健康及残疾儿童的全身麻醉下综合牙科治疗

Comprehensive dental treatment under general anesthesia in healthy and disabled children.

作者信息

Lee Pei-Ying, Chou Ming-Yen, Chen Yi-Ling, Chen Li-Ping, Wang Ching-Jung, Huang Wen-Hsi

机构信息

Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Taipei, Chang Gung University College of Medicine, Taoyuan, Taiwan.

出版信息

Chang Gung Med J. 2009 Nov-Dec;32(6):636-42.

PMID:20035643

Abstract

BACKGROUND

Differences in dental treatment under general anesthesia (GA) in healthy and disabled children are rarely reported. This retrospective study evaluated the characteristics and treatment modalities performed under general anesthesia in pediatric dental patients at Taipei Chang Gung Memorial Hospital between 2004 and 2005, and compared the different treatment patterns performed in healthy children and children with special health care needs.

METHODS

The data were reviewed in pediatric patients from 1 to 18 years old who underwent dental treatment performed under general anesthesia from January 2004 to December 2005. Patients with special health care needs who had at least one type of mental or physical disability were assigned to the disabled group (Group D) and the other healthy patients were assigned to the healthy group (Group H). The treatment modalities of operative restoration, crowns, pulp therapy, sealant and extracted teeth were compared in the two groups.

RESULTS

A total of 185 patients were assigned to group H and 112 to group D. The patients in group D were significantly older than those in group H. There were no significant differences in the mean number of teeth treated between the two groups. However, there was a significantly greater mean total number of teeth extracted in group D patients (p < 0.001). In addition, there were more stainless steel crown reconstructions (p < 0.05) and pulp therapies (p < 0.001) performed in group H patients. In group D, there were no significant differences in the total number of teeth extracted between the 1-3 year old patients and the 3-6 year-old patients (p = 0.99).

CONCLUSIONS

For very young children or those with special health care needs, dental treatment performed under general anesthesia is beneficial and efficient. The findings of this study suggest that underlying medical or mental conditions may influence the dental condition and treatment modality provided.

摘要

背景

关于健康儿童与残疾儿童在全身麻醉下接受牙科治疗的差异鲜有报道。这项回顾性研究评估了2004年至2005年台北长庚纪念医院儿科牙科患者在全身麻醉下的治疗特点及治疗方式，并比较了健康儿童与有特殊医疗需求儿童的不同治疗模式。

方法

回顾2004年1月至2005年12月期间1至18岁接受全身麻醉下牙科治疗的儿科患者的数据。有至少一种精神或身体残疾的有特殊医疗需求患者被分配到残疾组（D组），其他健康患者被分配到健康组（H组）。比较两组在手术修复、牙冠修复、牙髓治疗、窝沟封闭和拔牙方面的治疗方式。

结果

共185例患者被分配到H组，112例被分配到D组。D组患者年龄显著大于H组。两组间平均治疗牙齿数无显著差异。然而，D组患者平均拔牙总数显著更多（p < 0.001）。此外，H组患者进行的不锈钢牙冠修复（p < 0.05）和牙髓治疗（p < 0.001）更多。在D组，1至3岁患者与3至6岁患者之间的拔牙总数无显著差异（p = 0.99）。