ΟRAL SURGERY PROCEDURES UNDER LOCAL ANESTHESIA IN PEDIATRIC PATIENTS
Authors:
Panagiota Koufopoulou, Despoina Gkouzoula, Nadia Theologie-Lygidakis
Affiliation:
School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
Doi: 10.54936/haoms242p88
ABSTRACT:
Objectives: Children need oral surgical intervention to treat either different pathological entities or trauma. Most common problems are related to dentition development and include removal of supernumerary teeth, removal of ankylosed primary molars, upper lip or lingual frenum correction, exposure of impacted teeth for orthodontic reasons, excision of benign tumors or enucleation of cysts of the jaws. Dentoalveolar trauma is also common in children.
When operating on children, surgeons need to be familiar with primary and mixed dentition, children’s growth potential as well as the problems most often developing during childhood. Additionally, a degree of expertise and behavioral knowledge are helpful. Depending on the child’s age and the severity of the problem, local or general anesthesia is selected.
The aim of this presentation is to review the current literature on the surgical oral procedures performed in children under local anesthesia, and to present selected cases treated at the clinic of oral and maxillofacial surgery of the dental school of the University of Athens.
Materials and Methods: Literature research was performed on MEDLINE for the decade 2013-2023, with the following keywords: local anesthesia, oral surgery procedures, pediatric dental patient, behavior guidance. The files of young patients who underwent operations under local anesthesia at our department, were reviewed and representative cases were selected.
Results: Dentoalveolar operations of various severity are performed under local anesthesia; in cases of very young children (before primary school age), only mild alveolar trauma can be treated, whereas in primary school age, small sized alveolar lesions can be operated. In older children, most alveolar operations can be performed.
Conclusion: Young children with minor dentoalveolar surgical problems can successfully be treated under local anesthesia; certain indications such as primary cooperation of the child and short duration of the procedure, need to be fulfilled.
KEY WORDS: oral surgery, pediatric patient, local anesthesia, behavior management
Authors:
Panagiota Koufopoulou, Despoina Gkouzoula, Nadia Theologie-Lygidakis
Affiliation:
School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
Doi: 10.54936/haoms242p88
ABSTRACT:
Objectives: Children need oral surgical intervention to treat either different pathological entities or trauma. Most common problems are related to dentition development and include removal of supernumerary teeth, removal of ankylosed primary molars, upper lip or lingual frenum correction, exposure of impacted teeth for orthodontic reasons, excision of benign tumors or enucleation of cysts of the jaws. Dentoalveolar trauma is also common in children.
When operating on children, surgeons need to be familiar with primary and mixed dentition, children’s growth potential as well as the problems most often developing during childhood. Additionally, a degree of expertise and behavioral knowledge are helpful. Depending on the child’s age and the severity of the problem, local or general anesthesia is selected.
The aim of this presentation is to review the current literature on the surgical oral procedures performed in children under local anesthesia, and to present selected cases treated at the clinic of oral and maxillofacial surgery of the dental school of the University of Athens.
Materials and Methods: Literature research was performed on MEDLINE for the decade 2013-2023, with the following keywords: local anesthesia, oral surgery procedures, pediatric dental patient, behavior guidance. The files of young patients who underwent operations under local anesthesia at our department, were reviewed and representative cases were selected.
Results: Dentoalveolar operations of various severity are performed under local anesthesia; in cases of very young children (before primary school age), only mild alveolar trauma can be treated, whereas in primary school age, small sized alveolar lesions can be operated. In older children, most alveolar operations can be performed.
Conclusion: Young children with minor dentoalveolar surgical problems can successfully be treated under local anesthesia; certain indications such as primary cooperation of the child and short duration of the procedure, need to be fulfilled.
KEY WORDS: oral surgery, pediatric patient, local anesthesia, behavior management