Dagmar Schnabl1, Annachiara Guarda2, Maria Guarda2, Lia Marie Irmtraut von Spreckelsen2, Marina Riedmann3, Rene Steiner2, Herbert Dumfahrt2. 1. University Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria. dagmar.schnabl@tirol-kliniken.at. 2. University Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria. 3. Department of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Abstract
OBJECTIVES: Special needs patients are prone to insufficient oral care and subsequent caries or periodontitis. The aim of this retrospective study was the assessment of demand for restorative therapy and tooth extractions under general anesthesia in adults with intellectual and/or physical disablement (IPD) or psychiatric disorders (PDs) with inherent dentist phobia at the University Hospital of Innsbruck with regard to demographic factors. MATERIALS AND METHODS: A total of 444 consecutive cases of scheduled dental general anesthesia (DGA) in adults from 2003 to 2014 were included. From patient files, demographic data, the presence of either IPD or a PD, attested by a mandatory certificate, and restorative therapy and tooth extractions performed under DGA were obtained. Data analysis was carried out by means of descriptive and comparative statistics. RESULTS: Four hundred two cases (mean age 37.5 ± 13.87 years) assigned to 283 individuals with IPD and 42 cases (mean age 36.09 ± 13.03 years) assigned to 39 individuals with PDs arose in the observed period. Patients with PDs required significantly more restorations (in 7.98 ± 5.4 versus 5.34 ± 4.41 teeth; p = 0.002; Mann-Whitney U test) and extractions (of 4.86 ± 4.51 versus 2.6 ± 3.96 teeth; p < 0.001; Mann-Whitney U test) than patients with IPD. CONCLUSIONS: Demand for dental treatment was high in the collective of special needs patients. Oral health status was worse in patients with PDs than in patients suffering IPD. CLINICAL RELEVANCE: While in patients with severe disablement, DGA presents the only treatment option, specific preventive programs should be implemented for patients with minor disablement or dentist phobia. In these patients, alternative approaches should be promoted.
OBJECTIVES: Special needs patients are prone to insufficient oral care and subsequent caries or periodontitis. The aim of this retrospective study was the assessment of demand for restorative therapy and tooth extractions under general anesthesia in adults with intellectual and/or physical disablement (IPD) or psychiatric disorders (PDs) with inherent dentist phobia at the University Hospital of Innsbruck with regard to demographic factors. MATERIALS AND METHODS: A total of 444 consecutive cases of scheduled dental general anesthesia (DGA) in adults from 2003 to 2014 were included. From patient files, demographic data, the presence of either IPD or a PD, attested by a mandatory certificate, and restorative therapy and tooth extractions performed under DGA were obtained. Data analysis was carried out by means of descriptive and comparative statistics. RESULTS: Four hundred two cases (mean age 37.5 ± 13.87 years) assigned to 283 individuals with IPD and 42 cases (mean age 36.09 ± 13.03 years) assigned to 39 individuals with PDs arose in the observed period. Patients with PDs required significantly more restorations (in 7.98 ± 5.4 versus 5.34 ± 4.41 teeth; p = 0.002; Mann-Whitney U test) and extractions (of 4.86 ± 4.51 versus 2.6 ± 3.96 teeth; p < 0.001; Mann-Whitney U test) than patients with IPD. CONCLUSIONS: Demand for dental treatment was high in the collective of special needs patients. Oral health status was worse in patients with PDs than in patients suffering IPD. CLINICAL RELEVANCE: While in patients with severe disablement, DGA presents the only treatment option, specific preventive programs should be implemented for patients with minor disablement or dentist phobia. In these patients, alternative approaches should be promoted.
Entities:
Keywords:
Dental general anesthesia; Dentist phobia; Intellectual disablement; Physical disablement; Psychiatric disorders; Special needs
Authors: Amanda Kenny; Virginia Dickson-Swift; Mark Gussy; Susan Kidd; Dianne Cox; Mohd Masood; David Azul; Carina Chan; Bradley Christian; Jacqui Theobold; Brad Hodge; Ron Knevel; Carol McKinstry; Danielle Couch; Nerida Hyett; Prabhakar Veginadu; Nastaran Doroud Journal: Int J Ment Health Syst Date: 2020-03-24