Retrospective evaluation of sedation techniques for tooth extraction in pediatric patients

dilek günay canpolat, nükhet kütük, canay yılmaz asan, alper alkan
2018 Cumhuriyet Dental Journal  
Objective: Due to lack of past experiences and cooperation in anxious and fearful children, tooth extraction may be difficult to manage in dentistry. The aims of this retrospective study were to evaluate the various sedation techniques, complications and the characteristics of children whose tooth extraction were performed with deep sedation. Materials and Methods: After approval by the Local Ethics Committee, a retrospective analysis was performed using the records of 885 patients who were
more » ... ted with deep sedation for tooth extraction between the ages of 1-15 years for the period between 2012 and 2014The authors described the characteristics of the children, the sedation techniques used; and the complications. Results: The mean weight of the patients was 20.09±7.3 kg and the mean age was 5.72±2.5 years. The mean duration of the operations was 16.14±5.4 minutes. Propofol, ketamine, propofol-ketamine combination, alfentanil, midazolam, sevoflurane inhalation, sevoflurane inhalation + propofol were used for the anesthesia. There were no statistically significant differences among the anesthetic agents for post-operative complications (p>0.05). Conclusions: We concluded that propofol was a better option for deep sedation in pediatric dental extraction due to short duration time, rapid recovery and less nauseavomiting. Ketamine-propofol combination may be used as an alternative to propofol alone. ÖZ Amaç: Diş hekimi korkusu olan çocuklarda kooperasyon kurulamaması ve daha önce geçirilen diş tedavileri nedeni ile diş çekimi zordur. Bu çalışmanın amacı, derin sedasyon ile diş çekimi yapılan çocuklarda uygulanan farklı sedasyon tekniklerini ve komplikasyonlarını değerlendirmektir. Gereç ve Yöntem: Erciyes Üniversitesi Lokal Etik Komitesinin onayı alındıktan sonra, 2012-2014 yılları arasında derin sedasyon ile diş çekimi yapılan, yaşları 1 ile 15 arasında 885 hastanın kaydı geriye dönük değerlendirildi. Çocuklara ait veriler, sedasyon teknikleri ve komplikasyonlar belirlendi.
doi:10.7126/cumudj.400765 fatcat:76n54qdpezanzgk5kjhkhft5pu