engleski

PROCEDURE OF DENTAL REHABILITATION UNDER GENERAL ANESTHESIA IN CLINICAL HOSPITAL CENTER RIJEKA

The aim of this presentation is an overview of method of dental rehabilitation under general anesthesia focused on patients treated in Clinical Hospital Center Rijeka, with its all advantages and disadvantages. A number of patients refuse to visit the dentist because of the dental fear or anxiety. Usually the cause of the dental fear is expectance of pain or incomprehension of the need for a dental procedure. Majority of this patients are children or patients with special needs. If such fear/anxitey cannot be solved by behavioral control techniques and the patient remains non-cooperative, then general anesthesia is indicated. The procedures are performed exclusively in hospital conditions and require a space with complete setting for general anesthesia and staff trained in this type of work. The treatments are performed on two locations ; for children in children’s hospital and for the adults in general hospital, both in day care surgery setting. The process has several stages: examination and decision on treatment under general anesthesia, pre-anesthetic assessment, admission to the hospital on the day of the procedure, premedication, endotracheal intubation and induction to anesthesia, dental treatment, emergence from anesthesia, post-anesthesia recovery, and discharge from hospital for home care. Patients with dental fear/anxiety, with physical and/or intellectual disabilities have increased dental treatment needs compared to the general population. Dental treatment under GA is a safe and effective way of providing dental care for non-cooperative patients. This presentation will include a detailed view of such way of dental rehabilitation in Clinical Hospital Center Rijeka.

general anesthesia, dental anxiety, dental care for disabled, special healthcare needs, pediatric dentistry, dental treatment

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