The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children

Abstract

Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) (p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.

Late Post-Operative Occurrence of Dentin Hypersensitivity in Adult Patients Following Allogeneic Hematopoietic Stem Cell Transplantation—A Preliminary Report

“…The Chi-Square non-parametric test was used to determine if there was a relationship between two variables: in this case occurring DH symptoms and suffering from cGvHD. We used the Mann-Whitney test for comparing two conditions without making the assumption that values are normally distributed and the Kruskal-Wallis Test for comparing more than two groups [32,33]. For all the calculations, statistical significance was set at p < 0.05.…”

Dental Treatment and Oral Rehabilitation for Adults With Intellectual Disability Under General Anesthesia

“…When creating an official protocol, a meticulous methodology should be used in order to cover all complex aspects of indications for dental treatment in persons with ID under GA. Since no protocol exists, dental practitioners in specialized institutions are left with tough decisions regarding indications for dental treatments under GA. As previously reported, dental procedures in GA for adults with ID are more radical, since multi-visit procedures are omitted, advanced caries therapy in terms of pulp medication are limited due to uncontrollable outcomes, and options for orthodontic and prosthodontics rehabilitation are extremely reduced (Koberova Ivancakova, Suchanek, Kovacsova, Cermakova, & Merglova, 2019). Consequently, dental treatment in persons with ID under GA usually leads to multiple teeth extractions, causing additional functional and aesthetic problems, the need for prosthodontic rehabilitation, and a negative effect on almost all aspects of everyday life (Oh et al, 2018;Schnabl et al, 2019).…”

Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

“…Although feasible, the associated costs and technologies can limit access. 7,8 Furthermore, it has already been demonstrated that the organization of oral health services is an important factor in the use of these resources and technologies for patients with complex disabilities requiring dental treatments. 9 Apart from systemic health problems, cariesrelated hospital admissions may reflect Public Health problems, such as negligence, socioeconomic disparities in access to oral health services, and the need for advanced treatments for oral diseases that can be managed and prevented by the Primary Health Care setting (outpatient level).…”