Oral surgery and antıbıotıc proflexıa under general anesthesia in patient with Down's syndrome


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AKPINAR O.

IAOMS-AÇBİD Congress 2018, Antalya, Turkey, 9 - 13 May 2018, pp.223

  • Publication Type: Conference Paper / Full Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.223

Abstract

Oral surgery and antıbıotıc proflexıa under general anesthesia in patient with  Down's syndrome

 

Objectives: Down's syndrome is caused by a chromosomal abnormality and is characterized by certain physical, mental and medical features with specific oral manifestations. Down’s syndrome is  often carried out under general anesthesia  due to difficulty of cooperation. Endocarditis can be prevented by keeping a clean healthy mouth and taking action to prevent tooth decay as well as taking precautions such as taking antibiotics prior to some types of dental and medical treatments.We aimed to analyze retrospectively  the patients with syndromes in  Süleyman Demirel University Faculty of Dentistry, Oral and Maxillofacial Surgery Department, General Anesthesia Unit.

 

 Materials and methods: The records of the 82 patients with  Down’ssyndrom that were treated under general anesthesia 2014-2018 were retrospectively evaluated. The retrospective data included demographic variables, duriation of anesthesia, level of sedation, cardiac disorder, antıbıotıc proflexıa and the type of dental treatment .

Results: Dental extraction with dental filling procedures were  the most performed dental treatment (60%, n=50) In this study the female/male ratio was 43/39. All of the patients were with ASA  II . 60.9% of the patiens (n=50) had antıbıotıc proflexıa.

 

Conclusion: The goal of antibiotic prophylaxis in oral surgery is to prevent the onset of infections. According to the most recent AHA guidelines, such procedures are those which involve manipulation of gingival tissue or the periapical region and perforation of the oral mucosa, such as during subgingival scaling, dental extractions, suture removal, rubber dam matrix placement, and placing of orthodontic bands. Antibiotic prophylaxis is recommended for patients with congenital heart defects.