scholarly journals A retrospective comparison of dental treatment under general anesthesia versus non-pharmacological approach in patient with special health care needs

2021 ◽  
Author(s):  
Pornpailin Kasemkhun ◽  
Apiwan Smutkeeree ◽  
Varangkanar Jirarattanasopha
Keyword(s):  
Health Care ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Pharmacological Approach ◽  
Retrospective Comparison ◽  
Special Health

scholarly journals Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis

2016 ◽  
Vol 17 (6) ◽  
pp. 476-479
Author(s):  
Neha Awasthi ◽  
Neeraj Solanki ◽  
Anjali Kundu ◽  
Suveet Mathur ◽  
Suresh Bidhumadhav
Keyword(s):  
Health Care ◽  
General Anesthesia ◽  
Retrospective Analysis ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Dental Rehabilitation ◽  
Special Health

ABSTRACT Introduction Dental problems serve as additional burden on the children with special health care needs (CSHCN) because of additional hospitalization pressure, they face for the treatment of various serious medical problems. These patients have higher incidence of dental caries due to increased quantity of sugar involved in the drug therapies and lower salivary flow in the oral cavity. Such patients are difficult to treat with local anesthesia or inhaled sedatives. Single-sitting dental treatment is possible in these patients with general anesthesia. Therefore, we conducted this retrospective analysis of oral health status of CSHCN receiving various dental treatments in a given population. Materials and methods A total of 200 CSHCN of age 14 years or less reporting in the pediatric wing of the general hospital from 2005 to 2014 that underwent comprehensive dental treatment under general anesthesia were included in the study. Patients with history of any additional systemic illness, any malignancy, any known drug allergy, or previous history of any dental treatment were excluded from the study. Complete mouth rehabilitation was done in these patients under general anesthesia following standard protocols. Data regarding the patient's disability, type, duration, and severity of disability was collected and analyzed. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Chi-square test, Student's t-test, and one-way analysis of variance were used to assess the level of significance. Results Statistically significant results were obtained while analyzing the subject's decayed missing filled/decayed extracted filled teeth indices divided based on age. Significant difference was observed only in cases where patients underwent complete crown placement even when divided based on type of disability. While analyzing the prevalence, statistically significant results were observed in patients when divided based on their age. Conclusion In CSHCN, dental pathologies and caries indices are increased regardless of the type or extent of disability. Clinical significance Children with special health care needs should be given special oral health care, and regular dental checkup should be conducted as they are more prone to have dental problems. How to cite this article Solanki N, Kumar A, Awasthi N, Kundu A, Mathur S, Bidhumadhav S. Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016;17(6):476-479.

scholarly journals CRITERIA FOR SELECTING SPECIAL HEALTH CARE NEEDS PATIENTS FOR GENERAL ANESTHESIA IN DENTAL TREATMENT: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (12) ◽  
pp. 507-515
Author(s):  
Nourah Al-Lwemi ◽  
◽  
Nuha Al-Shalabi ◽  
Noor Al-Basheeti ◽  
Hafsa Yasser ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Cross Sectional ◽  
Special Health Care ◽  
Special Health

Objective:This systematic review aimed to investigate the available evidence on how to decide whether your special health care needs patient needs GA for dental treatments or not. Materials and methods:A systematic search was conducted in four electronic databases PubMed, Google Scholar, ResearchGate and SDL. The search was restricted to articles published between 2005 and 2020. Publications reporting on the special health care needs patients dental treatment were included. The papers were analyzed regarding title and abstract contents to eliminate the ones that were out of context and not relevant to the review. Results:The search strategy resulted in 99 unique and potentially relevant articles. In total, 6 publications which include 5 retrospective articles and one cross-sectional study were selected. Conclusions:The main standards for selecting patients for hospitalized dental treatments include a full analysis of SNP including their medical history, behavior and emotional factors, oral health status, allergies, social and non-clinical factors, and caregivers factors. It is important for general dentists and families of these patients to be acquainted with the procedure, its need, and its contraindications.

scholarly journals Dental Management of a Patient with Special Health Care Needs

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leopoldo Lucio da Mata ◽  
Ana Maria Schroden Rodrigues da Cunha ◽  
Andrezza Morais Moronte
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Dental Management ◽  
Increased Risk ◽  
Special Health

