scholarly journals DENTAL TREATMENT UNDER GENERAL ANESTHESIA: AN OVERVIEW OF CLINICAL CHARACTERISTICS OF SPECIAL NEEDS PATIENTS

2014 ◽  
Vol 10 (2) ◽  
pp. 61-67
Author(s):  
Juhea Chang
Keyword(s):  
General Anesthesia ◽  
Special Needs ◽  
Clinical Characteristics ◽  
Dental Treatment

A Retrospective Audit of Dental Treatment Provided to Special Needs Patients under General Anesthesia During a Ten-Year Period

2018 ◽  
Vol 42 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Sreekanth Kumar Mallineni ◽  
Cynthia Kar Y Yiu
Keyword(s):  
Stainless Steel ◽  
General Anesthesia ◽  
Special Needs ◽  
Recovery Time ◽  
Dental Treatment ◽  
Composite Restorations ◽  
Dental Procedures ◽  
Significant Difference ◽  
Operative Recovery ◽  
Amalgam Restorations

Objective: The purpose of this study was to perform a comprehensive audit of dental treatment provided to special needs patients (SNP) under general anesthesia (GA) over a ten-year period. Study design: Special needs patients who received dental treatment under GA as an in-patient at Queen Mary Hospital, Hong Kong SAR during the time period January 2002 and December 2011 were included in the study. The study population was divided into three groups, based on age (<6years, 6–12 years, >12 years). One-way ANOVA was used to evaluate the effect of “age group” on duration of treatment, post-recovery time, treatment procedures and utilization of different restorative materials. Kappa statistics were used for intra-examiner reliability. Results: A total of 275 patients (174 males and 101 females) were included in the study. The mean age of the patients at the time they received GA was 12.37±10.18 years. Dental procedures performed were mostly restorative in nature (47%). The >12 years group had significantly shorter treatment duration (p<0.05). No significant difference in post-operative recovery time was observed among the three age groups (p>0.05). The <6 years group received significantly less preventive, but more restorative procedures (p<0.05). Significantly fewer extractions were performed in the 6–12 years group (p<0.05). The use of composite restorations was significantly higher in the <6 years group; while amalgam restorations were more frequently used in the >12 years group (P<0.05). Stainless steel crowns were more frequently employed in SNP under 12 years of age (p<0.05). Intra-examiner reliability was good (k=0.94). Conclusions: Most of the dental procedures performed under GA on SNP were restorative procedures. For children less than 6 years of age, had longer treatment time under GA. Composite restorations and stainless steel crowns were more frequently used in the primary dentition and amalgam restorations were more frequently employed in the permanent dentition.

Treatment Needs and Adverse Events Related to Dental Treatment Under General Anesthesia for Individuals With Autism

2013 ◽  
Vol 51 (4) ◽  
pp. 246-252 ◽  
Author(s):  
Robert E. Rada
Keyword(s):  
Adverse Events ◽  
General Anesthesia ◽  
Special Needs ◽  
Dental Treatment ◽  
Perioperative Period ◽  
Hospital Staff ◽  
Oral Disease ◽  
Treatment Needs ◽  
Behavioral Issues ◽  
Dental Office

Abstract Individuals with autism can be quite challenging to treat in a routine dental-office setting, especially when extensive dental treatment and disruptive behavioral issues exist. Individuals with autism may also be at higher risk for oral disease. Frequently, general anesthesia is the only method to facilitate completion of the needed dental treatment. General anesthesia is not without complications, and unique occurrences are a necessary consideration for special-needs populations. In addition, behavior challenges may occur which can be disruptive to hospital staff. This article describes treatment needs and determines adverse events during the perioperative period for individuals with autism who have had general anesthesia for comprehensive dental treatment in the hospital.

scholarly journals Medical Diagnoses, Mode of Residence, and Dental Treatment Demand under General Anesthesia in Special Needs Adults in Innsbruck, Austria. A Retrospective Breakdown of Four and a Half Years

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 279
Author(s):  
Dagmar Schnabl ◽  
Michael Oberhofer ◽  
Fabian Barbieri ◽  
Johannes Laimer ◽  
René Steiner ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Special Needs ◽  
Dental Treatment ◽  
Institutional Care ◽  
Nursing Home Residents ◽  
Total Sample ◽  
Demographic Parameters ◽  
Medical Diagnoses ◽  
Retrospective Data Analysis ◽  
Treatment Demand

Regarding oral/dental care and attendance, special needs individuals depend on their caregivers’ commitment. The purpose of this retrospective data analysis of adults who received dental general anesthesia (DGA) in Innsbruck, Austria, was a breakdown of demographic parameters (including the mode of accommodation/care), medical diagnoses (comprising intellectual/physical disablement (IPD) or psychiatric (anxiety) disorders (PDs)), and dental therapy performed under DGA. The sample was composed of 233 consecutive adults who underwent DGA from January 2015 to June 2019. Data were analyzed with descriptive and comparative statistics. In total, 133 (57.1%) subjects were male and 100 (42.9%) female; 176 (75.5%) had IPD and 57 (24.5%) PDs; 168 (72.1%) were living at private and 65 (27.9%) at nursing homes. Median age (IQR) was 35.6 (25.7–47.2) years. In the total sample, 5 (2–9) teeth were restored and 2 (0.5–6.5) teeth were extracted. Individuals with PDs had more teeth restored (p = 0.01) and extracted (p < 0.001) than individuals with IPD. Private home residents had more teeth restored (p < 0.001) but less teeth extracted (p = 0.003) than nursing home residents. Special needs individuals’ oral health backlog should be tackled in private and institutional care modalities alike.

Pediatric dental procedures under general anesthesia at the Amiri hospital in Kuwait

2001 ◽  
Vol 25 (4) ◽  
pp. 337-342 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame ◽  
Sisko Honkala
Keyword(s):  
Stainless Steel ◽  
Young Children ◽  
General Anesthesia ◽  
Special Needs ◽  
Dental Treatment ◽  
Hospital Environment ◽  
Medical Conditions ◽  
Very Young Children ◽  
Dental Procedures ◽  
The Mean

Ninety-six patients, fifty-eight healthy patients and thirty-eight special needs patients, ranging in age from 3 to 31yr (average age 6.9yr) had received dental treatments under general anesthesia (GA) at Amiri Hospital. The mean number of dental procedures per child was 13.6 (SD±5.4) with a mean number of 15.6 procedures for healthy patients and 10.5 special needs patients. There was a statistically significantly higher number of dental procedures for healthy patients than for special needs patients (p&lt;0.001). The number of pulpotomies and stainless steel crowns placed for healthy patients was significantly higher (3.5) than for special needs patients (1.3) with (p&lt;0.001) The average number of extractions was similar for the two groups of patients, 2.8 for normal and 2.2 for handicapped. On the basis of these results, it was concluded that dental treatment under GA in hospital environment is beneficial for certain group of patients, such as very young children and those with special needs. Underlying medical conditions influenced the treatment provided.

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