Chen Yung-Pan, Hsieh Chun-Yi, Hsu Wen-Ting, Wu Fu-Ya, Shih Wen-Yu
Division of Pedodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Division of Pedodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Faculty of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2017 Apr;80(4):262-268. doi: 10.1016/j.jcma.2016.11.001. Epub 2017 Jan 16.
General anesthesia (GA) as a pediatric dental procedure is a well-established method of behavior management. However, studies of pediatric dentistry under GA have mostly focused on handicapped patients, and various retrospective studies in Taiwan have mainly reviewed only a limited number of years. The purpose of the present study was to report trends in pediatric dental treatment performed under GA over the past 10 years.
A retrospective review of the hospital records of patients receiving dental treatment under GA from 2006 until 2015 was performed. The patients were divided into three age groups: < 3 years, 3-6 years, and > 6 years. A range of information including basic patient characteristics and types of dental treatment was identified and then analyzed.
A total of 791 cases (< 3 years old: 65 cases, 3-6 years old: 492, > 6 years old: 235; 549 male, 242 female) were treated under GA. The case number was found to have increased from 94 during 2006-2007 to 238 during 2014-2015, with the increase being especially pronounced among those aged 3-6 years (2006-2007: 49, 2014-2015: 165). The most common treatments (extraction, restoration, and pulp therapy) were associated with multiple dental caries (684, 86.4%). The < 3-years-old group was characterized by the highest decayed, extracted, and filled surface and decayed, missing, and filled surface indices; the highest mean number of treated teeth; and the highest mean number of treated teeth by composite resin fillings. The 3-6-years-old group had the highest number of primary teeth extractions. The > 6-years-old group had the lowest mean number of treated teeth by stainless-steel crowns (SSCs) and fewest cases treated with pulp therapy. From 2011 onwards, the number of primary tooth extractions significantly increased, while in 2013, there was a crossover whereby the SSC count surpassed the composite resin filling count.
Over the past 10 years, there has been an increased use of GA for pediatric dental treatments, in particular, in cases with multiple dental caries. In addition, there has also been an increasing trend towards extraction of primary teeth and the use of SSCs.
全身麻醉（GA）作为一种儿科牙科治疗手段，是一种成熟的行为管理方法。然而，关于GA下儿科牙科的研究大多集中在残疾患者身上，台湾的各种回顾性研究主要也仅回顾了有限的年份。本研究的目的是报告过去10年GA下儿科牙科治疗的趋势。
对2006年至2015年期间接受GA牙科治疗的患者的医院记录进行回顾性研究。患者分为三个年龄组：<3岁、3 - 6岁和>6岁。确定并分析了一系列信息，包括患者基本特征和牙科治疗类型。
共有791例患者接受了GA治疗（<3岁：65例，3 - 6岁：492例，>6岁：235例；男性549例，女性242例）。发现病例数从2006 - 2007年的94例增加到2014 - 2015年的238例，其中3 - 6岁年龄组的增加尤为明显（2006 - 2007年：49例，2014 - 2015年：165例）。最常见的治疗（拔牙、修复和牙髓治疗）与多发龋齿相关（684例，86.4%）。<3岁年龄组的龋失补牙面指数和龋失补牙面指数最高；平均治疗牙齿数最多；复合树脂补牙治疗的平均牙齿数也最多。3 - 6岁年龄组的乳牙拔除数量最多。>6岁年龄组用不锈钢冠（SSC）治疗的平均牙齿数最少，接受牙髓治疗的病例也最少。从2011年起，乳牙拔除数量显著增加，而在2013年，出现了一种转变，即SSC的数量超过了复合树脂补牙的数量。
在过去10年中，GA在儿科牙科治疗中的使用有所增加，特别是在多发龋齿的病例中。此外，乳牙拔除和SSC的使用也呈增加趋势。
