Peerbhay F, Titinchi F
SADJ. 2014 Jun;69(5):214, 216-8, 220.
Dental caries is a common condition amongst young children that negatively impacts on their quality of life, It is an added burden on children with special healthcare needs (CSHCN) who have an increased risk of developing caries due to the high sugar contents in their medications, regular consumption of cariogenic foods and a poor salivary flow.
to analyse the management of dental caries in CSHCN at a tertiary public hospital in South Africa.
A retrospective analysis was conducted of the dental and medical records of 374 medically compromised children presenting with dental caries. Dental treatment and anaesthetic techniques used were reviewed.
Results indicated that the majority of CSHCN presenting with caries were managed by extractions (96.5%) under either local anaesthesia (73.3%) or general anaesthesia (26.7%). There was a lack of restorative care provided to these compromised children,
Treatment by extractions may relieve discomfort and pain; however, early loss of teeth leads to functional, psychological, aesthetic and orthodontic problems, which can result in a further decline in the quality of life of these already compromised patients, Restorative treatment and prevention strategies are critical in managing caries in CSHCN in order to improve their quality of life,
龋齿在幼儿中很常见，会对他们的生活质量产生负面影响。对于有特殊医疗需求的儿童（CSHCN）来说，这更是额外的负担，因为他们的药物含糖量高、经常食用致龋食物且唾液分泌少，患龋齿的风险增加。
分析南非一家三级公立医院中CSHCN龋齿的管理情况。
对374名患有龋齿的医疗状况不佳儿童的牙科和医疗记录进行回顾性分析。回顾了所使用的牙科治疗和麻醉技术。
结果表明，大多数患有龋齿的CSHCN通过拔牙进行治疗（96.5%），其中局部麻醉（73.3%）或全身麻醉（26.7%）。这些身体状况不佳的儿童缺乏修复治疗。
拔牙治疗可能会缓解不适和疼痛；然而，牙齿过早脱落会导致功能、心理、美观和正畸问题，这可能会使这些本就身体不佳的患者生活质量进一步下降。修复治疗和预防策略对于管理CSHCN的龋齿以提高他们的生活质量至关重要。
