King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.
Alfarabi Dental College, Jeddah, Saudi Arabia.
BMC Oral Health. 2021 Apr 12;21(1):186. doi: 10.1186/s12903-021-01555-7.
Behaviour management strategies involving pharmacological or non-pharmacological interventions during dental procedures should be considered to attain safe and successful treatment outcomes. This study compared the frequencies of use and the completeness of treatment with these interventions.
A total of 1725 dental records of patients up to 18 years old, who were treated in the King Abdulaziz Medical City in Jeddah City from October 2018 to June 2019, were used in this retrospective, cross-sectional study. Inferential analysis, Chi-square test, Kruskal-Wallis test, and regression model were used in the data analysis.
About two-thirds of the patients were treated with attendant non-pharmacological interventions, while one-third, with pharmacological interventions. The application of General Anesthesia (GA) was the most frequently used intervention. Restorative procedures and extractions were done in higher frequencies with pharmacological interventions. Treatments with space maintainers and orthodontic appliances were carried out in higher frequencies with non-pharmacological strategies. The choice of intervention was significantly influenced by the systemic conditions of the patients. Patients treated with non-pharmacological intervention comprised the dominant type of patients, because they required treatments with less pain. Those treated with GA needed restorative treatments and extractions, or treatments that involve pain, but these treatments had higher frequencies of being completed.
The treatments with pharmacological intervention through GA have higher frequencies of being completed, compared to those with non-pharmacological interventions. Factors, such as age, potential to complete the treatment, and the type of dental treatment applied, influence the choice of treatment intervention.
在牙科治疗过程中，应考虑使用涉及药理学或非药理学干预的行为管理策略，以实现安全和成功的治疗效果。本研究比较了这些干预措施的使用频率和治疗完成情况。
本回顾性、横断面研究使用了 2018 年 10 月至 2019 年 6 月在吉达市阿卜杜勒阿齐兹国王医疗城接受治疗的 1725 名 18 岁以下患者的牙科记录。数据分析采用推断分析、卡方检验、克鲁斯卡尔-沃利斯检验和回归模型。
大约三分之二的患者接受了伴随的非药理学干预，而三分之一的患者接受了药理学干预。全身麻醉（GA）的应用是最常用的干预措施。修复程序和拔牙的频率更高，使用了药理学干预。使用保持器和正畸器具的治疗频率更高，采用了非药理学策略。干预措施的选择受到患者全身状况的显著影响。接受非药理学干预的患者构成了主要类型的患者，因为他们需要较少疼痛的治疗。接受 GA 治疗的患者需要进行修复治疗和拔牙，或需要涉及疼痛的治疗，但这些治疗的完成频率更高。
与非药理学干预相比，通过 GA 进行药理学干预的治疗完成频率更高。年龄、完成治疗的潜力以及应用的牙科治疗类型等因素会影响治疗干预措施的选择。
