AI Article Synopsis
- Special Needs Patients (SNPs) and uncooperative children often face a higher risk of oral health issues due to limited access to dental care and collaboration challenges.
- A study over six years analyzed 131 SNPs who received dental treatments mainly under general anesthesia, with 90% of cases falling in this category; patients were divided into groups based on their specific conditions.
- The results showed that patients with mental or behavioral disorders required more invasive treatments, but only 5.3% needed additional interventions, highlighting the importance of enhancing parental awareness about oral hygiene and regular dental visits to improve follow-up adherence.
Article Abstract
Special Needs Patients (SNPs) and young non-collaborative children are more predisposed to develop oral pathologies due to poor collaboration and scarce access to dental treatment. The aim of this retrospective study was to analyze a sample of SNPs who received dental treatments either under general anesthesia (GA) or deep sedation (DS) over a period of 6 years. The number and type of procedure were analyzed. In total, 131 patients were included and mostly (>90%) treated under GA. Patients were either uncooperative and phobic (Group 1) or affected by mental, behavioral, and neurological disorders (Group 2), diseases of the nervous system (Group 3), or developmental anomalies (Group 4). Patients in Group 2 required more invasive dental treatments than those in the other groups. Therapies were mainly preventive and restorative, except in Groups 3 and 4, where extractions were more frequent. The type of dental treatment significantly varied according to age and systemic condition. Only 5.3% of the patients needed a second intervention, despite only 17.6% of patients respecting the scheduled follow-up. Treatment under GA is effective, but the poor adherence to follow-ups and the risk of reintervention should be contrasted by improving the perception by parents/guardians of the importance of oral hygiene and periodic visits.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10820169 | PMC |
| http://dx.doi.org/10.3390/medicina60010091 | DOI Listing |
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