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Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study

In special care dentistry, general anesthesia (GA) is considered as an alternative option to facilitate treatment for uncooperative patients with special needs (PSN) who require invasive dental interventions. Objective: to evaluate the profile of dental treatment procedures performed and the charact...

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Autores principales: Marinho, Marcello Alves, Ramos, Flávia Cristina Teixeira, Cardoso, Andréa Lanzillotti, Silva-Junior, Geraldo Oliveira, Faria, Marcelo Daniel Brito, Bastos, Luciana Freitas, Dziedzic, Arkadiusz, Picciani, Bruna Lavinas Sayed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222989/
https://www.ncbi.nlm.nih.gov/pubmed/35742197
http://dx.doi.org/10.3390/healthcare10061147
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author Marinho, Marcello Alves
Ramos, Flávia Cristina Teixeira
Cardoso, Andréa Lanzillotti
Silva-Junior, Geraldo Oliveira
Faria, Marcelo Daniel Brito
Bastos, Luciana Freitas
Dziedzic, Arkadiusz
Picciani, Bruna Lavinas Sayed
author_facet Marinho, Marcello Alves
Ramos, Flávia Cristina Teixeira
Cardoso, Andréa Lanzillotti
Silva-Junior, Geraldo Oliveira
Faria, Marcelo Daniel Brito
Bastos, Luciana Freitas
Dziedzic, Arkadiusz
Picciani, Bruna Lavinas Sayed
author_sort Marinho, Marcello Alves
collection PubMed
description In special care dentistry, general anesthesia (GA) is considered as an alternative option to facilitate treatment for uncooperative patients with special needs (PSN) who require invasive dental interventions. Objective: to evaluate the profile of dental treatment procedures performed and the characteristics of PSN who underwent dental treatment under GA, provided by private and public healthcare providers. Methods: A retrospective, observational study involving a sample of 100 PSN treated in hospital and specialist secondary care settings. Demographic data and clinical information were collected. The analysis of data was performed using descriptive analysis and frequency statistical tests. Results: out of 100 participants, 63% of the PSN who received care in the private sector and the remaining 37% of PSN registered with public-funded care providers, aged 6 to 80 years old, were treated under GA. Autistic spectrum disorder was the most common medical diagnosis recorded (33%). More than half (52%) of the PSN treated by private care providers sought specialist care in an outpatient setting prior to GA vs. 5% of the PSN treated by public-funded providers. The utilization of sedation prior to GA was more common in the private sector. A vast majority (86%) of all subjects underwent multiple dental extractions (86%) and restorations (62%). Conclusions: comprehensive dental care under GA, which composes an integral part of special care dentistry, can be safely provided in a hospital setting, in both private and public sectors. While early intervention using sedation and behavioral management partially mitigates the need for dental care under GA, the vast majority of PSN may require dental treatment under GA in future to facilitate complex dental care.
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spelling pubmed-92229892022-06-24 Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study Marinho, Marcello Alves Ramos, Flávia Cristina Teixeira Cardoso, Andréa Lanzillotti Silva-Junior, Geraldo Oliveira Faria, Marcelo Daniel Brito Bastos, Luciana Freitas Dziedzic, Arkadiusz Picciani, Bruna Lavinas Sayed Healthcare (Basel) Article In special care dentistry, general anesthesia (GA) is considered as an alternative option to facilitate treatment for uncooperative patients with special needs (PSN) who require invasive dental interventions. Objective: to evaluate the profile of dental treatment procedures performed and the characteristics of PSN who underwent dental treatment under GA, provided by private and public healthcare providers. Methods: A retrospective, observational study involving a sample of 100 PSN treated in hospital and specialist secondary care settings. Demographic data and clinical information were collected. The analysis of data was performed using descriptive analysis and frequency statistical tests. Results: out of 100 participants, 63% of the PSN who received care in the private sector and the remaining 37% of PSN registered with public-funded care providers, aged 6 to 80 years old, were treated under GA. Autistic spectrum disorder was the most common medical diagnosis recorded (33%). More than half (52%) of the PSN treated by private care providers sought specialist care in an outpatient setting prior to GA vs. 5% of the PSN treated by public-funded providers. The utilization of sedation prior to GA was more common in the private sector. A vast majority (86%) of all subjects underwent multiple dental extractions (86%) and restorations (62%). Conclusions: comprehensive dental care under GA, which composes an integral part of special care dentistry, can be safely provided in a hospital setting, in both private and public sectors. While early intervention using sedation and behavioral management partially mitigates the need for dental care under GA, the vast majority of PSN may require dental treatment under GA in future to facilitate complex dental care. MDPI 2022-06-20 /pmc/articles/PMC9222989/ /pubmed/35742197 http://dx.doi.org/10.3390/healthcare10061147 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Marinho, Marcello Alves
Ramos, Flávia Cristina Teixeira
Cardoso, Andréa Lanzillotti
Silva-Junior, Geraldo Oliveira
Faria, Marcelo Daniel Brito
Bastos, Luciana Freitas
Dziedzic, Arkadiusz
Picciani, Bruna Lavinas Sayed
Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title_full Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title_fullStr Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title_full_unstemmed Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title_short Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study
title_sort dental treatment under general anesthesia in patients with special needs provided by private and public healthcare services—a retrospective, comparative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222989/
https://www.ncbi.nlm.nih.gov/pubmed/35742197
http://dx.doi.org/10.3390/healthcare10061147
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