Schnabl Dagmar, Oberhofer Michael, Barbieri Fabian, Laimer Johannes, Steiner René, Bruckmoser Emanuel, Grunert Ingrid
Department of Operative and Prosthetic Dentistry, Medical University Innsbruck, 6020 Innsbruck, Austria.
Department of Internal Medicine III, Cardiology and Angiology, Medical University Innsbruck, 6020 Innsbruck, Austria.
Healthcare (Basel). 2021 Mar 4;9(3):279. doi: 10.3390/healthcare9030279.
Regarding oral/dental care and attendance, special needs individuals depend on their caregivers' commitment. The purpose of this retrospective data analysis of adults who received dental general anesthesia (DGA) in Innsbruck, Austria, was a breakdown of demographic parameters (including the mode of accommodation/care), medical diagnoses (comprising intellectual/physical disablement (IPD) or psychiatric (anxiety) disorders (PDs)), and dental therapy performed under DGA. The sample was composed of 233 consecutive adults who underwent DGA from January 2015 to June 2019. Data were analyzed with descriptive and comparative statistics. In total, 133 (57.1%) subjects were male and 100 (42.9%) female; 176 (75.5%) had IPD and 57 (24.5%) PDs; 168 (72.1%) were living at private and 65 (27.9%) at nursing homes. Median age (IQR) was 35.6 (25.7-47.2) years. In the total sample, 5 (2-9) teeth were restored and 2 (0.5-6.5) teeth were extracted. Individuals with PDs had more teeth restored ( = 0.01) and extracted ( < 0.001) than individuals with IPD. Private home residents had more teeth restored ( < 0.001) but less teeth extracted ( = 0.003) than nursing home residents. Special needs individuals' oral health backlog should be tackled in private and institutional care modalities alike.
关于口腔/牙齿护理与照料，特殊需求个体依赖于其照料者的投入。这项对在奥地利因斯布鲁克接受牙科全身麻醉（DGA）的成年人进行回顾性数据分析的目的，是对人口统计学参数（包括住宿/照料方式）、医学诊断（包括智力/身体残疾（IPD）或精神（焦虑）障碍（PDs））以及在DGA下进行的牙科治疗进行分类。样本由2015年1月至2019年6月期间连续接受DGA的233名成年人组成。数据采用描述性和比较性统计方法进行分析。总共有133名（57.1%）受试者为男性，100名（42.9%）为女性；176名（75.5%）患有IPD，57名（24.5%）患有PDs；168名（72.1%）居住在私人住所，65名（27.9%）居住在养老院。年龄中位数（四分位间距）为35.6（25.7 - 47.2）岁。在整个样本中，修复了5（2 - 9）颗牙齿，拔除了2（0.5 - 6.5）颗牙齿。患有PDs的个体比患有IPD的个体修复的牙齿更多（ = 0.01），拔除的牙齿也更多（ < 0.001）。与养老院居民相比，私人住所居民修复的牙齿更多（ < 0.001），但拔除的牙齿更少（ = 0.003）。特殊需求个体的口腔健康积压问题应在私人和机构护理模式中同样得到解决。
