Oh Tae Jun, Nam Ok Hyung, Kim Mi Sun, Choi Sung Chul, Lee Hyo-Seol
PhD student, Department of Pediatric Dentistry, Graduate School, at Kyung Hee University, Seoul, Korea.
Clinical assistant professor, at Kyung Hee University, Seoul, Korea.
Pediatr Dent. 2018 May 15;40(3):215-219.
The purpose of this study was to compare the oral health state and dental treatment outcomes of patients with special health care needs (SHCN) after general anesthesia (GA), according to their compliance with dental checkups.
The medical records of SHCN patients who were treated under GA in a dental hospital from 1991 to 2016 were analyzed. The 157 patients in this study were divided into regular (N equals 62) and irregular (n equals 95) dental checkups.
The mean age was 16.4 years (range equals two to 52); 96 were male, and 61 were female. In the irregular checkup group, invasive treatments like pulp treatment and extraction were performed more frequently during the checkup period (P<0.05). More patients underwent repeated GA in the irregular group (n equals 35; 36.8 percent) compared to the regular group (n equals six; 9.7 percent; P<0.05).
In our study, special health care needs patients in the irregular checkup group were approximately four times more likely to undergo repeated general anesthesia than those in the regular group. A regular checkup could reduce repeated GA and severity of dental treatment. Therefore, regular checkups must be included in the treatment plan of SHCN patients.
本研究旨在根据特殊医疗需求（SHCN）患者对牙科检查的依从性，比较全身麻醉（GA）后他们的口腔健康状况和牙科治疗效果。
分析了1991年至2016年在一家牙科医院接受全身麻醉治疗的SHCN患者的病历。本研究中的157名患者分为定期（N = 62）和不定期（n = 95）牙科检查两组。
平均年龄为16.4岁（范围为2至52岁）；男性96名，女性61名。在不定期检查组中，在检查期间进行牙髓治疗和拔牙等侵入性治疗的频率更高（P<0.05）。与定期检查组（n = 6；9.7%）相比，不定期检查组有更多患者接受了重复全身麻醉（n = 35；36.8%；P<0.05）。
在我们的研究中，不定期检查组中有特殊医疗需求的患者接受重复全身麻醉的可能性比定期检查组患者高约四倍。定期检查可以减少重复全身麻醉和牙科治疗的严重程度。因此，定期检查必须纳入SHCN患者的治疗计划中。
