Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Professional Attitudes and Practice of Pediatric Dentists About the Use of Local Anesthesia for the Treatment of Children Under General Anesthesia Publisher



Faghihian R1 ; Golabbakhsh A2 ; Asnaashari E3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Departmentof Pediatrics, Dental ResearchCenter, DentalResearchInstitute, Schoolof Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Dental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Pediatrics, Schoolof Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Anesthesiology and Pain Medicine Published:2024


Abstract

Background: The application of local anesthesia in dental surgeries conducted under general anesthesia poses a challenge in pediatric dentistry. There isa lackof consensus regarding the benefitsand drawbacks of using general anesthesiainthisfield. Objectives: The purpose of this study was to assess the attitudes and practices of pediatric dentists regarding the use of local anesthesiafor dentaltreatmentsinchildrenunder general anesthesiainIran. Methods: This cross-sectional study involved 110 pediatric dentists from across Iran. The dentists' professional attitudes and practices were assessed using a specially designed questionnaire for this study. The questionnaire was distributed through the Linepress system, and the datawereanalyzedfollowing collection. Results: Regarding professional practices, 34.5% of specialists refrained from using local anesthesia. The most frequent application of local anesthesia was observed in tooth extractions. The preferred local anesthetic agent was 2% lidocaine with 1:100 000 epinephrine. A lower dose than that used in outpatient settings was administered, and most specialists allowed sufficienttimefor the anesthesiatotakeeffect. Conclusions: This study revealed that opinions and attitudes towards the use of local anesthesia in the dental treatment of children under general anesthesia vary across different specialties and are significantly influenced by the patient's condition, typeof treatment, and practicetechniques. © 2024, Faghihian et al.
Related Docs
View other Related Docs
1. Evaluation of the Cause of Dental Treatment in Children Under General Anesthesia From the Perspective of Pediatric Dentists and Postgraduate Students and Parents of Children Under General Anesthesia at the Dentistry School of Tehran University of Medical Science, International Journal of Dentistry (2022)
2. Evaluation of Parental View Toward Dental Treatment Under General Anesthesia in Isfahan, Journal of Zanjan University of Medical Sciences and Health Services (2010)
3. Comparison of Pregabalin and Midazolam As Premedication in Children Undergoing General Anesthesia for Dental Treatment, Anesthesiology and Pain Medicine (2024)
4. Bispectoral Index Scores of Pediatric Patients Under Dental Treatment and Recovery Conditions: Study of Children Assigned for General Anesthesia Under Propofol and Isofloran Regimes, Dental Research Journal (2016)
5. The Frequency and the Etiology of Re-Treatment in Patients and Candidates for Dental Procedure Under General Anesthesia, Dental Research Journal (2023)
6. Midazolam Versus Ketamine in the Management of Emergence Agitation in Children Undergoing Lower Abdominal and Limb Surgeries, Tehran University Medical Journal (2012)
7. Comparison of Oral Melatonin and Midazolam As Premedication in Children Undergoing General Anesthesia for Dental Treatment, Anesthesiology and Pain Medicine (2018)
8. Association Between Psychological Factors and Pain Perception in Patients With Symptomatic Irreversible Pulpitis During Endodontic Treatment, Giornale Italiano di Endodonzia (2021)
Experts (# of related papers)
View all Related Experts
Amir Shafa (19)
Hamidreza Shetabi (13)
Other Related Docs
9. Comparison of Information Provided by Pediatricians Regarding Tooth Eruption and the Information Available on the Internet, Dental Research Journal (2021)
10. Injection of Lidocaine Alone Versus Lidocaine Plus Dexmedetomidine in Impacted Third Molar Extraction Surgery, a Double-Blind Randomized Control Trial for Postoperative Pain Evaluation, Pain Research and Management (2021)
11. Effect of Pre-Cooling on Pain Associated With Dental Injections in Children: A Systematic Review, Journal of Evidence-Based Dental Practice (2021)
12. Relationship of Preoperative Fasting Time With Vital Signs and Type and Dose of Analgesic in Pediatrics, Koomesh (2022)
13. The Effect of Orally Administered Ketamine on Requirement for Anesthetics and Postoperative Pain in Mandibular Molar Teeth With Irreversible Pulpitis., Journal of oral science (2011)
14. A Randomized Evaluation of Intravenous Dexamethasone Versus Oral Acetaminophen Codeine in Pediatric Adenotonsillectomy: Emergence Agitation and Analgesia, Middle East Journal of Anesthesiology (2012)
15. Attenuation of Cardiovascular Responses to Laryngoscopy and Tracheal Intubation-Intravenous Sufentanil Vs Pethidine, Middle East Journal of Anesthesiology (2008)
16. Comparative Evaluation of Bispectral Index System After Sedation With Midazolam and Propofol Combined With Remifentanil Versus Ketamine in Uncooperative During Dental Procedures, Dental Research Journal (2016)
17. Effects of the Two Doses of Dexmedetomidine on Sedation, Agitation, and Bleeding During Pediatric Adenotonsillectomy, Anesthesiology and Pain Medicine (2021)
18. Effect of Vibration Devices on Pain Associated With Dental Injections in Children: A Systematic Review and Meta-Analysis, Australian Dental Journal (2021)
19. Attitude of Dental Students Toward Evidence-Based Dentistry in Iran: A Systematic Review, Dental Research Journal (2023)
