استفاده از بیهوشی در دندانپزشکی اطفال: موانع بر سر راه انتخاب درست کیس ها

Use of general anaesthesia in paediatric dentistry: barriers to discriminate between true and false cases


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: ناصر اصل امین آبادی , ابراهیم نجف پور , زهرا جمالی , سجاد شیرازی

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نشریه: 11115 , 2 , 17 , 2016

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله سجاد شیرازی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات لثه و دندان
کد مقاله 57622
عنوان فارسی مقاله استفاده از بیهوشی در دندانپزشکی اطفال: موانع بر سر راه انتخاب درست کیس ها
عنوان لاتین مقاله Use of general anaesthesia in paediatric dentistry: barriers to discriminate between true and false cases
ناشر 6
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح دو – PubMed
آدرس لینک مقاله/ همایش در شبکه اینترنت http://link.springer.com/article/10.1007/s40368-015-0211-y

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Purpose The use of general anaesthesia (GA) has shown significant increase in child dental patients. This study aimed to assess whether behaviour management strategies can be the effective methods for decreasing the need for GA and its over-utilisation in paediatric dentistry. Methods The patients (n = 240) aged 3–6 years old were selected from referrals by paediatric dentists (PD) or general dentists (GD) for dental treatment under GA. Each child’s behaviour during first and subsequent appointments was assessed using the Frankl Behaviour Rating Scale. A first visit included clinical examination and fluoride therapy. In all sessions, a hierarchy of anxiety-reducing behaviour guidance strategies was implemented over nine steps in a logical treatment order. Results Overall, 47.5 % of children referred for dental treatments under GA were retrained to be treated routinely. False referrals were significantly higher in GD compared to PD group. 80.0 % of the referred children by PD and 6.7 % of those referred by GD were true GA cases and still needed GA. 20.1 % of retrained children and 67.4 % of true GA cases received conscious sedation. There was no significant change in the frequency of children considered uncooperative as the years of experience increased among GD, while this value was significant for PD. Conclusions The findings may highlight the importance of using behaviour management techniques thoroughly prior to referring an uncooperative child for treatment under GA, and may discourage its over-utilisation. Specifically, these skill sets and their efficient practice should be improved among general dentists.

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نویسنده نفر چندم مقاله
ناصر اصل امین آبادیاول
ابراهیم نجف پوردوم
زهرا جمالیپنجم
سجاد شیرازیششم

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Use of general anaesthesia in paediatric dentistry barriers to discriminate between true and false cases.pdf1395/01/24378495دانلود