Dental treatment of patients with systemic diseases compared to patients with developmental disabilities under general anesthesia

Abstract

The medical and dental records were examined for 46 patients with systemic diseases (SD) and 75 patients with developmental disabilities (DD) aged 2-20 years, who had received dental treatment under general anesthesia (GA). Age, gender, decayed missing and filled teeth (dmft/DMFT), dental procedures, duration of GA, and posttreatment hospitalization were recorded. Before treatment, dental disease in the primary teeth was significantly higher among the group with SD (p= 0.04). In the permanent teeth, dental disease was higher among the group with DD, though not significantly. More teeth were restored, (p= 0.015) and total dmft (p= 0.043) was significantly higher among subjects with SD. In the permanent teeth, more extracted and more restored teeth and higher DMFT were noted among subjects with DD, though not significantly. Only pulpectomies were significantly more prevalent among those with DD (p= 0.038). Six subjects needed hospitalization due to their diseases after GA.

The effect of dentist experience on the treatment of individuals with disability under general anesthesia

“…Although the duration of the operations has been specified on very few occasions in the literature, it is a variable that has been considered for classifying the dental treatment of individuals with disability under GA . It has been suggested that treatment duration is not determined by the systemic disease but rather by patient age and the type of dental procedure . As with other authors, we observed a reduction in the duration of the operations as the dental team gained experience.…”

Dental treatment under general anesthesia for special‐needs patients: analysis of the literature

“…The disproportion of gender was noticed in most studies . It is not clearly stated why males so consistently outnumbered females.…”

“…Seventy‐one studies that included discussion of treatment under GA were found for evaluation. Among these, only 10 studies were included for the final analysis, based on the inclusion and exclusion criteria shown in Table . The majority of the studies reported on the types of dental treatment.…”

“…Among these, only 10 studies were included for the final analysis, based on the inclusion and exclusion criteria shown in Table 1. [10][11][12][13][14][15][16][17][18][19] The majority of the studies reported on the types of dental treatment. The age of the patients ranged from 1.9 to 50 years.…”

Hospital Dental Treatment for Special Health Care Needs Patients in Minas Gerais state, Brazil: A Cluster Analysis

“…Although many people with special health care needs can be seen at primary health care units, there is a demand for dental care under general anesthesia or sedation in the hospital environment [1][2][3][4]. The prescription of sedation or general anesthesia is linked to the impossibility of providing outpatient dental treatment due mainly to cognitive impairments, emotional conditions and complex medical conditions that require monitoring during dental treatment [1,[5][6][7][8][9][10].…”