Bağ İrem, Çalışkan Seçil, Erenel Alaz Oya, Sevimli Kübra Nur, Candan Merve
Department of Pediatric Dentistry, Faculty of Dentistry, Eskisehir Osmangazi University, 26040 Eskisehir, Turkey.
Children (Basel). 2023 Oct 19;10(10):1705. doi: 10.3390/children10101705.
The utilization of evidence-based approaches is crucial to achieving long-term positive outcomes for treatment performed chairside or under general anesthesia. The study aimed to evaluate if treatment modality (at the chairside or under general anesthesia) affects prognosis and the need for re-treatment.
Oral-hygiene, gingival, and plaque indexes were recorded during the control appointment. The success of all treatments was evaluated according to the scoring of particular evaluation criteria.
A total of 1066 dental procedures were performed on 92 children. Plaque index scores were higher for patients treated under general anesthesia. The success rate of restorative procedures was 82.5% under general anesthesia and 80.6% at the chairside. There was no statistically significant difference between the mean number of restorative treatments and the need for re-treatment between general anesthesia or chairside ( = 0.649, = 0.311). The mean number of unsuccessful endodontic treatments performed under general anesthesia was higher than performed chairside. Only two out of thirty stainless-steel crowns were decemented, all performed under general anesthesia.
The high volume of restoration failure due to secondary caries has highlighted the need for alternative approaches to caries management, especially given the risks associated with repeat general anesthetic.
采用循证方法对于在椅旁或全身麻醉下进行的治疗取得长期积极效果至关重要。本研究旨在评估治疗方式（椅旁或全身麻醉下）是否会影响预后及再次治疗的需求。
在复诊时记录口腔卫生、牙龈和菌斑指数。根据特定评估标准的评分来评估所有治疗的成功率。
对92名儿童共进行了1066次牙科治疗。全身麻醉下治疗的患者菌斑指数得分更高。全身麻醉下修复治疗的成功率为82.5%，椅旁治疗为80.6%。全身麻醉或椅旁治疗之间的修复治疗平均次数及再次治疗需求无统计学显著差异（P = 0.649，P = 0.311）。全身麻醉下进行的根管治疗失败平均次数高于椅旁治疗。30个不锈钢冠中只有2个松动，均在全身麻醉下进行。
继发龋导致的大量修复失败凸显了采用替代方法进行龋病管理的必要性，尤其是考虑到重复全身麻醉相关的风险。
