Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study
Objectives: To compare the effectiveness of general anesthesia versus local anesthesia with or without conscious sedation for minor oral surgery procedures in pediatric patients. Methods: We performed a retrospective chart review of 192 pediatric patients who underwent 227 minor oral surgery procedu...
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Sociedade Portuguesa de Estomatologia e Medicina Dentária
2024-12-01
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| Series: | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
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| Online Access: | https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788e972305ae.pdf |
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| author | Ana López-Velasco Francisco Javier Carrera-Hueso Miguel Puche-Torres Francisco Javier Silvestre Pedro Vázquez-Ferreiro |
| author_facet | Ana López-Velasco Francisco Javier Carrera-Hueso Miguel Puche-Torres Francisco Javier Silvestre Pedro Vázquez-Ferreiro |
| author_sort | Ana López-Velasco |
| collection | DOAJ |
| description | Objectives: To compare the effectiveness of general anesthesia versus local anesthesia with or without conscious sedation for minor oral surgery procedures in pediatric patients. Methods: We performed a retrospective chart review of 192 pediatric patients who underwent 227 minor oral surgery procedures between 2017 and 2019 at the Oral and Maxillofacial Surgery Department at Hospital Clínico Universitario in Valencia, Spain. Results: Of the 192 patients studied, 57.27% were male and 42.73% female (mean age, 9.83 years). General anesthesia was used in 51.54% of procedures, and LA with or without conscious sedation in 48.46%. Pain, occurring in 2.56% of general anesthesia procedures and 2.73% of local anesthesia procedures, was the most common complication, followed by infection (1.71% of general anesthesia procedures). Procedural success was 94.87% in the general anesthesia group and 91.82% in the local anesthesia group. No significant differences were observed in success or complication rates between the groups. Conclusions: Compared with local anesthesia with or without conscious sedation, general anesthesia does not result in lower procedural success rates or a higher risk of complications other than mild pain in pediatric dental patients. |
| format | Article |
| id | doaj-art-6f1c8b9288294b888664261bc3334272 |
| institution | Kabale University |
| issn | 1646-2890 1647-6700 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Sociedade Portuguesa de Estomatologia e Medicina Dentária |
| record_format | Article |
| series | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
| spelling | doaj-art-6f1c8b9288294b888664261bc33342722025-01-28T10:35:45ZengSociedade Portuguesa de Estomatologia e Medicina DentáriaRevista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial1646-28901647-67002024-12-0165419720410.24873/j.rpemd.2024.12.1412Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional studyAna López-Velasco0https://orcid.org/0000-0002-7596-0730Francisco Javier Carrera-Hueso1https://orcid.org/0000-0002-4459-6059Miguel Puche-Torres2https://orcid.org/0000-0002-9833-0707Francisco Javier Silvestre3https://orcid.org/0000-0001-7858-7735Pedro Vázquez-Ferreiro4https://orcid.org/0000-0001-8367-3996Stomatology Service, Department Hospital Clínico/Malvarrosa, Valencia, Comunidad Valenciana, Spain; Universidad European de Valencia, Valencia, Comunidad Valenciana, SpainPharmacy Service, Hospital Universitario La Plana, Villa-real, Castellón, SpainDepartment of Maxillofacial Surgery, Hospital Clínico Universitario de Valencia, INCLIVA, Valencia, Comunidad Valenciana, Spain; Surgery Department, Facultad de Medicina y Odontología, Universidad de Valencia, Valencia, Comunidad Valenciana, SpainStomatology Unit, Hospital Universitario Dr. Peset de Valencia, Valencia, Comunidad Valenciana, Spain; Departamento de Estomatología, Universidad de Valencia, Valencia, Comunidad Valenciana, Spain; Faculty of Medicine and Dentistry University of Valencia, Valencia, Comunidad Valenciana, SpainOphthalmologic Department, Hospital Virxen da Xunqueira, Cee, A Coruña, SpainObjectives: To compare the effectiveness of general anesthesia versus local anesthesia with or without conscious sedation for minor oral surgery procedures in pediatric patients. Methods: We performed a retrospective chart review of 192 pediatric patients who underwent 227 minor oral surgery procedures between 2017 and 2019 at the Oral and Maxillofacial Surgery Department at Hospital Clínico Universitario in Valencia, Spain. Results: Of the 192 patients studied, 57.27% were male and 42.73% female (mean age, 9.83 years). General anesthesia was used in 51.54% of procedures, and LA with or without conscious sedation in 48.46%. Pain, occurring in 2.56% of general anesthesia procedures and 2.73% of local anesthesia procedures, was the most common complication, followed by infection (1.71% of general anesthesia procedures). Procedural success was 94.87% in the general anesthesia group and 91.82% in the local anesthesia group. No significant differences were observed in success or complication rates between the groups. Conclusions: Compared with local anesthesia with or without conscious sedation, general anesthesia does not result in lower procedural success rates or a higher risk of complications other than mild pain in pediatric dental patients.https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788e972305ae.pdfgeneral anestesiaoral surgical procedurespediatric dentistry |
| spellingShingle | Ana López-Velasco Francisco Javier Carrera-Hueso Miguel Puche-Torres Francisco Javier Silvestre Pedro Vázquez-Ferreiro Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial general anestesia oral surgical procedures pediatric dentistry |
| title | Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study |
| title_full | Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study |
| title_fullStr | Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study |
| title_full_unstemmed | Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study |
| title_short | Local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients: a retrospective cross-sectional study |
| title_sort | local anesthesia with and without conscious sedation versus general anesthesia for oral surgical procedures in pediatric patients a retrospective cross sectional study |
| topic | general anestesia oral surgical procedures pediatric dentistry |
| url | https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788e972305ae.pdf |
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