Yes,
Nica first reported in 1909 on 8,988 surgeries, including dental treatment, performed under non-hospital general anesthesia by the British Dental Hospital from 1899 to 1900. In 1916, Vater and others in the United States carried out dental treatment under general anesthesia. The Department of Dentistry has been conducting dental treatment under general anesthesia for children and uncooperative patients for nearly 50 years. In recent years, it has been reported internationally that the prevalence of dental caries in many developed countries has shown a significant downward trend, while dental disease treatment under general anesthesia, especially dental disease treatment under general anesthesia, has been on the rise. The main reason is that society and dentists have a better understanding of the impact of dental caries treatment on children's growth and development and the adverse effects of forced dental treatment on children's physical and mental development. It is also due to the fact that general anesthesia technology is becoming increasingly mature and safer. Highly relevant.
Due to problems such as medical conditions, technology and concepts, children’s dental treatment under general anesthesia started late in my country. In the past, many grassroots hospitals were at a loss when it came to treating the teeth of crying children and children with intellectual disabilities. Even in specialized hospitals, several medical staff were used to press down and force the treatment. This had a negative impact on the physical and mental development of the children. As a result, many children have a lifelong fear of dental treatment. Due to the large number of dental caries in some children, treatment often lasts for several months, which not only affects the study and work of the children and their parents, but also casts a shadow on family life. At this stage, the oral diseases of disabled children in my country, especially children with intellectual disabilities, are basically in a state of neglect. Recent surveys show that the prevalence and caries rate of disabled children in my country are significantly higher than that of normal children of the same age, but the medical treatment rate is extremely low. In many areas, disabled children Caries is in a placed state. As the living standards of our country's citizens improve, the pace of life accelerates, and the oral health of disabled children becomes more and more important, the time has come to carry out treatment of children's dental diseases under general anesthesia.
Since 1999, the Pediatric Dentistry Department of Peking University School of Stomatology has cooperated with anesthesiologists in the operating room to carry out non-hospital treatment of children’s dental diseases under general anesthesia. 126 parents have come to the hospital for consultation on general anesthesia for their children. Dental treatment under anesthesia. After it is confirmed that the child has an indication for dental treatment under general anesthesia, the child should have a general health urine routine, blood and biochemical tests before surgery, and a routine chest X-ray. After the anesthesiologist checks that there are no contraindications to anesthesia, a detailed treatment plan will be formulated. , arrange a date for surgery. From 1999 to 2006***, 52 children received dental treatment under general anesthesia, and the trend is increasing year by year. The minimum age was 2 years and 3 months and the maximum was 13 years and 3 months; 37 normal children and 15 children with intellectual disabilities and autism; the minimum number of teeth treated under general anesthesia was 8 teeth and the maximum was 24 teeth. Treatment content The following are filling restoration, root canal treatment, tooth extraction, preventive treatment, space maintenance, gingivectomy, preformed crown restoration, etc. The minimum time from the beginning of anesthesia to the end of anesthesia and extubation is 1 hour and 5 minutes, and the maximum time is 5 hours and 40 minutes. After all children were treated under general anesthesia in the operating room, they were observed in the recovery room for 2 hours and then went home on the same day. During the postoperative follow-up, parents and children were satisfied with the treatment effect and there were no postoperative complications.
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