Estimated compared with actual plans of paediatric dental treatment performed under deep sedation: A retrospective cohort study.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2024-07-01 DOI:10.1111/ipd.13234

Moti Moskovitz, Eva Cohen-Solal, Kobi Efrat, Aviv Shmueli, Elinor Halperson, Diana Ram, Avia Fux-Noy

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引用次数: 0

Abstract

Background: Planning the extent of paediatric dental treatment under deep sedation is highly important, as the duration of the sedation should be limited to approximately 1 h, and the amount of local anesthesia is limited by the children's body weight.

Aim: To compare treatment plans estimated at initial examinations with actual dental treatments under intravenous deep sedation. We examined factors that could affect the differences.

Design: For this retrospective cohort study, data were collected from the medical records of all the children younger than 18 years who underwent dental treatment under intravenous deep sedation during 2019-2021 at the Department of Pediatric Dentistry.

Results: In total, 108 children were included. During the actual versus the estimated treatment under deep sedation, more teeth were treated (p < .001), and the treatment was more complex (p < .001). A longer waiting period for dental treatment was found to be correlated with a greater number of treated teeth than was estimated (p = .003) and with greater complexity of the actual than the estimated treatment (p = .003).

Conclusion: Actual compared with estimated dental treatment under deep sedation involved more teeth and was of greater complexity. This suggests that referrals should include children with limited estimated treatment plans.

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在深度镇静状态下进行的儿童牙科治疗的估计计划与实际计划的比较：一项回顾性队列研究。

背景：目的：比较初次检查时估计的治疗计划和静脉深度镇静下的实际牙科治疗。我们研究了可能影响差异的因素：在这项回顾性队列研究中，我们从病历中收集了2019-2021年间在儿童牙科部接受静脉深镇静牙科治疗的所有18岁以下儿童的数据：共纳入 108 名儿童。在深度镇静的实际治疗与估计治疗中，有更多的牙齿得到了治疗（P 结论：在深度镇静的实际治疗与估计治疗中，有更多的牙齿得到了治疗：与估计的深度镇静下牙科治疗相比，实际治疗涉及的牙齿更多，也更复杂。这表明，转诊应包括估计治疗计划有限的儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.