Abstract
Background
The purpose of this retrospective clinical study was to comparatively evaluate the number of restorative treatments, endodontic treatments, and tooth extractions performed under general anesthesia due to dental anxiety or special needs between 2015 and 2022, and to examine the postoperative pain, bleeding, nausea and vomiting data of the patients after these treatments.
Methods
Patients who underwent at least one endodontic treatment under general anesthesia were included in the study. These patients were divided into two main groups: those with special needs and healthy. Restorative treatments and tooth extractions applied to the patients along with their endodontic treatments were noted. Additionally, patients' information regarding pain, nausea, vomiting, and bleeding after treatments was recorded.
Results
Of the total 184 patients included in the study, 70 (38%) were healthy and 114 (62%) had special needs. While a statistically significant difference was found in terms of postoperative bleeding (ꭕ2 = 4.189, p < 0.05) and pain (U = 2922.00, p < 0.05) bleeding was observed more in patients with special needs, and pain was observed more in healthy patients. While the number of anterior restorations, O, and MOD restorations was higher in patients with special needs, the number of OD or OM restorations was higher in healthy patients (ꭕ2 = 74.877, p < 0.05).
Conclusions
The number of restorative treatments was found to be higher in patients with special needs may be associated with the inadequate oral hygiene care of such patients However, restorative treatment is mostly indicated for such patients in our faculty hospital which may indicate that a conservative approach is taken. Additionally, the finding that postoperative bleeding was more severe in this group of patients in this study may emphasize the need to consider more possible complications after general anesthesia in these patients.