Dental treatment in young handicapped patients

Abstract

SummaryA trial was undertaken to assess the suitability of oxygenlnitrous oxide sedation (relative analgesia)

Conscious Sedation for Dental Treatments in Subjects with Intellectual Disability: A Systematic Review and Meta-Analysis

“…The proportionate agreement at this stage between reviewers was 0.82, with a Cohen's k of 0.64. Corresponding authors' countries included France [26][27][28][29], the UK [30][31][32], Brazil [33,34], the United States [17], Canada [35], Italy [36], the Netherlands [18], and Thailand [37]. Corresponding authors' countries included France [26][27][28][29], the UK [30][31][32], Brazil [33,34], the United States [17], Canada [35], Italy [36], the Netherlands [18], and Thailand [37].…”

“…The included 14 papers were published between 1980 and 2019: 10 articles [18,[26][27][28][29]31,33,34,36,37] were published between 2000 and 2020 and 4 [17,30,32,35] were published before the 2000s. In terms of the types of studies, 7 were prospective studies [27][28][29]31,[33][34][35], 2 were retrospective studies [17,18], 3 were randomized control studies [30,32,37], 1 was a non-randomized control study [26] and 1 was an observational study [36] (Table 1). In nearly all of the included studies [17,18,[26][27][28][29][30][31][32][33][34]36,37], dentist was the first operator and in eight with the support of one anesthetist [17,18,[30][31][32]…”

“…In terms of the types of studies, 7 were prospective studies [27][28][29]31,[33][34][35], 2 were retrospective studies [17,18], 3 were randomized control studies [30,32,37], 1 was a non-randomized control study [26] and 1 was an observational study [36] (Table 1). In nearly all of the included studies [17,18,[26][27][28][29][30][31][32][33][34]36,37], dentist was the first operator and in eight with the support of one anesthetist [17,18,[30][31][32][33][34]37]. In only one study, the first operators were dental hygienists supported by anesthetists [35].…”

“…All the included papers aimed to investigate the effectiveness of sedation, which was assessed as successful in completing dental treatments. Five studies [26,30,32,35,37] included a comparison group.…”

Bruxism Control in a Child with Cerebral Palsy

“…They are often treated under general anesthetic or deep sedation, which has many disadvantages [19]. Yoshida et al [14] presented a study pointing out the beneficial properties of nitrous oxide-(N 2 O-) induced sedation performed during dental treatment on CP patients.…”