Online ISSN: 2515-8260

Keywords : General Anesthesia

Evaluation of general anesthesia and sedation during dental treatment in emotionally immature children: A Randomized Clinical Trial

Dr. Arunkumar Sajjanar; Dr. Nilesh Rojekar; Dr. Pankaj Chavan; Dr. Milind Wasnik; Dr. Niharika Gahlod; Dr. Harshita Shukla

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7645-7651

Emotionally immature children are more likely to develop health problems, including dental
problems. Dental treatments require a good level of communication with the patient.
Therefore, in these patients, sedation and general anesthesia are an extremely humanistic
approach for comfortable and successful treatment. In such children, there is no standard
anesthetic approach due to varying clinical conditions. The aim of this study was to compare
general anesthesia and sedation during dental treatment of such children.
25 children with greater than 16 score on Rutters Child Behaviour Scale were treated under
general anesthesia or sedation. Demographic data, the American Society of Anesthesiologists
classification, Mallampati score, anesthesia duration, anesthesia type, anesthetic and
analgesic agents used, dental treatment performed, secondary diseases, and complications in
the perioperative period were recorded.


Niharika Kotian; Deepa Gurunathan; EMG Subramanian

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1197-1203

Performing dental procedures on children is usually a challenge for dentists especially on those children who are anxious and lack the ability to cooperate. Depending on the child's emotional and psychological state of mind and the usual behavior management techniques may not help in carrying out the dental procedures effectively.In these circumstances, an alternative such as conscious sedation and general anesthesia may become necessary.This study was undertaken to assess dental treatment under general anaesthesia preferred by parents for their children.Data was collected from patient management software and analysed using SPSS software. Chi square test was done to check the association and a p value of < 0.05 was considered to be statistically significant. All children who underwent general anaesthesia from September 2019 to February 2020 were included in the study . Assessment for the reason of general anaesthesia was done. Parental preference for general anaesthesia was also assessed. It was observed that out of 80 children , parents of 53 children preferred treatment under general anaesthesia . Parents preferred treatment under general anesthesia more for male children as compared to female children. Parents preferred general anesthesia more in the age group of 2 to 3 years as compared to 4 to 5 years . Single visit treatment was the most preferred reason for general anaesthesia. We observed that parents preferred treatment under general anaesthesia for children between 2-5 years of age.