Journal of the Canadian Dental Association最新文献_第10页

TREATING EARLY CHILDHOOD CARIES UNDER GENERAL ANESTHESIA: A NATIONAL REVIEW OF CANADIAN DATA. 在全身麻醉下治疗早期儿童龋齿:对加拿大数据的全国性回顾。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2016-07-01

Robert J Schroth, Carlos Quiñonez, Luke Shwart, Brandon Wagar

{"title":"TREATING EARLY CHILDHOOD CARIES UNDER GENERAL ANESTHESIA: A NATIONAL REVIEW OF CANADIAN DATA.","authors":"Robert J Schroth, Carlos Quiñonez, Luke Shwart, Brandon Wagar","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Many Canadian children are affected by early childhood caries (ECC) and require treatment under general anesthesia. The purpose of this study was to determine the burden of day surgery for children with ECC in Canada.Methods: Day surgery abstracts for children 6 years of age with ECC were extracted from the Canadian Institute for Health Information Discharge Abstract Database and National Ambulatory Care Reporting System for 4 years, 2010/11 to 2013/14. All provinces and territories participated except Quebec. Variables considered included sex, age, proportion of immigrants in the neighbourhood, Aboriginal concentration, material deprivation index and rurality. Rates were calculated for the pooled 4-year cohort.Results: The overall rate of dental surgery to treat ECC was 12.1 per 1000 children 12-59 months of age, accounting for 31.0% of all day surgeries performed on this age group in Canada. Rates of dental surgery for children from neighbourhoods with a high proportion of Aboriginal people were 7.8 times those for children living in areas with a low proportion (84.5 vs. 10.9 per 1000). For children from rural regions of Canada, rates were 3.2 times those of urban dwelling children (31.2 vs. 9.8 per 1000). Children from the least-affluent regions had dental surgery rates 3.7 times higher than those from the most-affluent communities (25.7 vs. 6.9 per 1000). Total hospital-associated costs of treating ECC under general anesthesia averaged $21184545 annually.Conclusion: Dental surgery for ECC is far too common and occurs more often among children from the least-affluent households, rural regions and communities with a high proportion of Aboriginal people. Dental surgery rates can serve as an important population health indicator.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"82 ","pages":"g20"},"PeriodicalIF":1.5,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34326024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HOW DO I MANAGE A PATIENT WITH LATERAL LUXATION OF A PERMANENT INCISOR? 我如何处理一个患者外侧脱位的永久门牙?

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2016-07-01

Cyrus D M Afrashtehfar, Annie Marleau, Kelvin I Afrashtehfar

引用次数: 0

COMPLICATIONS OF ORAL AND MAXILLOFACIAL SURGERY UNDER GENERAL ANESTHESIA IN TUBE-FED CHILDREN: A RETROSPECTIVE ANALYSIS. 管饲儿童全身麻醉下口腔颌面外科并发症的回顾性分析。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2016-06-01

Trang D Nguyen, Marshall M Freilich, Bruce A Macpherson

{"title":"COMPLICATIONS OF ORAL AND MAXILLOFACIAL SURGERY UNDER GENERAL ANESTHESIA IN TUBE-FED CHILDREN: A RETROSPECTIVE ANALYSIS.","authors":"Trang D Nguyen, Marshall M Freilich, Bruce A Macpherson","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To assess morbidity and mortality associated with oral and maxillofacial surgery procedures requiring general anesthesia among children with aspiration tendency requiring enteral feeding.Material and methods: A retrospective chart review was conducted of children surgically treated under general anesthesia by the oral and maxillofacial surgery service at the Hospital for Sick Children in Toronto, Canada. Medical and dental records over a 9-year period (January 1, 2000 to January 1, 2010) were reviewed. Data were collected on demographics, primary illness, coexisting medical conditions, procedures performed, medications administered, type of airway management used, duration of general anesthesia, American Society of Anesthesiologists' physical status classification and adverse events.Results: During the period reviewed, 28 children underwent 35 oral and maxillofacial surgery procedures under general anesthesia. The mean patient age was 12 years (range 4-17 years). No deaths occurred. Of the 35 surgeries, 10 (29%) were associated with at least 1adverse event. Adverse events included 1incident of respiratory distress, 2incidents of fever, 5incidents of bleeding, 1incident of seizure and 4incidents of oxygen saturation below 90% for more than 30s.Conclusions: Children with a history of aspiration tendency that necessitates enteral feeding, who undergo oral and maxillofacial surgery under general anesthesia, are at increased risk of morbidity. Before initiating treatment, the surgeon and parents or guardians of such children should carefully consider these risks compared with the anticipated benefit of surgery.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"82 ","pages":"g16"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34383053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How do I Manage a Patient with Trigeminal Neuralgia/Tic Douloureux? 如何处理三叉神经痛/抽动性杜卢勒患者?

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2016-05-01

Ajit Auluck

引用次数: 0

How do I Manage a Patient with Biphosphonate-related Osteonecrosis of the Jaw (BRONJ). 如何处理双膦酸盐相关性颌骨骨坏死(BRONJ)患者?

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2016-05-01

Ajit Auluck

引用次数: 0

How do I Manage a Patient with Chronic Non-healing Multiple Ulcers? 如何处理慢性无法愈合的多重溃疡患者?