20. Premedication Propofol Dose to Prevent Emergency Delirium, Iranian Journal of Psychiatry (2022)
21. Comparison of the Performance of Acromioaxillosuprasternal Notch Index With Old Method of Anatomical Measurement of Head and Neck in Predicting Laryngoscopy Forecasting Problems in Pediatrics Surgical Procedures Requiring Tracheal Intubation Under General Anesthesia, Journal of Isfahan Medical School (2019)
22. Comparison of Success Rate and Onset Time of Two Different Anesthesia Techniques, Medicina Oral, Patologia Oral y Cirugia Bucal (2015)
23. The Efficacy Comparison of Ibuprofen, Acetaminophen-Codeine, and Placebo Premedication Therapy on the Depth of Anesthesia During Treatment of Inflamed Teeth, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology (2006)
24. Comparison of the Sedation Quality of Etomidate, Propofol, and Midazolam in Combination With Fentanyl During Phacoemulsification Cataract Surgery: A Double-Blind, Randomized, Controlled, Clinical Trial, Anesthesiology and Pain Medicine (2019)
25. A Comparison of Sedation Quality With Midazolam-Ketamine Versus Propofol-Ketamine During Phacoemulsification Surgery, Tehran University Medical Journal (2021)
26. Anesthetic Efficacy of Lidocaine/Ketorolac in Inferior Alveolar Nerve Block in Patients With Irreversible Pulpitis: A Randomized Clinical Trial, European endodontic journal (2020)
27. Oral Midazolam Alone or in Combination With Ketamine As Oral Premedication in Pediatric Ophthalmologic Surgeries, Journal of Isfahan Medical School (2014)
28. Comparison of the Effectiveness of Intranasal Ketamine Compared With Intravenous Ketamine in Controlling Pain During Cataract Surgery, Tehran University Medical Journal (2022)
29. Comparing the Intraoperative Pain Severity in Phacoemulsification Cataract Surgery Under the Topical Anesthesia and Systemic Sedation in Patients With Hairy and Normal Eyebrow, Journal of Isfahan Medical School (2015)
30. Implementation of Clinical Practice Guidelines in Dental Settings, Journal of Evidence-Based Dental Practice (2009)
31. Comparison of the Preventive Analgesic Effect of Rectal Ketamine and Rectal Acetaminophen After Pediatric Tonsillectomy, International Journal of Preventive Medicine (2012)
32. Cotimparave Evaluation of Oral Alprazolam, As Premedication, on Controlling Blood Pressure in Hypertensive Patients During Surgery, Journal of Isfahan Medical School (2015)
33. Prophylactic Effects of Intravenous Dexamethasone and Lidocaine on Attenuating Hemodynamic-Respiratory and Pain Complications in Children Undergoing Cleft Palate Repair Surgery With General Anesthesia, Journal of Pain and Palliative Care Pharmacotherapy (2020)
34. Safety and Efficacy of Fentanyl Versus Pethidine in Cataract Surgery Under Propofol-Based Sedation: A Double-Blind Randomized Controlled Clinical Trial, Journal of Research in Medical Sciences (2020)
35. Comparison of the Effects of Remifentanyl-Propofol and Remifentasnyl-Isoflurane on Hemodynamic Variables, Blood Gases, and Blood Glucose Among Patients Under General Anesthesia, Journal of Isfahan Medical School (2017)
36. Comparative Study of the Effect of Oral Chloral Hydrate and Intranasal Fentanyl on Sedation in Children for Electroencephalography, Iranian Journal of Child Neurology (2023)
37. Preemptive Analgesia With Ibuprofen and Acetaminophen in Pediatric Lower Abdominal Surgery, Journal of Research in Medical Sciences (2005)
38. Evaluation of Implementation of the Principles of Patient Safety Standards by Surgical Team in Iranian Hospitals, Evidence Based Care Journal (2023)
39. Assessing the Oral Health-Related Quality of Life in Iranian Adolescents: Validity of the Persian Version of the Child Oral Health Impact Profile (Cohip), Oral Health and Preventive Dentistry (2013)
40. Assessing Intravenous Ketamine and Intravenous Dexamethasone Separately and in Combination for Early Oral Intake, Vomiting and Postoperative Pain Relief in Children Following Tonsillectomy., Medicinski arhiv (2012)
41. Edentulism and Tooth Loss in Iran, International Journal of Preventive Medicine (2012)
42. Risk Management Status of Waste Anesthetic Gases Using Ecri Institute Standards, Iranian Journal of Public Health (2012)
43. Association Between Orthodontic Treatment Need and Caries Experience, Acta Odontologica Scandinavica (2011)
44. Comparative Evaluation of Difficult Intubation Predictors in Children Under Two Years of Ages, Anesthesiology and Pain Medicine (2021)
45. Analgesic Efficacy of Dexamethasone and Dexmedetomidine As an Adjuvant to Bupivacaine Infiltration in Unilateral Cleft Lip Surgery: A Randomized, Double-Blinded Study, Archives of Anesthesiology and Critical Care (2024)
46. Investigating Sevoflurane, Remifentanil, and Propofol Effects on Recovery of Patients With Movement Disorders Under General Anesthesia, Journal of Advanced Pharmacy Education and Research (2024)
47. Effect of Intraosseous Injection Versus Inferior Alveolar Nerve Block As Primary Pulpal Anaesthesia of Mandibular Posterior Teeth With Symptomatic Irreversible Pulpitis: A Prospective Randomized Clinical Trial, Acta odontologica Scandinavica (2018)
48. Comparison of Two Dosages of Ketamine in Preventing Fentanyl-Induced Coughs in Children, Advanced Biomedical Research (2021)
49. Comparison of Adding Neostigmine and Fentanyl to Bupivacaine in Caudal Analgesia Caudal in Pediatric Inguinal Herniorrhaphy, Journal of Cellular and Molecular Anesthesia (2017)
50. Effect of Needle Insertion Angle on Pain During Labial Infiltration Anesthesia of the Anterior Maxilla: A Randomized Clinical Trial, Clinical and Experimental Dental Research (2024)