The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 17 , ISSUE 8 ( August, 2016 ) > List of Articles


Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis

Ravish Ahuja, Vinod Shewale, Shridhar Shetty, Santosh Kumar Subudhi

Citation Information : Ahuja R, Shewale V, Shetty S, Subudhi SK. Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016; 17 (8):675-678.

DOI: 10.5005/jp-journals-10024-1911

Published Online: 01-01-2017

Copyright Statement:  Copyright © 2016; The Author(s).



Behavioral management of patients forms one of the foremost components of pediatric dental treatment. Some children readily cooperate with dental treatment, while others require general anesthesia as a part of treatment protocol for carrying out various dental procedures. Hence, we evaluated the pediatric patients with and without mental retardation, who underwent dental treatment under general anesthesia.

Materials and methods

The present study analyzed the record of 480 pediatric patients reporting in the department of pedodontics from 2008 to 2014. Analysis of the records of the patients who underwent dental treatment under general anesthesia was done and all the patients were divided into two study groups depending upon their mental level. For the purpose of evaluation, the patients were also grouped according to their age; 4 to 7 years, 8 to 12 years, and 13 to 18 years. Measurement of decayed, missing, and filled teeth and scores for both deciduous and permanent dentition was done before and after the commencement of the dental treatment. Chisquare test and independent t-test were used for evaluating the level of significance.


While comparing the patients in the two groups, maximum number of patients is present in the age group of 13 to 18 years. While comparing the indices’ score between the two study groups in various age intervals, no statistically significant results were obtained. Restorative treatment and dental extractions were the most common dental treatments that were seen at a higher frequency in the intellectual disability study group.


In patients with mental retardation, a higher frequency of restorative treatment and extractions occurs as compared to healthy subjects of similar age group. Therefore, they require special attention regarding maintenance of their oral health.

Clinical significance

Special attention should be given for maintaining the oral health of patients with special health care needs as compared to their physically and mentally normal counterparts.

How to cite this article

Ahuja R, Jyoti B, Shewale V, Shetty S, Subudhi SK, Kaur M. Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016;17(8):675-678.

PDF Share
  1. A retrospective review of a service to provide comprehensive dental care under general anesthesia. Spec Care Dentist 1995 May-Jun;15(3):97-101.
  2. A survey of 200 pediatric dental general anesthesia cases. ASDC J Dent Child 1985 Jan-Feb;52(1):36-41.
  3. Trends in dental treatment rendered under general anesthesia, 1978 to 1990. J Clin Pediatr Dent 1992 Spring;16(3):222-224.
  4. Indications for dental anesthesia. Dent Clin North Am 1987 Jan;31(1):75-80.
  5. Dental general anesthesia: clinical characteristics of 933 patients. ASDC J Dent Child 1991 Jan-Feb;58(1):27-30.
  6. Dental disease and current treatment needs in a group of physically handicapped children. Community Dent Health 1993 Dec;10(4):389-396.
  7. Comprehensive dental treatment of healthy and chronically sick children under intubation general anesthesia during a 5-year period. Br Dent J 1998 May;184(10):503-506.
  8. Comprehensive dental treatment under general anesthesia in healthy and disabled children. Chang Gung Med J 2009 Nov-Dec;32(6):636-642.
  9. Patients with special needs within treatment under general anesthesia - Meta-analysis. Prague Med Rep 2011;112(3):216-225.
  10. Clinical outcomes for nursing caries treated using general anesthesia. J Dent Children 1997 May-Jun;64(3):210-211.
  11. Guideline on management of dental patients with special health care needs. Pediatr Dent 2008-2009; 30(Suppl 7):107-111.
  12. The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist 2009 Jan-Feb;29(1):17-20.
  13. Evaluation, scheduling, and management of dental care under general anesthesia for special needs patients. Dent Clin North Am 2009 Apr;53(2):243-254.
  14. Retrospective audit of caries management techniques for children under general anesthesia over an 18-year period. J Clin Pediatr Dent 2006 Fall;31(1):58-62.
  15. Dental care and treatments provided under general anesthesia in the Helsinki Public Dental Service. BMC Oral Health 2012 Oct;12:45.
  16. A retrospective comparison of dental treatment under general anesthesia on children with and without mental disabilities. Niger J Clin Pract 2014 May-Jun;17(3):361-365.
  17. Dental care and children with special health care needs: a population-based perspective. Acad Pediatr 2009 Nov-Dec;9(6):420-426.
  18. Dental care in children with developmental disabilities: attention deficit disorder, intellectual disabilities, and autism. J Dent Child (Chic) 2010 May-Aug;77(2):84-91.
  19. Dental needs and management of children with special health care needs according to type of disability. J Dent Child (Chic) 2012 Sep-Dec;79(3):165-169.
  20. Dental treatment for patients with physical or mental disability under general anesthesia at Tokyo Dental College Suidobashi Hospital. Bull Tokyo Dent Coll 2012;53(4):181-187.
  21. Long-term dental interventions in mentally retarded children under general anesthesia with sevoflurane. Stomatologiia (Mosk) 2015;94(1):59-60.
  22. Dental treatment needs of children with disabilities. J Dent Res Dent Clin Dent Prospects 2007 Sep;1(2):93-98.
  23. Dental health of disabled children in Singapore. Aust Dent J 1991 Apr;36(2):151-156.
  24. Dental caries experience of disabled children and young adults in Kuwait. Community Dent Health 2001 Sep;18(3):181-186.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.