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

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 hea...

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Autores principales: Koberova Ivancakova, Romana, Suchanek, Jakub, Kovacsova, Flora, Cermakova, Eva, Merglova, Vlasta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678959/
https://www.ncbi.nlm.nih.gov/pubmed/31311179
http://dx.doi.org/10.3390/ijerph16142528
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author Koberova Ivancakova, Romana
Suchanek, Jakub
Kovacsova, Flora
Cermakova, Eva
Merglova, Vlasta
author_facet Koberova Ivancakova, Romana
Suchanek, Jakub
Kovacsova, Flora
Cermakova, Eva
Merglova, Vlasta
author_sort Koberova Ivancakova, Romana
collection PubMed
description 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.
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spelling pubmed-66789592019-08-19 The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children Koberova Ivancakova, Romana Suchanek, Jakub Kovacsova, Flora Cermakova, Eva Merglova, Vlasta Int J Environ Res Public Health Article 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. MDPI 2019-07-15 2019-07 /pmc/articles/PMC6678959/ /pubmed/31311179 http://dx.doi.org/10.3390/ijerph16142528 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Koberova Ivancakova, Romana
Suchanek, Jakub
Kovacsova, Flora
Cermakova, Eva
Merglova, Vlasta
The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title_full The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title_fullStr The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title_full_unstemmed The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title_short The Analysis of Dental Treatment under General Anaesthesia in Medically Compromised and Healthy Children
title_sort analysis of dental treatment under general anaesthesia in medically compromised and healthy children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678959/
https://www.ncbi.nlm.nih.gov/pubmed/31311179
http://dx.doi.org/10.3390/ijerph16142528
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