scholarly journals Comparison of Dental Treatment Performed under General Anesthesia between Healthy Children and Children with Special Needs at a Teaching Hospital in Egypt

2019 ◽  
Vol 65 (1) ◽  
pp. 69-78
Author(s):  
Adel Elbardissy
2018 ◽  
Vol 42 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Sreekanth Kumar Mallineni ◽  
Cynthia Kar Y Yiu

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.


2018 ◽  
pp. 171
Author(s):  
Ana Rahmawati

Education plays a very pivotal role for human beings in achieving social welfare, without any discrimination, including children with special needs. The existence of inclusive schools becomes a solution in fulfilling special needs children’s right to education. It is due to the fact that they can learn and socialize with physically and mentally healthy children in inclusive schools. This present study aims to explore the learning concept of Islamic education applied for teaching children with special needs at SD Semai Jepara, one of inclusive schools in Central Java-Indonesia. A qualitative descriptive approach was designed in this research. The findings promote that the implementation of Islamic education at SD Semai Jepara was similar to the one in regular schools. It indicates that the materials taught to the students were just the same. Nonetheless, the teaching methods used in delivering the materials were different. One of the teaching methods employed in teaching Islamic education for the special needs children was parody. Additionally, in certain materials, the children were divided into two learning groups, namely: large and small ones, to enhance the teaching and learning processes. This study also exposes that the teachers are supposed to be as creative as possible in creating appropriate learning atmosphere in teaching Islamic education since there are lots of students with the variety of backgrounds who possess special needs.


2013 ◽  
Vol 51 (4) ◽  
pp. 246-252 ◽  
Author(s):  
Robert E. Rada

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.


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