1415颗牙齿。中位存活时间为825天,77.0%的牙齿在召回期内仍存在。首次非计划性治疗的中位时间为215天,修复失败是导致非计划性治疗的主要原因。发现治疗时年龄、性别、龋齿总数、GA原因和居住地等其他因素与存活率无关。
GA下牙科治疗效果满意。GA后定期进行牙科检查对儿童口腔健康非常重要。