Oral and maxillofacial surgery and dental rehabilitation under sedation and general anesthesia

Aim: The aim of this study was to retrospectively analyze dentalprocedures performed under general anesthesia (GA) or deep sedation atDicle University Faculty of Dentistry, Department of Oral andMaxillofacial Surgery from May 2013 to May 2018.Methodology: This study included 182 patients treated under GA andsedation from May 2013 to May 2018. The records of these cases werereviewed retrospectively in terms of patient demographic characteristics,medical history, dental procedures, and treatment duration. Children andadults were compared in terms of general anesthesia (GA) and deepsedation (SD).Results: Of 182 patients (age range: 1–61 years), 63 were had anAmerican Society of Anesthesiology (ASA) status of I (completely healthy)and 119 were of ASA II status (mild systemic disease). A total of 143patients (60 children and 83 adults) underwent GA, while 39 patients (18children and 21 adults) underwent deep sedation. The mean duration ofthe procedures performed under GA and deep sedation was 75 and 40min, respectively. Following the procedure, 103 patients were dischargedon the same day, whereas 78 patients required postoperative care andwere discharged on the following day. The number of patients exposedto GA and SD were 143 and 39, respectively. The number of child patientsexposed to GA was 60, while that of adults was 83.Conclusions: The frequency of dental rehabilitation under GA orsedation is increasing. Patients who cannot undergo dental proceduresunder local anesthesia can be treated under preferably GA, as long as theindications, patient characteristics, and anesthesia plan are carefullyconsidered. Data suggest that adults are more suitable for GA thanchildren. However, due to the risks associated with GA, anestheticprocedures should only be performed by experienced anesthetists underoperating room conditions.