管理高牙的临床途径 具有不良牙科病史的儿童
Flora Hashemi1, Ahmad Al Masri1,2, Christian H Splieth1
1Department of Pediatric Dentistry, University Medicine Greifswald, 17475 Greifswald, Germany.
Medicina (Kaunas, Lithuania)
|December 31, 2025
概括
患有负面经历的儿童牙科患者通常需要镇静或全身麻醉. 最少侵入性护理和有意识的镇静可以减少焦虑儿童对全身麻醉的需求.
科学领域:
- 儿科牙科 儿科牙科
- 牙科麻醉 牙科麻醉
- 在牙科的行为管理.
背景情况:
- 治疗以前有负面牙科经验的儿童带来了挑战,往往需要镇静或全身麻醉.
- 确定影响这些儿童治疗途径的因素对于优化护理至关重要.
研究的目的:
- 确定对有不良牙科经验的儿科牙科患者的治疗方式.
- 为了确定与全身麻醉,氧化镇静和椅子管理下牙科治疗相关的因素.
主要方法:
- 对2-12岁的儿童进行回顾性队列分析,这些儿童有负面的牙科经验和治疗需求.
- 从2021年1月1日至12月31日期间访问格莱夫斯瓦尔德大学儿科牙科诊所的患者收集的数据.
主要成果:
- 在78名符合条件的患者中,25.6%接受全身麻醉,56.4%接受氧化镇静,18%接受椅子治疗.
- 年龄较小,病严重程度较高 (dmft/dt得分) 和行为评级较低与全身麻醉有关,但不是独立的预测因素.
- 88.5%的患者的主要抱怨是牙损伤,61.5%的患者被其他牙医转诊.
结论:
- 最少侵入性虫病管理是减少治疗复杂性的关键.
- 适当的行为指导和及时使用有意识的镇静剂可以显著减少对全身麻醉的要求.
- 这些策略即使对有牙焦虑或有负面牙经历的儿童来说也有效.
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