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Home The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience...

The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience of a tertiary care center

Authors:

  • A. K. Bartella
    MD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany
  • C. Lechner
    Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany
  • M. Kamal
    MD, DMD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany
  • J. Steegmann
    Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany
  • F. Hölzle
    MD, DMD, PhD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany
  • B. Lethaus
    MD, DMD, PhD - Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Universitätsklinikum Aachen, Aachen, Germany

DOI:

https://doi.org/10.23804/ejpd.2018.19.01.08

ABSTRACT


Aim

Frequently general anaesthesia (GA) is used to treat noncompliant children. Especially in children with morbid diseases general anaesthesia can be a challenging procedure for anaesthetists. The aim of this paper was to evaluate the risks and adverse
reactions with a special focus on the impact of existing medication conditions and syndromes.

Methods

and methods Records of children up to 10 years of age, who were admitted for paediatric dentistry procedures under GA from January 2011
to December 2016 at the University Hospital of the University of Aachen (Germany), were reviewed. A special attention was paid to the intra- and perioperative critical adverse reactions and concomitant systemic conditions and their impact on treatment outcome.

Results

Two hundred and twenty patients were admitted for dental restorations. Critical adverse reactions occurred in 4% of the treated patients and they were statistically significantly (p=0.004) related to the ASA classification above II. The use of a laryngeal mask airway was significantly associated (p<0.001) with a shorter duration of surgery. Most common concomitant medical conditions were congenital heart disease, mental retardation and inherited syndromes.

Conclusion

Although the administration of general anaesthesia in infants and children can be regarded as a safe procedure, clinically significant adverse reactions can occur, especially in patients with an existing medical condition.

PLUMX METRICS

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Publication date:

March /2018

Keywords:

adverse reactions, general anaesthesia, medical conditions

Issue:

Vol.19 – n.1/2018

Page:

44 – 48

Publisher:

Ariesdue

Cite:


Harvard: A. K. Bartella, C. Lechner, M. Kamal, J. Steegmann, F. Hölzle, B. Lethaus (2018) "The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience of a tertiary care center", European Journal of Paediatric Dentistry, 19(1), pp44-48. doi: 10.23804/ejpd.2018.19.01.08
Vancouver: A. K. Bartella, C. Lechner, M. Kamal, J. Steegmann, F. Hölzle, B. Lethaus. The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience of a tertiary care center. European Journal of Paediatric Dentistry [Internet]. 2018Mar.1 [cited 2025Jul.19];19(1):44-48. Available from: https://www.ejpd.eu/abstract-pubmed/the-safety-of-paediatric-dentistry-procedures-under-general-anaesthesia-a-five-year-experience-of-a-tertiary-care-center/
MLA: A. K. Bartella, C. Lechner, M. Kamal, J. Steegmann, F. Hölzle, B. Lethaus The safety of paediatric dentistry procedures under general anaesthesia. A five-year experience of a tertiary care center. European Journal of Paediatric Dentistry. 2018;19(1):44-48

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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