Dental Treatment under General Anesthesia at the Out-patient Surgery Unit

概要

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The out-patient surgery unit system, with which children can be treated under general anesthesia and go home on the same day without being admitted, started at Kobe Children's Hospital in April 1985. In our Clinic of Pedodontics,99children were treated under this system from April 1985 through March 1989, and no severe complications have arisen far.<BR>The treatments performed during this period included caries treatment (77cases), impacted tooth extraction (10 cases), mucocele extripation (7 cases), lingua frenumectomy (3 cases) and labium maxillare frenumectomy (2 cases). The reasons for using this out-patient surgery unit system were mental retardation (58cases), minor oral surgery (22 cases) and difficult young children (19 cases). Their ages encompased the primary dental stage (53 cases), the mixed dental stage (39cases) and the permanent dental stage (7 cases). This system provide advantages such as reduction of the stress that may otherwise be caused to the patient and his family, and elimination of intro-hospital infection, etc.<BR>This out-patient surgery unit system should not be used just for the provider's convenience, and it must be used only to performed the dental treatment smoothly and safety taking into consideration both, the mental procedure, the cooperation from other departments such as Anesthesiology & Pediatrics, Clinical Laboratories etc., is essential.
The Japanese Society of Pediatric Dentistryの論文