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- Title
Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study.
- Authors
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
- Abstract
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.
- Subjects
DENTAL care; GENERAL anesthesia; MEDICAL personnel; AUTISM spectrum disorders; MUNICIPAL services
- Publication
Healthcare (2227-9032), 2022, Vol 10, Issue 6, p1147
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare10061147