Document Detail


Paediatric minor oral surgical procedures under inhalation sedation and general anaesthetic: a comparison of variety and duration of treatment.
MedLine Citation:
PMID:  18328239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To develop baseline data in relation to paediatric minor oral surgical procedures undertaken with both general anaesthesia and nitrous oxide inhalation sedation within a Hospital Dental Service. STUDY DESIGN: Data were collected prospectively over a three-year period from May 2003 to June 2006 for patients attending the Departments of Paediatric Dentistry, Dundee Dental Hospital and Ninewells Hospital, NHS Tayside, Great Britain, for all surgical procedures undertaken with either inhalation sedation or general anaesthetic. Both operator status and the procedure being undertaken were noted. In addition, the operating time was recorded. RESULTS: Data for 166 patients (F: 102; M: 64) with a median age of 12.50 (inter-quartile range 10.00, 14.20) years showed that 195 surgical procedures were undertaken. Of these 160 and 35 were with general anaesthetic and sedation respectively. The surgical removal of impacted, carious and supernumerary unit(s) accounted for 53.8% of all procedures, whilst the exposure of impacted teeth and soft tissue surgery represented 34.9% and 11.3% of procedures respectively. The median surgical time for techniques undertaken with sedation was 30.00 (inter-quartile range 25.00, 43.50) minutes whilst that for general anaesthetic was similar at 30.00 (inter-quartile range 15.25, 40.00) minutes (not statistically significant, (Mann Whitney U, W = 3081.5, P = 0.331). CONCLUSIONS: The majority of paediatric minor oral surgical procedures entail surgical exposure or removal of impacted teeth. The median treatment time for most procedures undertaken with either general anaesthetic or nitrous oxide sedation was 30 minutes.
Authors:
J Foley
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry     Volume:  9     ISSN:  1818-6300     ISO Abbreviation:  -     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-10     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101277157     Medline TA:  Eur Arch Paediatr Dent     Country:  England    
Other Details:
Languages:  eng     Pagination:  46-50     Citation Subset:  D; IM    
Affiliation:
Dept Paediatric Dentistry, Dundee Dental Hospital, Dundee, UK. jfoley@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia, Dental*
Anesthesia, General*
Anesthesia, Inhalation*
Anesthetics, Inhalation / administration & dosage
Child
Conscious Sedation*
Dental Care for Children
Dental Caries / therapy
Dental Staff, Hospital / classification
Female
Humans
Laryngeal Masks
Male
Nitrous Oxide / administration & dosage
Oral Surgical Procedures / classification*,  statistics & numerical data
Prospective Studies
Surgical Flaps
Surgical Procedures, Minor
Time Factors
Tooth Extraction
Tooth, Impacted / surgery
Tooth, Supernumerary / surgery
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation; 10024-97-2/Nitrous Oxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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