Key result
Postoperative morbidity after dental treatment under general anesthesia was similar in frequency and severity between disabled/medically compromised pediatric patients and healthy children.
Why the study?
Does underlying disease increase postoperative morbidity in pediatric patients undergoing dental treatment under general anesthesia?
Observational (n=130)
Does underlying disease increase postoperative morbidity in pediatric patients undergoing dental treatment under general anesthesia?
Postoperative morbidity following dental treatment under general anesthesia is high but similar in frequency and severity between healthy and medically compromised pediatric patients.
Comparable morbidity supports similar GA protocols for both groups; leaves open prospective confirmation before practice change.
OBJECTIVES: To identify and quantify the variables and their influence on postoperative morbidity in dental treatment under general anesthesia (GA) in pediatric patients with and without an underlying disease. METHODS: A prospective, descriptive, and comparative analysis was conducted of healthy (n = 49) and disabled/medically compromised (n = 81) children treated under GA. Intra-/post-surgical, clinical epidemiology, technical, care-related, and pharmacologic data were gathered, as were postoperative complications. RESULTS: The average age of ASA I patients (6.7 ± 4.4 years) was younger than that of ASA II-III patients (9.0 ± 4.5 years). Average hospitalization time was 4.27 ± 6.5 h in ASA I and 7.41 ± 6.8 h in ASA II-III. Significant differences were found between the two groups in fillings, pulpotomies, oral surgery, and scaling. Postoperative morbidity in ASA I and ASA II-III was similar both in frequency and severity and decreased during the first 72 h. The most common complication in both groups was toothache. CONCLUSION: Postoperative morbidity is high after dental treatment under GA, but it is not higher in disabled/medically compromised patients.
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Escanilla‐Casal et al. (2015) conducted an observational in Dental treatment under general anesthesia (n=130). Underlying disease (disabled/medically compromised) vs. Healthy (no underlying disease) was evaluated on Postoperative morbidity. Postoperative morbidity after dental treatment under general anesthesia was similar in frequency and severity between disabled/medically compromised pediatric patients and healthy children.
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