The dental patient with special needs: a review of indications for treatment under general anesthesia

Dougherty, Nancy

doi:10.1111/j.1754-4505.2008.00057.x

Cited by 87 publications

(75 citation statements)

References 6 publications

(11 reference statements)

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“…Under general anesthesia, dental treatment can be performed safely, regardless of level of patient cooperation. However, the type of treatment and the number of times it can be performed are limited 1) . When providing dental treatment for P/MD patients, systemic condition must be carefully evaluated 4) .…”

Section: Introductionmentioning

confidence: 99%

Dental Treatment for Patients with Physical or Mental Disability under General Anesthesia at Tokyo Dental College Suidobashi Hospital

Ohtawa

Tsujino

Kubo

et al. 2012

Bull. Tokyo Dent. Coll.

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Section: Introductionmentioning

confidence: 99%

Dental Treatment for Patients with Physical or Mental Disability under General Anesthesia at Tokyo Dental College Suidobashi Hospital

Ohtawa

Tsujino

Kubo

et al. 2012

Bull. Tokyo Dent. Coll.

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“…As a result of the lack of psychological maturity and emotional, physical and/or mental disabilities or more serious medical conditions, some patients are unable to cooperate sufficiently. Under these situations, to perform dental care successfully, so the use of protective stabilization, sedation or general anesthesia becomes necessary [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…The professional must explain the techniques in details and only with the acceptance of parents, advanced BG can be performed [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

Castro

Espinosa

Pereira

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the acceptance of the parents of special needs patients (SNP) concerning behavior guidance techniques (BGT) used for the dental care. Methods: Participants were asked to answer a sociodemographic questionnaire and, after this, they received individual explanations regarding each of the BGT, and answered if they accepted, accepted with restrictions or did not accept each one of them. Data were analyzed using binomial nonparametric test for the difference between proportions and the chi-square test. Results: Participated 83 parents of SNP. All of them considered the use of communicative management (CM) for the patients' dental care to be totally acceptable. The use of protective stabilization (PS) was considered acceptable by 76 parents (91.57%), sedation (SD) by 65 parents (78.32%), general anesthesia (GA) by 63 parents (75.90%) and nitrous oxide inhalation (NOI) by 62 parents (74.70%). The differences between the levels of acceptance for each method regarding the three educational levels were not statistically significant. Sedation was statistically more readily accepted by parents of patients aged 31 to 40 years when compared with those of children until ten years of age. The acceptance of protective stabilization was statistically higher for patients with physical disabilities when compared with those of patients who had congenital disabilities, intelligence or behavioral deviations. Conclusion: Communicative management and protective stabilization were statistically more acceptable by parents than the other techniques.

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“…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].…”

Section: Introductionmentioning

confidence: 99%

“…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].…”

Section: Introductionmentioning

confidence: 99%

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

Santos

Amaral

Palmier

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To describe and group some demographic and healthcare characteristics of hospital dental care for the special health care needs population. Material and Methods: Cross-sectional census survey with a total of 1,063 visits with special health care need patients under general anesthesia or sedation at the Brazilian Health System Minas Gerais, Brazil, over 12 months. Clinical diagnosis was divided into "mental and behavioral disorders and diseases of the nervous system" and "others". Age group, gender, clinical diagnosis and care by a general dentist were submitted to descriptive and multivariate cluster analysis. The analysis was performed using the software SPSS version 19.0. Results: Cluster 1 (N=173) had no ICD codes for nervous system (NS) diseases and mental and behavioral disorders. Clusters 2 (N=564) and 3 (N=326) are quite similar except for gender distribution. Cluster 1 was 3.5 times more frequent among non-host cities than HER host cities. Dental treatment was mostly performed on males diagnosed with mental and behavioral disorders and diseases of the NS who were over the age of 25 years and were seen by general dentists. The clusters were distributed unevenly between EHR host and non-host cities. Conclusion: Non-host performed more frequently treatment for patients with no mental and behavioral disorders and diseases of the NS than EHR host cities.

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The dental patient with special needs: a review of indications for treatment under general anesthesia

Cited by 87 publications

References 6 publications

Dental Treatment for Patients with Physical or Mental Disability under General Anesthesia at Tokyo Dental College Suidobashi Hospital

Dental Treatment for Patients with Physical or Mental Disability under General Anesthesia at Tokyo Dental College Suidobashi Hospital

Behavior Guidance Techniques used in Dental Care for Patients with Special Needs: Acceptance of Parents

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

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