Stomatološki zahvati kod pacijenata u kratkotrajnoj inhalacijskoj i općoj edotrahealnoj anesteziji

master's thesis

• Title (english): Dental procedures in patients under short-term inhalation and general endotracheal anaesthesia
• Author: Sarah Kramarić
• Mentor: Ivan Zajc (mentor)
• Committee member: Ivan Zajc (predsjednik povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Committee member: Hrvoje Jurić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2018-10-23, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Oralno zdravlje neodvojivi je dio sistemskog zdravlja čovjeka te kao takvo direktno utječe na kvalitetu života povezanu sa zdravljem. Većina odraslih ljudi, pogotovo djeca, zbog očekivane boli imaju strah od odlaska stomatologu te se posljedično u Hrvatskoj 90-95% stomatoloških zahvata radi u lokalnoj anesteziji. Razlozi tako velikog postotka su mogućnost jednostavne primjene lokalne anestezije i niska učestalost komplikacija. Opća anestezija definira se kao kontrolirano stanje nesvijesti praćeno gubitkom zaštitnih refleksa kao što su neovisno održavanje dišnog puta te svjesnog odgovaranja na fizičke podražaje ili glasovne naredbe. Dentalno liječenje pod općom anestezijom smatra se krajnjom mjerom te AAPD strogo propisuje indikacije za takav tip sedacije. Sanacija zubi pod općom anestezijom indicirana je za pacijente koji nisu kooperativni zbog manjka psihičke i emocionalne zreosti i/ili zbog mentalnog, fizičkog ili medicinskog hendikepa, za pacijente kod kojih je lokalna anestezija neučinkovita zbog akutne infekcije, anatomskih varijacija ili alergije, za ekstremno nekooperativnu, uplašenu, anksioznu ili nekomunikativnu djecu i adolescente i pacijente kojima su indicirani opsežni kirurški zahvati te pacijente koji zahtjevaju imedijatnu opsežnu oralnu sanaciju.

Abstract (english)

Oral health is an inseparable part of human systemic health; therefore, it directly affects the quality of life, which is connected with health. Due to expected pain, most adults – and especially children – have a fear of going to the dentist. Consequently, 90-95% of dental procedures in Croatia are done under local anaesthesia. Such a high percentage results from the simple administration of anaesthesia and low prevalence of complications. General anaesthesia is defined as a controlled state of unconsciousness accompanied by the loss of protective reflexes such as autonomous airway management and inability to consciously respond to physical stimuli or voice commands. Dental health treatment under general anaesthesia is considered the last resort and indications for that type of sedation are strictly prescribed. Dental procedures under general anaesthesia are indicated: in patients that are uncooperative due to the lack of physical and emotional maturity and/or due to a mental, physical or medical handicap; in patients on which local anaesthesia has no effect due to acute infection, anatomical variations or alergies; in extremely uncooperative, frightened, anxious or uncommunicative children and adolescents; in patients who have had extensive surgical procedures; in patients that require immediate and extensive dental treatment.

• Keywords: opća anestezija; sanacija zubi; dentalni strah
• Keywords (english): general anaesthesia; dental treatment; dental fear
• Language: croatian
• URN:NBN: urn:nbn:hr:127:846059
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-12-17 11:14:02