Rajavaara P, Rankinen S, Laitala M-L, Vähänikkilä H, Yli-Urpo H, Koskinen S, Anttonen V
Department of Cariology, Endodontology and Paediatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, P.O. Box 5281, 90014, Oulu, Finland.
Dental Teaching Unit and Unit of Specialised Care, Oral Health Care, Municipal Health Centre, Aapistie 3, P.O. Box 8, 90015, Oulu, Finland.
Eur Arch Paediatr Dent. 2017 Jun;18(3):179-185. doi: 10.1007/s40368-017-0284-x. Epub 2017 Mar 25.
To analyse the occurrence and causes of dental general anaesthesia (DGA) in healthy and medically compromised children, and to investigate if there are differences between those groups considering factors associated with DGA and DGA procedures.
The data was collected from medical records of children under 7 years of age treated under DGA in the years 2009 and 2010 at the Oulu University Hospital, Finland. The children were divided into two groups: 0-35-month-olds and ≥36-month olds. Background information (year, age, gender, dental diagnosis, health) and the procedures performed were registered. The procedures were analysed considering the child's age and tooth types.
The number of children treated under DGA increased between 2009 (58) and 2010 (82), particularly in the group of healthy children. The two main diagnoses leading to DGA were dental caries and dental fear. Dental caries as the first dental diagnosis leading to DGA was more common among the medically compromised children (61.5%) compared to the healthy children (38.6%). The procedures performed were similar among the two groups. However, they varied between the age groups and tooth types and even between upper and lower teeth. The medically compromised children had been treated more frequently under DGA in the past.
The threshold for treating medically compromised children under DGA seems to be lower than for healthy children. However, the occurrence of DGA among healthy children has increased recently. To avoid unnecessary DGA, the control of caries should be carried out according to individual needs and independent of whether the child is healthy or has a chronic disease.
分析健康儿童和有医疗问题儿童接受牙科全身麻醉（DGA）的发生率及原因，并考虑与DGA及DGA手术相关的因素，调查两组之间是否存在差异。
数据收集自2009年和2010年在芬兰奥卢大学医院接受DGA治疗的7岁以下儿童的病历。将儿童分为两组：0至35个月大的儿童和≥36个月大的儿童。记录背景信息（年份、年龄、性别、牙科诊断、健康状况）及所实施的手术。根据儿童年龄和牙齿类型对手术进行分析。
2009年（58例）至2010年（82例）接受DGA治疗的儿童数量增加，尤其是健康儿童组。导致DGA的两个主要诊断是龋齿和牙科恐惧症。作为导致DGA的首要牙科诊断，龋齿在有医疗问题的儿童中（61.5%）比在健康儿童中（38.6%）更常见。两组所实施的手术相似。然而，手术在年龄组和牙齿类型之间甚至在上、下牙齿之间存在差异。有医疗问题的儿童过去接受DGA治疗的频率更高。
对有医疗问题的儿童进行DGA治疗的阈值似乎低于健康儿童。然而，健康儿童中DGA的发生率最近有所增加。为避免不必要的DGA，应根据个体需求进行龋齿控制，而与儿童是否健康或患有慢性病无关。
