Curson I E
Int Dent J. 1975 Mar;25(1):15-9.
Handicapped adults can be grouped into those who are mentally subnormal, those with major organic disease, those who are emotionally disturbed and those for whom local anaesthesia is unsuccessful. At the first visit the degree of handicap and the state of the mouth are assessed and a plan of treatment is formulated. In most of the patients, satisfactory conditions for operating can be achieved by the use of intravenous diazepam and local anaesthesia, though some may require a full general anaesthetic. The results of treatment of a group of 139 patients are analysed and it is shown that the average DMF score in handicapped adults is appreciably higher than in normal adults of the same age. The reason for the inability of some of these patients to seek and accept dental treatment under normal surgery conditions is discussed and it is shown that with suitable initial treatment many of them become able to accept treatment in the ordinary circumstances of a dental surgery.
残疾成年人可分为智力低于正常水平者、患有重大器质性疾病者、情绪失调者以及局部麻醉不成功者。在首次就诊时，评估残疾程度和口腔状况，并制定治疗计划。对于大多数患者，使用静脉注射地西泮和局部麻醉可以创造出满意的手术条件，不过有些患者可能需要全身麻醉。对一组139名患者的治疗结果进行了分析，结果显示残疾成年人的平均龋失补牙面数（DMF）得分明显高于同龄正常成年人。讨论了其中一些患者无法在正常手术条件下寻求和接受牙科治疗的原因，结果表明，经过适当的初始治疗，他们中的许多人能够在普通牙科手术环境中接受治疗。
