Hennequin M, Faulks D, Roux D
Unit of Special Needs Dentistry, Faculté de Chirurgie Dentaire, Clermont-Ferrand, France.
J Dent. 2000 Feb;28(2):131-6. doi: 10.1016/s0300-5712(99)00052-4.
To assess the ability of carers and dental professionals to estimate treatment need in a group of children and adults with special needs.
A retrospective study of a series of 103 special needs patients who had received restorative dental treatment under general anaesthetic was undertaken. The initial reason for attendance and the time lapse between first symptoms and decision to consult were established. The parent or carer was asked to estimate treatment need and to assess the degree of discomfort suffered by the patient. The dentist evaluated treatment need by means of a pre-operative treatment plan. These results were compared to actual treatment performed.
Treatment need was severely underestimated by both carer and dentist. The degree of advanced pathology found in the population would suggest that pain suffered was also underestimated.
Access of patients with special needs to dental care may be limited by the ability of their carers to evaluate their oral condition and/or by the persons inability to express their pain or discomfort.
评估护理人员和牙科专业人员对一组有特殊需求的儿童和成人的治疗需求进行评估的能力。
对103名在全身麻醉下接受牙齿修复治疗的特殊需求患者进行了回顾性研究。确定了就诊的初始原因以及首次出现症状到决定咨询之间的时间间隔。要求父母或护理人员估计治疗需求并评估患者所遭受的不适程度。牙医通过术前治疗计划评估治疗需求。将这些结果与实际进行的治疗进行比较。
护理人员和牙医都严重低估了治疗需求。在该人群中发现的晚期病理程度表明疼痛也被低估了。
有特殊需求的患者获得牙科护理的机会可能受到其护理人员评估其口腔状况能力的限制，和/或患者无法表达其疼痛或不适的限制。
