Journal of Disability and Oral Health

cover art

Cover Date:
October 2005
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
6
Issue:
2

Comprehensive dental care for special needs children under day-stay general anaesthesia – treatment outcomes and post-operative morbidity

Objective: To review the outcomes from dental rehabilitation of young, uncooperative or disabled children using day-stay general anaesthesia and assess any related morbidity. Design: A cross sectional analysis of 109 cases. Setting: A single-centre study based in the Department of Pediatric Surgery, Faculty of Medicine at Ege University, Turkey. Subjects: The sample consisted of 30 young, uncooperative and 79 disabled patients who were referred for comprehensive dental treatment under general anaesthesia. Data were collected before the operation from the history, clinical examination of the children and questionnaire completed by the parents. At the time of the operation, the dental treatment, postoperative morbidity and the data about the anaesthetic procedures were recorded. The findings were evaluated statistically by ANOVA, Chi square and Fisher’s exact tests. Results: The mean ages of the young, uncooperative and the disabled patients were 3.8 (±0.9) and 11.8 (±5.1) years respectively. The young, uncooperative patients had a mean dfs score of 29.1 (±6.2) while the disabled patients had a mean dfs score of 10.1 (±12.5) and a mean DMFS score of 10.1 (±11.1). The mean duration of the anaesthesia was 83.9 (±27.9) minutes. A mean number of 6.1 (±3.3) primary teeth were filled and 4.7 (±4.5) primary teeth were extracted in young, uncooperative patients. In the patients with disabilities, a mean number of 5.4 (±3.7) primary and permanent teeth were filled while 3.2 (±3.6) primary and permanent teeth were extracted. The most commonly reported post-operative signs of morbidity were agitation and pain immediately after the operation. Conclusions: Based on this review, it is clear that day-stay general anaesthesia in a hospital environment was an acceptable treatment modality with minimal morbidity, particularly for children with disabilities. Key words: Day-stay general anaesthesia, dental treatment, disability, morbidity, children

Article Price
£15.00
Institution Article Price
£15.00
Page Start
89
Page End
92
Authors
Saniye Cicek Yanar, Dilsah Cogulu, Nazan Kocatas Ersin, Özant Öncag

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  1. Editorial - A Time to remember
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  1. A review of screening instruments for oral health in older people – Multi-agency working across health and social care
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  1. A review of screening instruments for oral health in older people – Multi-agency working across health and social care
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  3. 64

  1. The effectiveness of different toothbrushes for people with special needs
  2. 65
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  1. A report from an investigation of abnormal oral reflexes, lip trauma and awareness levels in patients with profound brain damage
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  3. 78

  1. Teaching undergraduates Special Care Dentistry
  2. 82
  3. 88

  1. Comprehensive dental care for special needs children under day-stay general anaesthesia – treatment outcomes and post-operative morbidity
  2. 89
  3. 92

  1. Stock fit as an alternative to custom finger guard mouth props for examination and treatment of patients with special needs
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  1. Book Reviews
  2. 98
  3. 99

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