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
نویسندگان: ناصر اصل امین آبادی , ابراهیم نجف پور , زهرا جمالی , سجاد شیرازی
کلمات کلیدی:
نشریه: 11115 , 2 , 17 , 2016
| 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 |
| 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. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Use of general anaesthesia in paediatric dentistry barriers to discriminate between true and false cases.pdf | 1395/01/24 | 378495 | دانلود |