Journal of Disability and Oral Health

cover art

Cover Date:
April 2007
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
8
Issue:
1

An analysis of the pattern of dental treatment provided for patients with disabilities requiring treatment under general anaesthesia

Aim: To assess the profile of a service for comprehensive oral care of people with disabilities under general anaesthetic. Objectives: To examine the pattern of treatment provided over a period of years in terms of the number of treatment courses and procedures and to determine whether treatment levels remained the same or diminished at subsequent courses. Design: Standardised records of patients attending the Special Needs unit at the Cork University Hospital, Ireland for treatment under general anaesthesia from 1987 to 1997 were examined for treatment patterns and timings. The profile of patients with repeated courses of treatment was analysed separately. Results: 701 courses of treatment were recorded for 539 patients aged 1 to 52 years. Of these, 539 patients (77.7%) received one course of treatment during the period and 16.7% received two while only 5.5% received more than two. Restoration of permanent teeth and scaling were most common with a restoration to extraction ratio of 4 to 1 for permanent teeth and a ratio of 1.2 to 1 for primary teeth. The subset of patients who required repeated courses of treatment received them as a result of a high and sustained treatment need. Conclusion: Comprehensive oral care for the minority of patients requiring general anaesthesia results in favourable outcomes but a small subset of patients with high and sustained treatment needs require more frequent care. The latter group present the biggest challenge for preventive programmes. Key words: General anaesthesia, disability, dental care

Article Price
£15.00
Institution Article Price
£15.00
Page Start
9
Page End
12
Authors
Martin Kinirons, Fiona Graham

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial
  2. 2
  3. 2

  1. Assessment of malocclusion and orthodontic treatment need in disabled children in Nigeria
  2. 3
  3. 8

  1. An analysis of the pattern of dental treatment provided for patients with disabilities requiring treatment under general anaesthesia
  2. 9
  3. 12

  1. A longitudinal study of palatal plate therapy in children with Down syndrome. Effects on oral motor function
  2. 13
  3. 19

  1. Dyslexia and errors of left-right discrimination in undergraduate dental and postgraduate orthodontic students
  2. 23
  3. 27

  1. Management of Riga-Fede disease: a case report
  2. 28
  3. 30

  1. Delayed replantation of avulsed incisors in a child with cerebral palsy and epilepsy – a case report
  2. 31
  3. 33

  1. Using large numbers can overwhelm efforts to secure care for children with special health care needs. A case study in the USA
  2. 34
  3. 36

  1. A maxillary obturator for a cocaine induced oronasal defect
  2. 37
  3. 40

  1. A report on the development of a dental service for adult survivors of childhood sexual abuse
  2. 41
  3. 44

  1. Preparing a child with autism for dental prophylaxis using structured and instructional methods: a case report
  2. 45
  3. 47

  1. Diary Dates 2007
  2. 48
  3. 48

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