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参加西班牙牙科护理项目的有特殊医疗需求儿童在全身麻醉下的牙科治疗。

Dental Treatments under General Anesthesia on Children with Special Health Care Needs Enrolled in the Spanish Dental Care Program.

作者信息

Pecci-Lloret María Pilar, Guerrero-Gironés Julia, López-González Belén, Rodríguez-Lozano Francisco Javier, Oñate-Cabrerizo Daniel, Oñate-Sánchez Ricardo E, Pecci-Lloret Miguel R

机构信息

Special Care in Dentistry and Gerodontology Unit, Meseguer Hospital, Faculty of Medicine, University of Murcia, 30100 Murcia, Spain.

出版信息

J Clin Med. 2021 Jan 6;10(2):182. doi: 10.3390/jcm10020182.

Abstract

The purpose is to analyze the medical characteristics of children with special health care needs (CSHCN) recommended for dental treatment under general anesthesia (GA), postoperative complications, and dental treatment outcomes under the regulation of the Spanish Dental Care Program (PADI). 111 clinical records were selected. The study population was divided into three age groups. The quantitative data was specified as the mean ± SD. For the qualitative variables, the Chi-Square test was used. One-way ANOVA and Bonferroni tests were used to examine the effect of the "age group" and the number of treatment procedures. A total of 1473 treatment procedures were performed, of which 110 (7.5%) were cleanings, 898 (61%) were restorative procedures, 332 (21.7%) were extractions, 22 (1.6%) were endodontic treatments, 62 (4.2%) were pulpotomies, and 59 (4%) were stainless steel crowns. Regarding the mean number of incisor root canal treatments (RCT), age group 3 received a significantly higher mean number of incisor RCTs than age group 1 ( = 0.02). Age group 1 received a higher average of pulpotomies and stainless-steel crowns ( = 0.00) compared to groups 2 and 3. GA is a safe procedure for the dental treatment of CSHCN, with minimal postoperative complications, which should be included among dental public programs.

摘要

目的是分析在西班牙牙科护理计划(PADI)规定下,建议在全身麻醉(GA)下进行牙科治疗的特殊医疗需求儿童(CSHCN)的医学特征、术后并发症以及牙科治疗结果。选择了111份临床记录。研究人群分为三个年龄组。定量数据指定为平均值±标准差。对于定性变量,使用卡方检验。单向方差分析和Bonferroni检验用于检验“年龄组”和治疗程序数量的影响。总共进行了1473次治疗程序,其中110次(7.5%)是清洁,898次(61%)是修复程序,332次(21.7%)是拔牙,22次(1.6%)是牙髓治疗,62次(4.2%)是活髓切断术,59次(4%)是不锈钢冠修复。关于平均切牙根管治疗(RCT)次数,3岁年龄组接受的平均切牙RCT次数明显高于1岁年龄组(P = 0.02)。与2岁和3岁年龄组相比,1岁年龄组接受的活髓切断术和不锈钢冠修复的平均次数更高(P = 0.00)。全身麻醉对于特殊医疗需求儿童的牙科治疗是一种安全的程序,术后并发症极少,应纳入牙科公共项目中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e9e/7825425/655f245fb36b/jcm-10-00182-g001.jpg

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