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VOLUME 17 , ISSUE 6 ( June, 2016 ) > List of Articles

RESEARCH ARTICLE

Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis

Neha Awasthi, Neeraj Solanki, Anjali Kundu, Suveet Mathur, Suresh Bidhumadhav

Citation Information : Awasthi N, Solanki N, Kundu A, Mathur S, Bidhumadhav S. Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016; 17 (6):476-479.

DOI: 10.5005/jp-journals-10024-1875

Published Online: 01-06-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Dental problems serve as additional burden on the children with special health care needs (CSHCN) because of additional hospitalization pressure, they face for the treatment of various serious medical problems. These patients have higher incidence of dental caries due to increased quantity of sugar involved in the drug therapies and lower salivary flow in the oral cavity. Such patients are difficult to treat with local anesthesia or inhaled sedatives. Single-sitting dental treatment is possible in these patients with general anesthesia. Therefore, we conducted this retrospective analysis of oral health status of CSHCN receiving various dental treatments in a given population.

Materials and methods

A total of 200 CSHCN of age 14 years or less reporting in the pediatric wing of the general hospital from 2005 to 2014 that underwent comprehensive dental treatment under general anesthesia were included in the study. Patients with history of any additional systemic illness, any malignancy, any known drug allergy, or previous history of any dental treatment were excluded from the study. Complete mouth rehabilitation was done in these patients under general anesthesia following standard protocols. Data regarding the patient's disability, type, duration, and severity of disability was collected and analyzed. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Chi-square test, Student's t-test, and one-way analysis of variance were used to assess the level of significance.

Results

Statistically significant results were obtained while analyzing the subject's decayed missing filled/decayed extracted filled teeth indices divided based on age. Significant difference was observed only in cases where patients underwent complete crown placement even when divided based on type of disability. While analyzing the prevalence, statistically significant results were observed in patients when divided based on their age.

Conclusion

In CSHCN, dental pathologies and caries indices are increased regardless of the type or extent of disability.

Clinical significance

Children with special health care needs should be given special oral health care, and regular dental checkup should be conducted as they are more prone to have dental problems.

How to cite this article

Solanki N, Kumar A, Awasthi N, Kundu A, Mathur S, Bidhumadhav S. Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis. J Contemp Dent Pract 2016;17(6):476-479.


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  1. Clinical guideline on management of persons with special health care needs. Pediatr Dent 2004;26:77-80.
  2. A comparison of oral hygiene status and dental caries in children on long term liquid oral medications to those not administered with such medications. J Indian Soc Pedod Prev Dent 2002 Dec;20(4):144-151.
  3. Physical and chemical aspects of saliva as indicators of risk for dental caries in humans. J Dent Educ 2001 Oct;65(10):1054-1062.
  4. Provision of dental care for medically compromised children in the UK by general dental practitioners. Int J Paediatr Dent 2000 Dec;10(4):322-327.
  5. Comprehensive dental treatment under general anesthesia in healthy and disabled children. Chang Gung Med J 2009 Nov-Dec;32(6):636-642.
  6. Early childhood general anaesthesia exposure and neurocognitive development. Br J Anaesth 2010 Dec;105(Suppl 1):i61-i68.
  7. Review article: neurotoxicity of anesthetic drugs in the developing brain. Anesth Analg 2011 Nov;113(5):1170-1179.
  8. Guideline on behaviour guidance for the pediatric dental patient; 2011. Available from: http://www.aapd.org .
  9. Oral health status of children with special health care needs receiving dental treatment under general anaesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. J Chin Med Assoc 2014 Apr;77(4):198-202.
  10. Dental care and children with special health care needs: a population-based perspective. Acad Pediatr 2009 Nov-Dec;9(6):420-426.
  11. Dental health status and treatment needs of elementary school children in Taiwan. J Dent Sci 2007;2(2):103-109.
  12. Early childhood caries: current evidence for aetiology and prevention. J Paediatr Child Health 2006 Jan-Feb;42(1-2):37-43.
  13. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service. BMC Oral Health 2012 Oct 27;12:45.
  14. BMC Oral Health 2014 Dec 15;14:154.
  15. The dental patient with special needs: a review of indications for treatment under general anaesthesia. Spec Care Dentist 2009 Jan-Feb;29(1):17-20.
  16. Dental anesthesia for patients with special needs. Acta Anaesthesiol Taiwan 2012 Sep;50(3):122-125.
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