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与全身麻醉下发育障碍患者相比,全身疾病患者的牙科治疗。

Dental treatment of patients with systemic diseases compared to patients with developmental disabilities under general anesthesia.

作者信息

Peretz Benjamin, Spierer Ayala, Spierer Shoshana, Rakocz Meir

机构信息

Department of Pediatric Dentistry, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Spec Care Dentist. 2012 Jan-Feb;32(1):21-5. doi: 10.1111/j.1754-4505.2011.00226.x.

DOI:10.1111/j.1754-4505.2011.00226.x
PMID:22229595
Abstract

The medical and dental records were examined for 46 patients with systemic diseases (SD) and 75 patients with developmental disabilities (DD) aged 2-20 years, who had received dental treatment under general anesthesia (GA). Age, gender, decayed missing and filled teeth (dmft/DMFT), dental procedures, duration of GA, and posttreatment hospitalization were recorded. Before treatment, dental disease in the primary teeth was significantly higher among the group with SD (p= 0.04). In the permanent teeth, dental disease was higher among the group with DD, though not significantly. More teeth were restored, (p= 0.015) and total dmft (p= 0.043) was significantly higher among subjects with SD. In the permanent teeth, more extracted and more restored teeth and higher DMFT were noted among subjects with DD, though not significantly. Only pulpectomies were significantly more prevalent among those with DD (p= 0.038). Six subjects needed hospitalization due to their diseases after GA.

摘要

对46例患有全身性疾病(SD)和75例患有发育障碍(DD)的2至20岁患者的医学和牙科记录进行了检查,这些患者均在全身麻醉(GA)下接受了牙科治疗。记录了年龄、性别、龋失补牙数(dmft/DMFT)、牙科手术、GA持续时间和治疗后住院情况。治疗前,SD组乳牙的牙科疾病明显更高(p = 0.04)。在恒牙中,DD组的牙科疾病更高,尽管不显著。SD组患者修复的牙齿更多(p = 0.015),总dmft更高(p = 0.043)。在恒牙中,DD组患者拔除和修复的牙齿更多,DMFT更高,尽管不显著。只有牙髓摘除术在DD组中明显更普遍(p = 0.038)。6名患者在GA后因疾病需要住院治疗。

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