Periodontium of Pediatric Patients versus General Anesthetics

Samir Heta¹ , Ilma Robo²

Section:Research Paper, Product Type: Journal-Paper
Vol.9 , Issue.5 , pp.1-4, May-2023

Online published on May 31, 2023

Copyright © Samir Heta, Ilma Robo . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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Abstract :
Introduction: Propofol and sevoflurane as two general anesthetics with different characteristics, in this study they are placed opposite each other to highlight their characteristics and to see what changes in clinical signs or periodontal index values they bring to pediatric patients who undergo different surgical treatments. This is part of the purpose of this study. Materials and methods: Depending on the general anesthesia applied before the various surgical procedures, the reason for which the pediatric patients were presented to the clinic, and after the verbal consent obtained from the accompanying parents, they were subjected to the measurement of the proposed amount of saliva. These values were accurately measured before the intervention and after the intervention at predetermined moments of the day, not having the possibility to be influenced by the circadian increase in saliva production. The gingival health evaluation index, divided into fixed, marginal or papillary gingiva according to the PMA index, was precisely the most suitable index for this type of study. Results: The PMA index according to the value for the marginal gingiva showed deterioration of the periodontal health affecting also the reduction of salivary flow, in cases of propofol application. There is a minimal increase in saliva production in cases of application of sevoflurane as a general anesthetic for surgical treatments. Hypo and hypersalivation appear in a 1:1 ratio with cases of normal saliva production in pediatric patients. Conclusions: The effect of propofol in cases of general anesthetic application appears in the deterioration of oral and periodontal health of pediatric patients. Sevoflurane increases the production of saliva, positively influencing the periodontal status of the patient who has undergone surgical intervention.

Key-Words / Index Term :
sevoflurane, propofol, periodontium, saliva, PMA index

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