Solanki Neeraj, Kumar Anuj, Awasthi Neha, Kundu Anjali, Mathur Suveet, Bidhumadhav Suresh
Reader, Department of Pedodontics and Preventive Dentistry, Kalka Dental College & Hospital, Meerut, Uttar Pradesh, India, Phone: +919414509596, e-mail:
Department of Maxillofacial Surgery, Bhagwan Mahavir Medica Superspecialty Hospital, Ranchi, Jharkhand, India.
J Contemp Dent Pract. 2016 Jun 1;17(6):476-9. doi: 10.5005/jp-journals-10024-1875.
Dental problems serve as additional burden on the children with special health care needs (CSHCN) because of additional hospitalization pressure, they face for the treatment of various serious medical problems. These patients have higher incidence of dental caries due to increased quantity of sugar involved in the drug therapies and lower salivary flow in the oral cavity. Such patients are difficult to treat with local anesthesia or inhaled sedatives. Single-sitting dental treatment is possible in these patients with general anesthesia. Therefore, we conducted this retrospective analysis of oral health status of CSHCN receiving various dental treatments in a given population.
A total of 200 CSHCN of age 14 years or less reporting in the pediatric wing of the general hospital from 2005 to 2014 that underwent comprehensive dental treatment under general anesthesia were included in the study. Patients with history of any additional systemic illness, any malignancy, any known drug allergy, or previous history of any dental treatment were excluded from the study. Complete mouth rehabilitation was done in these patients under general anesthesia following standard protocols. Data regarding the patient's disability, type, duration, and severity of disability was collected and analyzed. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Chi-square test, Student's t-test, and one-way analysis of variance were used to assess the level of significance.
Statistically significant results were obtained while analyzing the subject's decayed missing filled/decayed extracted filled teeth indices divided based on age. Significant difference was observed only in cases where patients underwent complete crown placement even when divided based on type of disability. While analyzing the prevalence, statistically significant results were observed in patients when divided based on their age.
In CSHCN, dental pathologies and caries indices are increased regardless of the type or extent of disability.
Children with special health care needs should be given special oral health care, and regular dental checkup should be conducted as they are more prone to have dental problems.
牙科问题给有特殊医疗需求的儿童（CSHCN）带来了额外负担，因为他们因各种严重医疗问题的治疗而面临额外的住院压力。由于药物治疗中糖分摄入增加以及口腔唾液分泌减少，这些患者龋齿发病率更高。此类患者难以通过局部麻醉或吸入性镇静剂进行治疗。在全身麻醉下，这些患者可以一次性完成牙科治疗。因此，我们对特定人群中接受各种牙科治疗的CSHCN的口腔健康状况进行了这项回顾性分析。
2005年至2014年期间在综合医院儿科病房就诊、14岁及以下且在全身麻醉下接受全面牙科治疗的200名CSHCN纳入本研究。有任何其他全身性疾病史、任何恶性肿瘤、任何已知药物过敏史或既往任何牙科治疗史的患者被排除在研究之外。按照标准方案在全身麻醉下对这些患者进行全口修复。收集并分析有关患者残疾情况、残疾类型、持续时间和严重程度的数据。所有结果均使用社会科学统计软件包（SPSS）进行分析。采用卡方检验、学生t检验和单因素方差分析来评估显著性水平。
在分析根据年龄划分的受试者龋失补/龋拔补牙指数时获得了具有统计学意义的结果。即使根据残疾类型划分，仅在患者接受全冠修复的情况下观察到显著差异。在分析患病率时，根据年龄划分的患者中观察到具有统计学意义的结果。
在CSHCN中，无论残疾类型或程度如何，牙科病理和龋齿指数都会增加。
有特殊医疗需求的儿童应接受特殊的口腔保健，并且由于他们更容易出现牙科问题，应定期进行牙科检查。