Patients with special health care needs (PSHCN) may have an increased risk of oral disease throughout the course of their life and require particular delivery of dental care due to their medical condition or limitations. The purpose is to report the dental management of a patient with Cornelia de Lange Syndrome (CdLS), which was classified as PSHCN due to physical, behavioural, cognitive, and emotional impairment. A 14-year-old female with a clinical diagnosis of CdLS and its common craniofacial features such as microcephaly, short neck, synophrys, arched eyebrows, downturned angle of the mouth, high arched palate, micrognathia, and microdontia was referred to the hospital where the dental treatment was performed under general anesthesia. Multiple tooth extraction, fillings, and coronary polishing were performed. During the follow-up, we observed that dental restorations were clinically satisfactory and there was an improvement in the patient’s behaviour during dental treatment. Managing and shaping behaviour of such patients are crucial to delivering quality dental care, as they require specialized care due to their behavioural and clinical conditions.

A Retrospective Comparison of Dental Treatment under General Anesthesia Provided for Uncooperative Healthy Patients and Patients with Special Health Care Needs

2020 ◽  
Vol 44 (3) ◽  
pp. 196-201
Author(s):  
Volkan Ciftci ◽  
İffet Yazicioglu
Keyword(s):  
Health Care ◽  
Dental Treatment ◽  
Special Health Care Needs ◽  
Treatment Modalities ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Significant Difference ◽  
The Mean ◽  
Special Health

Background/Objective: This retrospective comparative analysis evaluates the patterns of dental treatment undertaken on uncooperative healthy and special health care needs patients with respect to different age categories. Study design: This study reviewed the data from 342 patients (205 male and 137 female), between the ages of 1 and 12 at the time of the treatment, who had received comprehensive dental treatment under general anesthesia in the operating rooms of the Faculty of Medicine, Cukurova University from January 2016 through December 2018. Patient records were divided into two groups according to the patient’s medical and mental conditions. SHCN patients (272 patients) with at least one type of mental, medical or physical disability were assigned to Group S and uncooperative healthy patients (70 patients) were assigned to Group H. Treatment modalities of restorative procedures, number of extracted teeth, pulp therapy, and other dental procedures were compared between these groups with respect to eruptional stages in the dentition (<6 years and 6–12 years) Results: There was no significant difference between groups H and S in terms of the mean duration of dental treatment among age categories in both groups. The mean number of extracted teeth was significantly greater in Group S. The mean number of teeth treated by restorative procedures in groups H and S were 4.40 and 4.40, respectively, showing no significant difference. Conclusions: Comparison of two different groups, with patients who have received comprehensive dental treatment in an operating room, revealed that the number of teeth extracted was significantly higher for the SHCN patients. On the basis of our results, it was concluded that medical and mental conditions affect dental treatment modalities. Preventive treatment strategies are particularly required for patients with SHCN and it is important to educate patients and their parents/caregivers on the importance of home dental care.

Experience of Animal Assisted Therapy in Pediatric Dentistry Unit

2020 ◽  
pp. 1-12
Author(s):  
Matías González Jara ◽  
Darling Rivera Gómez ◽  
Francisca Salazar Zúniga ◽  
Scarlette Norambuena Norambuena ◽  
Marcelo Valle Maluenda ◽  
...  
Keyword(s):  
Health Care ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Special Health Care Needs ◽  
Animal Assisted Therapy ◽  
Children And Youth ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

Children and youth with special health care needs, belongs to a group of individuals presenting several health issues of variable complexity and special care needs in health, one of them a successful dental treatment. The high prevalence of oral pathologies is not the only complication we found in dental attention; there are also behaviour and communication disorders, affecting the cooperation level in dental treatment. In spite of the limitations previously mentioned, different adaptations and techniques have surged in order to achieve a successful dental treatment. In this article we describe animal assisted therapy as a useful complementary method for pediatric dental treatment. Objective: Describe the experience of animal assisted therapy in pediatric dentistry treatment of children and youth with special health care needs. Methods: Descriptive-retrospective study performed in 2019, revision of 32 clinical digital records of Hospital, of children and youth with special health care needs, ages between 4-13 years old, and their pediatric dentistry treatment records with animal assisted therapy. Results: 32 patients with dental treatment, in 26 patients (81.25%) dental treatment was successful; 36 dental procedures were performed, 19 invasive and 17 non invasive. Conclusion: The implementation of animal assisted therapy as a complement of pediatric dentistry treatment had a high acceptance and allowed successful invasive and non invasive dental procedures in children and youth with special health care needs.

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