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Research Article


DOI :10.26650/eor.20190023   IUP :10.26650/eor.20190023    Full Text (PDF)

Postoperative morbidity in pediatric patients following dental treatment under general anesthesia

Merve Erkmen Almaz, Aylin Akbay Oba, Işıl Saroğlu Sönmez

Purpose 
The aims of this study were to investigate post-operative complications in pediatric patients 24 and 72 hours after general anesthesia (GA) and to identify any associations between dental procedures and complications. 

Materials and Methods 
One hundred and thirty three healthy pediatric patients who had undergone dental treatment under GA (age range: two to nine years) were included in this study. The project was designed as a prospective, observational study supported by a questionnaire that collected data on children’s post-operative complaints. Preoperative data were obtained from patients’ files and included age, gender, medical condition and admission type (inpatient or outpatient) variables. The postoperative complaints were assessed either by phone contact or by face-to-face interviews using a questionnaire 24 and 72 hours after treatment. 

Results 69.9% of children reported one or more complaints after 24 hours and 35.3% after 72 hours. Coughing and pain (27.1%), inability to eat (24.8%), psychological changes (24.1%) and a sore throat (21.1%) were the most common complaints during the first day. After 72 hours, the severity and rate of the complications decreased significantly (p < 0.05). 

Conclusion 
Post-operative complaints following dental treatment under GA tended to be of mild severity and were mainly limited to the first day after the procedure.
Keywords: Children, dental care, general anesthesia, complication, postoperative

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References

  • 1. Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Winn DM, Brown LJ. Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-1991. J Dent Res 1996;75:631-641. [CrossRef] google scholar
  • 2. Almaz ME, Sonmez IS, Oba AA, Alp S. Assessing changes in oral health-related quality of life following dental rehabilitation under general anesthesia. J Clin Pediatr Dent 2014;38(3):263267. [CrossRef] google scholar
  • 3. Low W, Tan S, Schwartz S. The effect of severe caries on the quality of life in young children. Ped Dent 1999;21(6):325-326. google scholar
  • 4. Jamieson WJ, Vargas K. Recall rates and caries experience of patients undergoing general anesthesia for dental treatment. Ped Dent 2007;29(3):253-257. google scholar
  • 5. Jalevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Ped Dent 2002;12(1):24-32. [CrossRef] google scholar
  • 6. Vinckier F, Gizani S, Declerck D. Comprehensive dental care for children with rampant caries under general anaesthesia. Int J Ped Dent 2001;11(1):25-32. [CrossRef] google scholar
  • 7. Anderson HK, Drummond BK, Thomson WM. Changes in aspects of children's oral-health-related quality of life following dental treatment under general anaesthesia. Int J Ped Dent 2004;14(5):317-325. [CrossRef] google scholar
  • 8. Malden PE, Thomson WM, Jokovic A, Locker D. Changes in parent-assessed oral health-related quality of life among young children following dental treatment under general anaesthetic. Community Dent Oral Epidemiol 2008;36(2):108-117. [CrossRef] google scholar
  • 9. Nunn JH, Davidson G, Gordon PH, Storrs J. A retrospective review of a service to provide comprehensive dental care under general anesthesia. Spec Care Dentist 1995;15(3):97-101. [CrossRef] google scholar
  • 10. Klaassen MA, Veerkamp JS, Hoogstraten J. Dental treatment under general anaesthesia: the short-term change in young children's oral-health-related quality of life. Eur Arch Paed Dent 2008;9(3):130-137. [CrossRef] google scholar
  • 11. White H, Lee JY, Vann WF, Jr. Parental evaluation of quality of life measures following pediatric dental treatment using general anesthesia. Anesthesia progress. 2003;50(3):105-110. 12. Krippaehne JA, Montgomery MT. Morbidity and mortality from pharmacosedation and general anesthesia in the dental office. J Oral Maxillofac Surg 1992;50(7):691-698. [CrossRef] 13. Enever GR, Nunn JH, Sheehan JK. A comparison of postoperative morbidity following outpatient dental care under general anaesthesia in paediatric patients with and without disabilities. Int J Ped Dent 2000;10(2):120-125. [CrossRef] google scholar
  • 14. Holt RD, Chidiac RH, Rule DC. Dental treatment for children under general anaesthesia in day care facilities at a London dental hospital. Br Dent J 1991;170(7):262-266. [CrossRef] google scholar
  • 15. Farsi N, Ba'akdah R, Boker A, Almushayt A. Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health 2009;19:6. [CrossRef] google scholar
  • 16. Black AE, Hatch DJ, Nauth-Misir N. Complications of nasotracheal intubation in neonates, infants and children: a review of 4 years' experience in a children's hospital. Br J Anaesth. 1990;65(4):461467. [CrossRef] google scholar
  • 17. Atan S, Ashley P, Gilthorpe MS, Scheer B, Mason C, Roberts G. Morbidity following dental treatment of children under intubation general anaesthesia in a day-stay unit. Int J Ped Dent 2004;14(1):9-16. [CrossRef] google scholar
  • 18. Escanilla-Casal A, Ausucua-Ibanez M, Aznar-Gomez M, VianoGarcia JM, Sentis-Vilalta J, Rivera-Baro A. Comparative study of postoperative morbidity in dental treatment under general anesthesia in pediatric patients with and without an underlying disease. Int J Ped Dent 2016;26(2):141-148. [CrossRef] google scholar
  • 19. Hosey MT, Macpherson LM, Adair P, Tochel C, Burnside G, Pine C. Dental anxiety, distress at induction and postoperative morbidity in children undergoing tooth extraction using general anaesthesia. Br Dent J. 2006;200(1):39-43. [CrossRef] google scholar
  • 20. Jensen B. Post-operative pain and pain management in children after dental extractions under general anaesthesia. Eur Arch Paed Dent 2012;13(3):119-125. [CrossRef] google scholar
  • 21. Hong JY, Oh JI, Kim SM. Comparison of sevoflurane-nitrous oxide and target-controlled propofol with fentanyl anesthesia for hysteroscopy. Yonsei Med J 2002;43(4):420-426. [CrossRef] google scholar
  • 22. Jokela RM, Kangas-Saarela TA, Valanne JV, Koivuranta MK, Ranta PO, Alahuhta SM. Postoperative nausea and vomiting after sevoflurane with or without ondansetron compared with propofol in female patients undergoing breast surgery. Anesth Analg 2000;91(5):1062-1065. [CrossRef] google scholar
  • 23. Hall CEJ, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia 2003;58(3):249-256. [CrossRef] google scholar
  • 24. Prasanna D, Bhat S. Nasotracheal Intubation: An Overview. J Maxillofac Oral Surg 2014;13(4):366-372. [CrossRef] google scholar
  • 25. Divatia JV, Bhowmick K. Complications of endotracheal intubation and other airway management procedures. Indian J. Anaesth 2005;49(4):308-318. google scholar
  • 26. Chia-Ling T Y-LT, Yng-Tzer L, Yai-Tin L. A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and/or a disability. Chang Gung Med J 2006;29:408-412. google scholar
  • 27. Breschan C, Platzer M, Jost R, Stettner H, Likar R. Midazolam does not reduce emergence delirium after sevoflurane anesthesia in children. Paediatr Anaesth 2007;17(4):347-352. [CrossRef] google scholar
  • 28. Keaney A, Diviney D, Harte S, Lyons B. Postoperative behavioral changes following anesthesia with sevoflurane. Paediatr Anaesth 2004;14(10):866-870. [CrossRef] google scholar
  • 29. Al-Bahlani S, Sherriff A, Crawford PJ. Tooth extraction, bleeding and pain control. J R Coll Surg Edinb 2001;46(5):261-264. google scholar
  • 30. Coulthard P, Rolfe S, Mackie IC, Gazal G, Morton M, JacksonLeech D. Intraoperative local anaesthesia for paediatric postoperative oral surgery pain--a randomized controlled trial. Int J Oral Maxillofac Surg 2006;35(12):1114-1119. [CrossRef] google scholar

