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Opinion Volume 6 Issue 3
GA vs no GA
Sadek Bakdach
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Department of Pediatric Dentistry, Paris Academy, USA
Correspondence: Sadek Bakdach, Department of Pediatric Dentistry, Paris Academy, 4058 State St, Saginaw, MI 48603, USA
Received: February 08, 2017 | Published: February 8, 2017
Citation: Bakdach S. GA vs no GA. J Dent Health Oral Disord Ther. 2017;6(3):75. DOI: 10.15406/jdhodt.2017.06.00198
Opinion
A study I conducted a few years ago in order to detect the tendency to refer young patients to the hospital to perform a Comprehensive Dental Treatment (CDT) under General Anesthesia (GA). The survey included 38 Dentists Specialists used to practice CDT under GA and the Intravenous (IV) sedation technique I choose to divide the practitioners into 2 age groups. The first group is the young age 40 or less and the second one is the old age group 40 plus. The child patients are divided into 3 groups:
- Up to 5 years old
- From 5 to 8 years old
- 8 and up
The assumed selected patients should follow specified criteria, they are uncooperative children" classified Frankl IV" and the number of teeth to be treated should not be less than 4 one of them in critical condition or suffering from bad esthetic. Clear GA cases like "Children with special needs and extreme urgent cases" are excluded.
At what percentage do you estimate the need for GA?
The result shows the following (Table 1)
Doctors in favor of the GA patients age groups |
Group A 40 Y.O. Or Less |
Group B + 40y.O |
Group I |
54% |
63% |
Group II |
47% |
57% |
Group III |
32% |
41% |
2-How do you evaluate the clinical outcome of the GA cases? |
90% v. good |
75% v. good |
3-How many cases required a redo GA? |
less than 1% |
1 to 1,5% |
4-how many cases required clinical visits for new treatment soon after the GA? |
12% |
11% |
Table 1 At what percentage do you estimate the need for GA?
What are the hurdles limiting the number of the GA cases?
- All agree on:
- The High cost
- The parents acceptance/refusal of the GA
- Ignorance and/or exaggerating the risk factors in a negative way
I will not conclude my study with any recommendation or statistics; I will leave it to the reader's judgment.
The big remaining question is;
Is the IV sedation technic a good and reliable solution?
The answer needs new studies and open discussions.
Acknowledgements
None.
Conflits of interest
The authors declare that there is no conflict of interest.
©2017 Bakdach. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.