背景:这项回顾性临床研究是为了比较评估恢复性治疗的数量,牙髓治疗,2015年至2022年期间,因牙科焦虑或特殊需要而在全身麻醉下进行拔牙,并检查疼痛,出血,恶心,以及这些患者的呕吐数据。
方法:总共,1165例患者在全麻下在教职工医院接受牙科治疗。15岁以下且未计划进行牙髓手术的患者(n=918)被排除在外,其次是那些不完整的数据(n=25)和那些没有牙髓治疗(n=25)。接受至少一种牙髓治疗的患者最终被纳入研究(n=184)。患者分为两组:健康和有特殊需要。牙科治疗被记录为牙髓,恢复性,和拔牙。牙髓治疗根据牙齿类型进行分类(前磨牙,磨牙,和门牙)。复合修复体分类为前牙,咬合(O),occluso-远端(OD)或occluso-mesial(OM),和中间-远端(MOD)修复和患者治疗后疼痛,恶心,呕吐,并记录出血。对数据进行统计学分析。
结果:在纳入研究的184名患者中,70人(38%)健康,114人(62%)有特殊需要。有特殊需要的患者术后出血较多(χ2=4.189,p<0.05),而在健康患者中观察到更多的疼痛(U=2922.00,p<0.05)。虽然前面的数量,O,MOD修复在有特殊需要的患者中更高,健康患者的OD或OM修复数量较高(χ2=74.877,p<0.05)。
结论:与对照组患者相比,有特殊需要的患者接受更多的恢复性治疗,这可能与此类患者的口腔卫生护理不足有关。然而,恢复性治疗主要适用于我们的教师医院的此类患者,这可能表明采取了保守的方法。此外,本研究中发现,与对照组相比,该组患者术后出血更严重,这可能强调需要考虑这些患者全身麻醉后更多可能的并发症.
BACKGROUND: This retrospective clinical study was undertaken to comparatively evaluate the number of restorative treatments, endodontic treatments, and tooth extractions performed for patients under general anesthesia due to dental anxiety or special needs between 2015 and 2022 and to examine the pain, bleeding, nausea, and vomiting data of those patients.
METHODS: In total, 1165 patients underwent dental treatment under general anesthesia in the faculty hospital. Those under the age of 15 and with no endodontic procedure planned (n = 918) were excluded, followed by those with incomplete data (n = 25) and those without endodontic treatment (n = 25). Patients who underwent at least one endodontic treatment were finally included in the study (n = 184). Patients were divided into two groups: healthy and with special needs. Dental treatments were recorded as endodontic, restorative, and teeth extractions. Endodontic treatments were classified according to the tooth type (premolar, molar, and incisors). The composite restorations were classified as anterior, occlusal (O), occluso-distal (OD) or occluso-mesial (OM), and mesio-occluso-distal (MOD) restorations and patients\' post-treatment pain, nausea, vomiting, and bleeding were recorded. The data were analyzed statistically.
RESULTS: Among the 184 patients included in the study, 70 (38%) were healthy, and 114 (62%) had special needs. Postoperative bleeding was observed more in patients with special needs (χ2 = 4.189, p < 0.05), whereas pain was observed more in healthy patients (U = 2922.00, p < 0.05). While the number of anterior, O, and MOD restorations was higher in patients with special needs, the number of OD or OM restorations was higher in healthy patients (χ2 = 74.877, p < 0.05).
CONCLUSIONS: Patients with special needs undergo a greater number of restorative treatments compared to control patients, which may be associated with the inadequate oral hygiene care of such patients. However, restorative treatment is mostly indicated for such patients in our faculty hospital, which may indicate that a conservative approach is taken. Additionally, the finding that postoperative bleeding was more severe in this group of patients compared to the control group in this study may emphasize the need to consider more possible complications after general anesthesia in these patients.