Oral and maxillofacial surgery and dental rehabilitation under sedation and general anesthesia

Abstract

Aim: The aim of this study was to retrospectively analyze dental procedures performed under general anesthesia (GA) or deep sedation at Dicle University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery from May 2013 to May 2018.

Methodology: This study included 182 patients treated under GA and sedation from May 2013 to May 2018. The records of these cases were reviewed retrospectively in terms of patient demographic characteristics, medical history, dental procedures, and treatment duration. Children and adults were compared in terms of general anesthesia (GA) and deep sedation (SD).

Results: Of 182 patients (age range: 1–61 years), 63 were had an American Society of Anesthesiology (ASA) status of I (completely healthy) and 119 were of ASA II status (mild systemic disease). A total of 143 patients (60 children and 83 adults) underwent GA, while 39 patients (18 children and 21 adults) underwent deep sedation. The mean duration of the procedures performed under GA and deep sedation was 75 and 40 min, respectively. Following the procedure, 103 patients were discharged on the same day, whereas 78 patients required postoperative care and were discharged on the following day. The rnumber of patients exposed to GA and SD were 143 and 39, respectively. The number of child patients exposed to GA waas 60, while that of adults was 83.

Conclusions: The frequency of dental rehabilitation under GA or sedation is increasing. Patients who cannot undergo dental procedures under local anesthesia can be treated under preferably GA, as long as the indications, patient characteristics, and anesthesia plan are carefully considered. Data suggest that adults are more suitable for GA than children. However, due to the risks associated with GA, anesthetic procedures should only be performed by experienced anesthetists under operating room conditions.

How to cite this article: Yılmaz UN. Oral and maxillofacial surgery and dental rehabilitation under sedation and general anesthesia. Int Dent Res 2019;9(3):111-8.

Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.