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APA

Erkmen Almaz, M., Akbay Oba, A., & Saroğlu Sönmez, I. (2019). Postoperative morbidity in pediatric patients following dental treatment under general anesthesia. European Oral Research, 53(3), 113-118. https://doi.org/10.26650/eor.20190023


AMA

Erkmen Almaz M, Akbay Oba A, Saroğlu Sönmez I. Postoperative morbidity in pediatric patients following dental treatment under general anesthesia. European Oral Research. 2019;53(3):113-118. https://doi.org/10.26650/eor.20190023


ABNT

Erkmen Almaz, M.; Akbay Oba, A.; Saroğlu Sönmez, I. Postoperative morbidity in pediatric patients following dental treatment under general anesthesia. European Oral Research, [Publisher Location], v. 53, n. 3, p. 113-118, 2019.


Chicago: Author-Date Style

Erkmen Almaz, Merve, and Aylin Akbay Oba and Işıl Saroğlu Sönmez. 2019. “Postoperative morbidity in pediatric patients following dental treatment under general anesthesia.” European Oral Research 53, no. 3: 113-118. https://doi.org/10.26650/eor.20190023


Chicago: Humanities Style

Erkmen Almaz, Merve, and Aylin Akbay Oba and Işıl Saroğlu Sönmez. “Postoperative morbidity in pediatric patients following dental treatment under general anesthesia.” European Oral Research 53, no. 3 (Apr. 2024): 113-118. https://doi.org/10.26650/eor.20190023


Harvard: Australian Style

Erkmen Almaz, M & Akbay Oba, A & Saroğlu Sönmez, I 2019, 'Postoperative morbidity in pediatric patients following dental treatment under general anesthesia', European Oral Research, vol. 53, no. 3, pp. 113-118, viewed 20 Apr. 2024, https://doi.org/10.26650/eor.20190023


Harvard: Author-Date Style

Erkmen Almaz, M. and Akbay Oba, A. and Saroğlu Sönmez, I. (2019) ‘Postoperative morbidity in pediatric patients following dental treatment under general anesthesia’, European Oral Research, 53(3), pp. 113-118. https://doi.org/10.26650/eor.20190023 (20 Apr. 2024).


MLA

Erkmen Almaz, Merve, and Aylin Akbay Oba and Işıl Saroğlu Sönmez. “Postoperative morbidity in pediatric patients following dental treatment under general anesthesia.” European Oral Research, vol. 53, no. 3, 2019, pp. 113-118. [Database Container], https://doi.org/10.26650/eor.20190023


Vancouver

Erkmen Almaz M, Akbay Oba A, Saroğlu Sönmez I. Postoperative morbidity in pediatric patients following dental treatment under general anesthesia. European Oral Research [Internet]. 20 Apr. 2024 [cited 20 Apr. 2024];53(3):113-118. Available from: https://doi.org/10.26650/eor.20190023 doi: 10.26650/eor.20190023


ISNAD

Erkmen Almaz, Merve - Akbay Oba, Aylin - Saroğlu Sönmez, Işıl. “Postoperative morbidity in pediatric patients following dental treatment under general anesthesia”. European Oral Research 53/3 (Apr. 2024): 113-118. https://doi.org/10.26650/eor.20190023



TIMELINE


Submitted07.09.2018
Accepted07.02.2019
Published Online10.09.2019

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