engleski

Endodontic treatment under general anesthesia: opportunities and challenges

A vulnerable part of the population is exposed to a greater risk of oral health problems. Patients with disabilities usually suffer from a disturbed physiological or psychological state, uncooperative behavior and emotional changes during the implementation of diagnostic and therapeutic procedures, which indicates the need for supportive techniques during the implementation of therapeutic procedures. General anesthesia is one of the applicable techniques to facilitate the implementation of dental procedures and is predominantly performed in hospital conditions. The patient suffers from psychotrauma. Due to uncooperativeness, poor oral status and complex medical history, the indication for tooth restoration under general anesthesia is established. Endodontic treatment of the upper right central and lateral incisor and restorative procedures of several teeth are carried out. Considering the insufficient findings of radiological diagnostics, during rehabilitation under general anesthesia, the destruction of the bone wall in the periapical region of tooth 12 and the formation of an intraoral fistula were palpated. Due to persistent localized infection and in order to prevent the spread of odontogenic inflammation, an apicotomy is performed instead of the initially planned endodontic treatment. Timely therapy under conditions of general anesthesia primarily implies decision-making, which often includes invasive procedures in addition to conservative ones. Dental treatment of patients with severe intellectual disorders and cognitive difficulties is often challenging due to insufficient cooperation. Propensity to caries and injuries require special interdisciplinary health care for vulnerable groups of patients. When a problematic tooth has a high strategic value with sufficient structure, invasive solutions can be avoided and endodontic and restorative treatment can be considered. However, the possibilities and challenges of general anesthesia therapy encompass a wide range of decisions and procedures that differ significantly from conventional treatment procedures in outpatient settings. Recent literature and clinical experiences indicate an improved quality of life related to oral health after rehabilitation of patients under general anesthesia.

patients with disabilities ; tooth rehabilitation ; general anesthesia

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