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What are the possible postoperative complications that may occur for children following dental treatment under general anaesthesia and is there a correlation between those complications and type of dental treatment done?
Nowadays, early childhood caries (ECC) remains a significant challenge of public health in Egyptian children. In most cases, children with ECC could accept dental treatment under non-pharmacological behavior management or sedation. However, some very young children or those suffering severe anxiety, mental or physical disabilities, could only be treated under dental general anesthesia (DGA).
Dental general anesthesia (DGA) is a safe and high-quality restorative and preventive treatment option for children with severe early childhood caries (S-ECC), who require extensive dental treatment and exhibit anxiety and emotional or cognitive immaturity or are medically compromised. However, several postoperative complications have been reported in children under DGA in many studies.
For a day-stay, general anesthesia procedure to be an acceptable option, care during and after surgery must be of the highest quality, and postoperative complications must be minimized.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dental treatment | Procedure | Extraction, pulp therapy or both |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain | pain would be assessed through the faces pain scale- revised this scale is self-report measure of pain intensity for children. These six faces expression show how much something can hurt, face 1 take score 0 no pain as minimum limit, face 2 take score 2, face 3 take score 4, face 4 take score 6, face 5 take score 8, face 6 take score 10 that the maximum limit "Very much pain." | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Fever | postoperative fever would be assessed through thermometer, the range of normal body temperature from (36,5 _37,5) °C. from (37,5- 38) ° Cit considers low grade fever. Above 38° C it considers high grade fever. Fever may be accompanied by irritable or very uncomfortable. poor eye contact with the surrounding, vomits repeatedly, severe diarrhea, seizures, pain. , severe headache, muscle weakness, difficulty breathing. |
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Inclusion Criteria:
Exclusion Criteria:
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Children will be selected from general anaesthesia unit of Pediatric Dentistry Department, Faculty of Dentistry, Cairo University aged from 3-6 years according to the eligibility criteria.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| sawsan Ah Ebrahim, master | Contact | 00201019792988 | sawsan.ebrahim@dentistry.cu.edu.eg | |
| ola mo omar, professor doctor | Contact | 00201006030036 | vice_postgrad@dentistry.cu.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32573136 | Background | Deng XY, Zhang YH, Zou J, Zhang Q. [Investigation of postoperative complications in children after dental therapy under general anesthesia]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Jun 1;38(3):284-289. doi: 10.7518/hxkq.2020.03.010. Chinese. |
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| ID | Term |
|---|---|
| D003729 | Dental Care |
| ID | Term |
|---|---|
| D003813 | Dentistry |
| D003752 | Dental Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Baseline |
| Weariness and drowsiness | That would be assessed through questionnaire.by asking the patient binary yes or no questions. | Baseline |