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Marinho MA, Ramos FCT, Cardoso AL, Silva-Junior GO, Faria MDB, Bastos LF, Dziedzic A, Picciani BLS. Dental Treatment under General Anesthesia in Patients with Special Needs Provided by Private and Public Healthcare Services—A Retrospective, Comparative Study. Healthcare (Basel) 2022; 10:healthcare10061147. [PMID: 35742197 PMCID: PMC9222989 DOI: 10.3390/healthcare10061147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 05/27/2022] [Accepted: 06/15/2022] [Indexed: 11/16/2022] Open
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.
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Affiliation(s)
- Marcello Alves Marinho
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- 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; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
| | - Flávia Cristina Teixeira Ramos
- 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; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
| | - Andréa Lanzillotti Cardoso
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Geraldo Oliveira Silva-Junior
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Marcelo Daniel Brito Faria
- 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; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Department of Diagnosis and 2Therapeutics, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Luciana Freitas Bastos
- 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; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janiero 20551-030, RJ, Brazil
| | - Arkadiusz Dziedzic
- Department of Conservative Dentistry with Endodontics, Medical University of Silesia, 40-551 Katowice, Poland
- Correspondence: (A.D.); (B.L.S.P.)
| | - Bruna Lavinas Sayed Picciani
- Graduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Friburgo 20950-000, RJ, Brazil; (M.A.M.); (A.L.C.); (G.O.S.-J.)
- 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; (F.C.T.R.); (M.D.B.F.); (L.F.B.)
- Correspondence: (A.D.); (B.L.S.P.)
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