Heidari Alireza, Shahrabi Mehdi, Salehi Zohre, Kalantari Fateme, Salehi Zahra
Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Dent. 2022 May 27;2022:6934016. doi: 10.1155/2022/6934016. eCollection 2022.
Nowadays, dental treatment under general anesthesia is accepted as a treatment method in children in which other common methods do not allow to achieve acceptable results. The benefits of general anesthesia in pediatric dental treatment are that the treatment is completed in one session, the person is relieved of pain, and most importantly, the child does not need to cooperate. However, it is important to determine the exact dental reasons for children under general anesthesia.
In this study, the cause of dental treatment under general anesthesia in children was examined from the perspective of specialists, assistants, and parents of children under general anesthesia.
In this descriptive-analytical cross-sectional study, participants were selected from among the parents of children under general anesthesia for dental treatment and pediatric dentists and assistants in a purposeful manner. After the items were prepared by the professors, the prepared checklist was read to the people. After completing the checklist, the data were entered into SPSS software version 20 and analyzed using descriptive statistics such as frequency determination, mean, and statistical rests.
According to the consensus of parents and experts, the main reasons for general anesthesia for children to perform their dental operations were: young age, lack of cooperation during previous dental treatment, a large number of dental treatments, systemic disease of the child, unwillingness of parents to perform behavioral control procedures, higher quality work under anesthesia, mental and physical behavioral problems, and reduced number of treatment sessions.
Therefore, reasons such as young age, lack of cooperation, and a large number of dentist's work are among the most important factors that lead to the decision to perform general anesthesia in children. In light of this decision, the consequences and disadvantages/advantages of this method are important and therefore more research should be done on this issue.
如今,全身麻醉下的牙科治疗被认为是一种针对儿童的治疗方法,而其他常见方法无法取得可接受的效果。全身麻醉在儿童牙科治疗中的益处在于治疗可在一次就诊中完成,患者免受疼痛,最重要的是,儿童无需配合。然而,确定全身麻醉下儿童的确切牙科原因很重要。
在本研究中,从全身麻醉下儿童的专家、助手和家长的角度检查了全身麻醉下牙科治疗的原因。
在这项描述性分析横断面研究中,有目的地从接受全身麻醉进行牙科治疗的儿童的家长以及儿科牙医和助手中选取参与者。在教授们准备好项目后,向人们宣读准备好的检查表。完成检查表后,将数据输入SPSS 20软件版本,并使用描述性统计方法进行分析,如频率确定、均值和统计检验。
根据家长和专家的共识,儿童进行牙科手术全身麻醉的主要原因是:年龄小、先前牙科治疗期间不配合、大量牙科治疗、儿童全身性疾病、家长不愿进行行为控制程序、麻醉下工作质量更高、心理和身体行为问题以及治疗次数减少。
因此,年龄小、不配合以及大量牙科工作等原因是导致决定对儿童进行全身麻醉的最重要因素之一。鉴于这一决定,该方法的后果和弊端/益处很重要,因此应就此问题开展更多研究。