全身麻醉下儿童口腔治疗

Dental treatment under general anaesthesia

儿童龋齿不能在常用的行为管理方法下进行治疗时,尤其对于年幼、不能合作以及智力发育迟缓的儿童,要进行复杂和大量的牙齿治疗,全身麻醉是比较合适的麻醉方法。全身麻醉下口腔治疗可以显著提高儿童口腔相关生活质量,仍要关注其术前适应证的选择、术中风险控制,并积极预防术后并发症和龋齿的再发问题。

Children with severe dental caries can be treated with routine restorative procedures in most cases. Sometimes, however dental treatment under general anaesthesia （GA） has to be considered when all other treatment options were ruled out. Reasons for choosing GA include the need for extensive treatment or behavioural management problems （for example, due to very young age, or because the child is medically and/or developmentally compromised）. This article revealed a review of the literature discussing indications for the utilization of GA, postoperative discomfort and recurrence of caries.