背景:专业人士对全麻(GA)对儿科患者的价值的看法发生了变化,包括残疾人,医疗条件,严重的口腔问题,挑战行为。GA下的全口康复可以在一次访问中全面治疗所有口腔健康问题,而不需要孩子的积极参与。广泛的牙齿问题通常与严重的牙齿疼痛有关,会影响认知功能,包括感知,注意,记忆,推理,语言,通信,和执行功能。经历疼痛的个体倾向于在认知方面表现较差。
目的:本研究旨在调查认知变化,大脑功能,以及在GA下接受广泛牙科康复的儿童的皮质改变。
■三十不合作,纳入了6-12岁有广泛牙科问题的健康儿童.治疗前使用FLACC和WBFPS量表评估疼痛水平,一周后,三个月后.认知评估,包括WCST,处理速度,数字跨度,和跟踪测试,以及脑电图测量,也表演了。
结果:结果显示,牙科手术后儿童或其护理人员报告的疼痛程度有了显着改善,在一个星期和三个月。所有的认知测量,如数字跨度,处理速度,和WCST性能,治疗后表现出实质性改善。在牙科手术之前和之后,痕迹制作测试也显示出统计学上的显着变化。此外,MOCA测试显示治疗后认知技能有显著改善.此外,EEG功率比,每个频段内功率平衡变化的指标,牙科手术后显示出统计学上的显着差异。
结论:这项研究的结果表明,GA下的全口康复可以改善疼痛管理,以及增强儿童的认知和大脑功能。
结论:需要进行更多的临床研究,随访时间更长,儿童年龄范围不同,以研究脑功能与口腔修复之间的联系,涉及修复或闭塞问题。
BACKGROUND: A change in professionals\' perspectives on the value of general anesthesia (GA) for pediatric patients, including those with disabilities, medical conditions, severe oral issues, and challenging behaviors. Full-mouth rehabilitation under GA allows for the comprehensive treatment of all oral health problems in a single visit, without requiring the child\'s active participation. Extensive dental problems are often associated with severe dental pain, which can impact cognitive function, including perception, attention, memory, reasoning, language, communication, and executive functions. Individuals experiencing pain tend to perform less optimally cognitively.
OBJECTIVE: This study aimed to investigate changes in cognition, brain function, and cortical alterations in children who underwent extensive dental rehabilitation under GA.
UNASSIGNED: Thirty uncooperative, healthy children aged 6-12 with extensive dental issues were enrolled. Pain levels were assessed using the FLACC and WBFPS scales before treatment, one week after, and three months later. Cognitive assessments, including the WCST, processing speed, digit span, and Trail Making Test, as well as EEG measurements, were also performed.
RESULTS: The results showed a significant improvement in pain levels reported by the children or their caregivers after the dental procedures, both at one week and three months. All cognitive measures, such as digit span, processing speed, and WCST performance, demonstrated substantial improvements after the treatment. The Trail Making Test also exhibited statistically significant variations before and after the dental procedures. Additionally, the MOCA test revealed a notable improvement in cognitive skills following the treatment. Furthermore, the EEG power ratio, an indicator of changes in the power balance within each frequency band, showed a statistically significant difference after the dental procedures.
CONCLUSIONS: the findings of this study suggest that full-mouth rehabilitation under GA can lead to improved pain management, as well as enhanced cognitive and brain functions in children.
CONCLUSIONS: More clinical studies with a longer follow-up period and a different age range of children are required to investigate the connection between brain function and oral rehabilitation involving restorations or occlusion issues.