Department of Endodontics, Faculty of Dentistry, Aydın Adnan Menderes University, Aydın, Turkey.
Department of Oral and Maxillofacial Surgery, Division of Anesthesiology, Faculty of Dentistry, Aydın Adnan Menderes University, Aydın, Turkey.
BMC Oral Health. 2024 Jul 14;24(1):794. doi: 10.1186/s12903-024-04584-0.
This retrospective clinical study was undertaken to comparatively evaluate the number of restorative treatments, endodontic treatments, and tooth extractions performed for patients under general anesthesia due to dental anxiety or special needs between 2015 and 2022 and to examine the pain, bleeding, nausea, and vomiting data of those patients.
In total, 1165 patients underwent dental treatment under general anesthesia in the faculty hospital. Those under the age of 15 and with no endodontic procedure planned (n = 918) were excluded, followed by those with incomplete data (n = 25) and those without endodontic treatment (n = 25). Patients who underwent at least one endodontic treatment were finally included in the study (n = 184). Patients were divided into two groups: healthy and with special needs. Dental treatments were recorded as endodontic, restorative, and teeth extractions. Endodontic treatments were classified according to the tooth type (premolar, molar, and incisors). The composite restorations were classified as anterior, occlusal (O), occluso-distal (OD) or occluso-mesial (OM), and mesio-occluso-distal (MOD) restorations and patients' post-treatment pain, nausea, vomiting, and bleeding were recorded. The data were analyzed statistically.
Among the 184 patients included in the study, 70 (38%) were healthy, and 114 (62%) had special needs. Postoperative bleeding was observed more in patients with special needs (χ = 4.189, p < 0.05), whereas pain was observed more in healthy patients (U = 2922.00, p < 0.05). While the number of anterior, O, and MOD restorations was higher in patients with special needs, the number of OD or OM restorations was higher in healthy patients (χ = 74.877, p < 0.05).
Patients with special needs undergo a greater number of restorative treatments compared to control patients, which may be associated with the inadequate oral hygiene care of such patients. However, restorative treatment is mostly indicated for such patients in our faculty hospital, which may indicate that a conservative approach is taken. Additionally, the finding that postoperative bleeding was more severe in this group of patients compared to the control group in this study may emphasize the need to consider more possible complications after general anesthesia in these patients.
本回顾性临床研究旨在比较因牙科焦虑或特殊需求而接受全麻的患者在 2015 年至 2022 年期间接受的修复治疗、根管治疗和拔牙数量，并检查这些患者的疼痛、出血、恶心和呕吐数据。
共有 1165 名患者在附属医院接受全麻下的牙科治疗。排除年龄小于 15 岁且无计划根管治疗的患者（n=918），随后排除数据不完整的患者（n=25）和无根管治疗的患者（n=25）。最终纳入至少接受一次根管治疗的患者（n=184）。患者分为健康组和特殊需求组。记录牙科治疗为根管治疗、修复治疗和拔牙。根管治疗根据牙齿类型（前磨牙、磨牙和切牙）进行分类。复合修复体分为前牙、牙合面（O）、牙合-远中（OD）或牙合-近中（OM）修复体，记录患者治疗后的疼痛、恶心、呕吐和出血情况。对数据进行统计学分析。
在纳入研究的 184 名患者中，70 名（38%）为健康组，114 名（62%）为特殊需求组。特殊需求组患者术后出血较多（χ²=4.189，p<0.05），而健康组患者疼痛较多（U=2922.00，p<0.05）。特殊需求组患者前牙、O 和 MOD 修复体数量较高，而健康组患者 OD 或 OM 修复体数量较高（χ²=74.877，p<0.05）。
与对照组患者相比，特殊需求患者接受了更多的修复治疗，这可能与这些患者口腔卫生护理不足有关。然而，我院对这类患者主要采用修复治疗，这可能表明采取了保守治疗方法。此外，本研究中发现，与对照组相比，特殊需求组患者术后出血更严重，这可能强调需要考虑全麻后这些患者可能出现更多并发症。
