Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment (Review)

Objectives In KSA, numerous studies are conducted to measure the prevalence of dental caries. However, the prevalence of dental caries varies in KSA. This systematic review aims to improve the understanding of the prevalence of dental caries among adults and children residing in KSA. Methods Online databases of MEDLINE, EMBASE, and the Cochrane Library were searched. The Saudi Dental Journal was hand-searched. Study selection and data extraction were conducted in duplicate. The studies on dental caries in the Saudi population were included. The Newcastle–Ottawa Scale (NOS) was used to assess the quality of the selected studies. Finally, a narrative synthesis was conducted. Results Forty-nine cross-sectional studies were identified. Areas of weakness in study design/conduct were low response rates, reliable outcome measurement, and identification and handling of confounding factors. Statistical pooling of data was not appropriate due to substantial heterogeneity, also in part to a variation in geographical location and the target population. Twenty-nine studies presented data for primary dentition. The proportion of dental caries among primary teeth ranged from 0.21 to 1.00. Eighteen studies presented data for permanent dentition. The proportion of dental caries across permanent teeth ranged from 0.05 to 0.99. Conclusions In general, the methodological quality of the included studies was poor. Dental caries proportion level ranged from 0.05 to 0.99 in permanent teeth, and 0.21 to 1.00 across primary teeth. The available data does not provide a complete assessment of dental caries across KSA. Existing studies are limited in terms of the populations studied for dental caries.

GenderMale Female 1508 ) 43.6( 1948 )56.4( 167 )11.1( 133 )6.8( 327 )21.7( 419 )21.5( 1014 )67.2( 1396 )71.7( <0.001 )20.055( Marital status Married Unmarried 1444 )41.8( 2012 )58.2( 92 )6.4( 208 )10.3( 325 )22.5( 421 )20.9( 1027 )71.1( 1383 )68.7( <0.001 )16.899( Nationality Saudi Not Saudi 3327 )96.3( 129 )3.7( 288 )8.7( 12 )9.3( 726 )21.8( 20 )15.5( 2313 )69.5( 97 )75.2( 0.231 )2.929( Education High school or lower Bachelor or higher education 1063 )30.8( 2393 )69.2( 53 )5.0( 247 )10.3( 230 )21.6( 516 )21.6( 780 )73.4( 1630 )68.1( <0.001 )27.066( Occupation Employed Unemployed Student 1053 )30.5( 711 )20.6( 1692 )49.0( 87 )8.3( 32 )4.5( 181 )10.7( 227 )21.6( 148 )20.8( 371 )21.9( 739 )70.2( 531 )74.7( 1140 )67.4( <0.001 )26.615( Income <5000 5000-10000 >10000 1942 )56.2( 604 )17.5( 910 )26.3( 158 )8.1( 51 )8.4( 91 )10.0( 399 )20.5( 132 )21.9( 215 )23.6( 1385 )71.3( 421 )69.7( 604 )66.4( 0.114 )7.449( Smoking Absent Present 2919 )84.5( 537 )15.5( 236 )8.1( 64 )11.9( 642 )22.0( 104 )19.4( 2041 )69.9( 369 )68.7( 0.010 )9.222( Chronic disease Absent Present 2996 )86.7( 460 )13.3( 259 )8.6( 41 )8.9( 638 )21.3( 108 )23.5( 2099 )70.1( 311 )67.6( 0.533 )1.257(

Oral health is a very important aspect of general health, especially for vulnerable groups such as children with special healthcare needs. It is important to provide appropriate oral care in order to promote quality of life and good health for everyone, especially for children with special healthcare needs. Method: We reviewed the recent literature to collect knowledge regarding the delivery of quality oral care to children with special healthcare needs. We also explored some of the treatment management options that could address the needs of these children when attending dental clinics. Result: Unfortunately, we noted significant inequalities with issues related to oral health among those children. This situation often results in limitations to the activities of daily living for these children. There is therefore a need for much-needed advancements and refinements in oral healthcare to address the needs of children who have special healthcare needs. Conclusions: Providing children with special healthcare needs with high-quality dental care may necessitate active liaisons with healthcare facilitators and will require work across professions to make certain that these children’s oral health is also prioritized. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.