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 ◽  
...  

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.

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Nyaradzai Munambah ◽  
Reinie Cordier ◽  
Renée Speyer ◽  
Sivuyisiwe Toto ◽  
Elelwani L. Ramugondo

Introduction. Although play has been used as a means to meet therapeutic goals by health care practitioners for a long time, there is a need to continuously review its conceptualisation and use in everyday practice to promote evidence-based practice. This systematic review aimed to evaluate the evidence on how the play of children with Special Health Care Needs (SHCN) is similar or different to that of typically developing children. Methods. Guided by the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement, we conducted a comprehensive review across five electronic databases for all studies that compared how the play of children with SHCN was similar or different to that of typically developing children. Data were extracted from the included studies, and methodological quality was assessed. Results. Eighteen studies met eligibility criteria. All the studies in this review were at risk of bias due to the study design. There was great variation in sample sizes, ranging between five and 112 participants in the diagnostic groups and five and 546 participants in control groups (typically developing children). The included studies investigated different aspects of play, which made it difficult to synthesise. However, of the 18 studies reviewed, thirteen reported that children with SHCN engage in less play, compared with typically developing children. Conclusions. Evidence supports the assumption that children with SHCN are less playful and spend less time engaging in play compared with typically developing children. This systematic review reveals paucity of research on play for children with several common chronic conditions such as HIV/AIDS, cancer, and cardiovascular diseases. Future studies need to reduce risks of bias, including the use of appropriate sample sizes, and must provide detailed results after investigating play in children with SHCN.


2016 ◽  
Vol 70 (4_Supplement_1) ◽  
pp. 7011515245p1
Author(s):  
Mansha Mirza ◽  
Amy Krischer ◽  
Sandy Magaña ◽  
Melinda Stolley ◽  
Molly Martin

2016 ◽  
Vol 25 (11-12) ◽  
pp. 1528-1547 ◽  
Author(s):  
Alun C Jackson ◽  
Rachel P-T Liang ◽  
Erica Frydenberg ◽  
Rosemary O Higgins ◽  
Barbara M Murphy

2016 ◽  
Vol 17 (6) ◽  
pp. 476-479
Author(s):  
Neha Awasthi ◽  
Neeraj Solanki ◽  
Anjali Kundu ◽  
Suveet Mathur ◽  
Suresh Bidhumadhav

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.


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