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

Autor:	Marinho MA; Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil.; Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil., Ramos FCT; Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil., Cardoso AL; Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil.; Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil., Silva-Junior GO; Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil.; Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil., Faria MDB; Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil.; Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil., Bastos LF; Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil.; Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil., Dziedzic A; Department of Conservative Dentistry with Endodontics, Medical University of Silesia, 40-551 Katowice, Poland., Picciani BLS; Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil.; Center of Dental Radiology and Care to Patients with Special Needs, Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janiero 20950-000, RJ, Brazil.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2022 Jun 20; Vol. 10 (6). Date of Electronic Publication: 2022 Jun 20.
DOI:	10.3390/healthcare10061147
Abstrakt:	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.
Databáze:	MEDLINE
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