López-Velasco Ana, Puche-Torres Miguel, Carrera-Hueso Francisco J, Silvestre Francisco-Javier
DDS. Service of Stomatology, Centro de Especialidades El Grao, Departamento Hospital clínico/Malvarrosa, Valencia; Pediatric dentistry Associate Professor Universidad European de Valencia, Valencia, Spain. Attached Dentist Center Specialties and Clinical/Malvarrosa University Hospital of Valencia. Assistant Professor Department of Pediatric Dentistry European University of Valencia, Valencia, Spain.
MD, PhD. Department of Maxillofacial Surgery, Hospital Clínico Universitario de Valencia, INCLIVA. Associate Professor, Surgery Department, Facultad de Medicina y Odontología Universidad de Valencia, Valencia, Spain. Scopus Author ID: 23477898100. Department Head maxillofacial surgery service, Clinical/Malvarrosa University Hospital of Valencia. Associate Professor, Surgery Department, Faculty of Medicine and Dentistry University of Valencia, Valencia, Spain 3 PharmD. PhD. Pharmacy Service. Hospital Universitario La Plana, Villa-real (Castellón) Spain. Attached Pharmacist University La Plana Hospital of Castellón, Spain.
J Clin Exp Dent. 2021 Mar 1;13(3):e303-e312. doi: 10.4317/jced.57852. eCollection 2021 Mar.
The objective of this study is to conduct a systematic review of the literature on the characteristics, needs and current situation of dental care for pediatric patients with special needs.
An exhaustive search for literature published until June 1, 2020. It was carried out using PubMed, Web of Science, Scopus, Cochrane and EBSCO, with the following keywords: Oral Surgical Procedures and Dentistry, Operational and Anesthesia, General Y (Spanish[lang] or English[lang] ) Y (infant[MeSH] Or child[MeSH] Or adolescent[MeSH]). The research was carried out following the PRISMA research methodology.
The most common indication for general anesthesia (GA) was tooth decay in 16 studies (6.5-90.8% of patients), followed by lack of cooperation and/or fear of dental professionals performing dental procedures in 8 studies. There is a higher prevalence of treatment in the group of patients with special needs, reaching 87.7% compared to 69.9% in healthy patients.
In paediatric patients with special needs the use of GA is increasing, monitoring and preventive care are insufficient and withdrawal rates are high. Oral surgical procedures and dentistry, operational and anesthesia, general.
本研究的目的是对有关特殊需求儿科患者牙科护理的特点、需求和现状的文献进行系统综述。
全面检索截至2020年6月1日发表的文献。使用PubMed、科学网、Scopus、Cochrane和EBSCO进行检索，关键词如下：口腔外科手术与牙科、手术与麻醉、通用语言（西班牙语[语言]或英语[语言]）以及（婴儿[医学主题词]或儿童[医学主题词]或青少年[医学主题词]）。研究遵循PRISMA研究方法进行。
16项研究中全身麻醉（GA）最常见的指征是龋齿（占患者的6.5 - 90.8%），其次是8项研究中患者不合作和/或害怕牙科专业人员进行牙科手术。特殊需求患者组的治疗患病率更高，达到87.7%，而健康患者为69.9%。
在特殊需求的儿科患者中，全身麻醉的使用正在增加，监测和预防护理不足，退出率很高。口腔外科手术与牙科、手术与麻醉、通用。
