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Effectiveness of dexmedetomidine as a premedication for pediatric patients undergoing outpatient dental surgery under general anaethesia-systematic review and meta-analysis.右美托咪定作为全身麻醉下接受门诊牙科手术的儿科患者术前用药的有效性:系统评价和荟萃分析
PeerJ. 2025 Mar 31;13:e19216. doi: 10.7717/peerj.19216. eCollection 2025.
2
Mediation Effect of Dental Caries in the Relationship between Parental Locus of Control and Oral Health-Related Quality of Life.龋齿在父母控制点与口腔健康相关生活质量关系中的中介作用。
Caries Res. 2025 Mar 29:1-13. doi: 10.1159/000545620.
3
Pharmacological Postoperative Pain Management for Paediatric Dental Extractions Under General Anaesthesia: A Systematic Review.全身麻醉下小儿拔牙术后的药理学疼痛管理:一项系统评价
Pain Res Manag. 2025 Jan 15;2025:8569846. doi: 10.1155/prm/8569846. eCollection 2025.
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Impact of dental treatments under general anesthesia on oral health-related quality of life in children: a comprehensive meta-analysis.全身麻醉下牙科治疗对儿童口腔健康相关生活质量的影响:一项综合荟萃分析。
BMC Oral Health. 2025 Jan 17;25(1):84. doi: 10.1186/s12903-025-05457-w.
5
Comparison of iRoot BP Plus and mineral trioxide aggregate for  pulpotomy in primary molars under general anesthesia: a 3-year retrospective study.在全麻下用 iRoot BP Plus 和三氧化矿物凝聚体对乳磨牙行活髓切断术的比较:一项为期 3 年的回顾性研究。
PeerJ. 2024 Nov 12;12:e18453. doi: 10.7717/peerj.18453. eCollection 2024.
6
Survival analysis of pulpotomy versus pulpectomy in primary molars with carious pulp exposure: a retrospective cohort study.活髓切断术与牙髓摘除术治疗露髓的乳磨牙的生存分析:回顾性队列研究。
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7
Survival analysis of primary molars following pulpectomy performed under dental general anesthesia: a five-year retrospective study.牙髓切除术治疗乳磨牙后的生存分析:一项五年回顾性研究。
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8
The relationship between severity of periapical periodontitis and next-generation systemic inflammatory biomarkers in children with early childhood caries.儿童早发性龋齿患者根尖周炎严重程度与下一代系统性炎症生物标志物的关系。
BMC Oral Health. 2024 Sep 9;24(1):1056. doi: 10.1186/s12903-024-04842-1.
9
[Chinese expert consensus on pediatric anesthesia assessment and perioperative risk prediction (2024 edition)].《小儿麻醉评估与围手术期风险预测中国专家共识(2024版)》
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Pediatr Dent. 2024 Jan 15;46(1):13-26.

[全身麻醉或镇静下儿童临床牙科治疗标准解读]

[Interpretation of Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation].

作者信息

Zhang Qiong, Zou Jing

机构信息

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Jinjiang Outpatient, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2025 Aug 1;43(4):469-477. doi: 10.7518/hxkq.2025.2025220.

DOI:10.7518/hxkq.2025.2025220
PMID:40899199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419825/
Abstract

In May 2023, the Chinese Stomatological Association promulgated the group standard of "Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation". These specifications were formulated through broad-based expert consultation, iterative revisions, and a comprehensive review of relevant literature, incorporating the collective expertise of nationally recognized authorities in the field. The standard establishes a unified evaluation system and clinical guidelines tailored to China's medical context, aiming to regulate related medical practices. This paper aims to provide an in-depth interpretation of the standard, integrating the clinical research and experiences from the Pediatric Dentistry Department of West China Hospital of Stomatology, Sichuan University, in performing dental treatments under general anesthesia in last 12 years. It particularly focuses on interpreting key aspects, including safety considerations, treatment protocol selection, prevention and management of postoperative complication, postoperative follow-up, and oral health maintenance, to provide a reference for medical staffs to understand and apply them in clinical practice.

摘要

2023年5月,中华口腔医学会颁布了“全身麻醉下儿童口腔治疗规范”团体标准。这些规范是通过广泛的专家咨询、反复修订以及对相关文献的全面审查制定而成的,融合了该领域全国公认权威机构的集体专业知识。该标准建立了一个适合中国医疗环境的统一评估体系和临床指南,旨在规范相关医疗行为。本文旨在对该标准进行深入解读,结合四川大学华西口腔医院儿童口腔科过去12年在全身麻醉下进行口腔治疗的临床研究和经验。特别着重解读关键方面,包括安全考量、治疗方案选择、术后并发症的预防与管理、术后随访以及口腔健康维护,为医护人员在临床实践中理解和应用这些标准提供参考。