Assessing the need for general anesthesia versus inhalational sedation using modified mohan scale in pediatric dental patients

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-08-19 DOI:10.1016/j.jobcr.2025.08.015

Sriram Swetha , Bagmar R. Mehul , Jayakumar Priya

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引用次数: 0

Abstract

Background

Effective behavior management is vital in pediatric dentistry to ensure positive treatment in uncooperative children. General anesthesia (GA) and Inhalational sedation (IS) are some commonly used techniques, but an objective assessment tool is required to determine the most appropriate approach.

Objective

This study aims to assess the effectiveness of the Modified Mohan Scale in guiding the selection between GA and IS for pediatric dental patients.

Methods

Thirty children aged 3–6 years were evaluated using the Modified Mohan Scale, which considers American Society of Anesthesiologists (ASA) classification, treatment complexity, number of teeth affected, behavior during radiographic imaging, parental expectations, socioeconomic status, and Frankl's Behavior Rating Scale. Mann–Whitney U test was conducted after assessing normality with the Shapiro–Wilk test to compare the GA and IS groups.

Results

Significant differences were found in the total Modified Mohan Scale scores between the GA and IS groups (p = 0.0001). Additionally, subscales related to the number of teeth requiring treatment (p = 0.011) and behavior during radiographic imaging (p = 0.029) showed prominent variations, with higher scores indicating a greater need for GA.

Conclusion

The Modified Mohan Scale shows promising potential as a structured and consistent method for evaluating the need for GA versus IS in pediatric dental patients. The scale's application may support clinical decision-making and treatment planning. Future research with a larger sample size is recommended to validate its application for broader use.

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应用改良莫汉量表评估小儿牙科患者全麻与吸入镇静的必要性

背景有效的行为管理在儿童牙科中至关重要，以确保对不合作儿童的积极治疗。全身麻醉（GA）和吸入镇静（IS）是一些常用的技术，但需要一个客观的评估工具来确定最合适的方法。目的评价修正莫汉量表在指导小儿牙科患者选择GA和IS的有效性。方法采用改良莫汉量表对30例3 ~ 6岁儿童进行评估，该量表考虑了美国麻醉医师协会（ASA）的分类、治疗复杂性、受影响的牙齿数量、放射成像时的行为、父母期望、社会经济地位和Frankl行为评定量表。在用Shapiro-Wilk检验评估正常性后进行Mann-Whitney U检验，比较GA组和IS组。结果GA组和IS组的修正莫汉量表总分差异有统计学意义（p = 0.0001）。此外，与需要治疗的牙齿数量（p = 0.011）和放射成像期间的行为（p = 0.029）相关的亚量表显示出显著的变化，得分越高表明更需要GA。结论修正Mohan量表作为评估儿童牙科患者对GA和IS的需求的一种结构化和一致的方法，具有很大的潜力。该量表的应用可为临床决策和治疗计划提供支持。建议未来进行更大样本量的研究，以验证其在更广泛应用中的应用。

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

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.