Affandi Tun Yasmin Iffah Mohd Suria, Wan Mokhtar Ilham, Mohd Yusof Mohd Yusmiaidil Putera, Ahmad Mas Suryalis
Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
Faculty of Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia.
J Int Soc Prev Community Dent. 2023 Jun 29;13(3):256-263. doi: 10.4103/jispcd.JISPCD_228_22. eCollection 2023 May-Jun.
Special care dentistry (SCD) provides oral health care to disabled individuals in an environmental, cultural or social setting that supports their oral health. This study aimed to analyze the profiles of patients managed at an SCD clinic in a teaching hospital based on their sociodemographic background, medical condition or disability, dental diagnosis and treatment provided.
This retrospective audit study included patients seen from the clinic's inception in January 2017 until June 2022, retrieved from the faculty's record management system. The pattern of patients seen was arranged on an Excel sheet and analyzed using SPSS. Quantitative data were analyzed via descriptive analysis (frequency) and chi-square test ( < 0.05).
A 220% surge in the number of patients treated between January 2017 and June 2022, from two to 91 years old, with more male patients seen. Most patients had an intellectual disability (49.7%), followed by medical compromised (16.4%) and genetic conditions or syndromes (12.0%). 43% of had caries, which is more prevalent in women, and 31.6% had periodontal disease, with the majority being between the ages of 21 and 40. Periodontal treatment accounted for most of the dental treatment (76.1%). Even though only a small percentage of endodontic therapy was performed (2.4%), a significant association was found between the treatment, gender and age group of patients seen in the clinic.
Considering their health profile, oral diagnosis and therapy, this study demonstrated the varied sorts of patients encountered in an SCD specialist clinic. This useful information will be beneficial in the development of a comprehensive care dentistry center for this community.
特殊护理牙科（SCD）在支持残疾人士口腔健康的环境、文化或社会背景下，为他们提供口腔保健服务。本研究旨在根据社会人口背景、医疗状况或残疾情况、牙科诊断以及所提供的治疗，分析一家教学医院的SCD诊所所管理患者的概况。
这项回顾性审计研究纳入了从2017年1月诊所开业至2022年6月期间就诊的患者，数据从学院的记录管理系统中获取。将就诊患者的情况整理在Excel表格中，并使用SPSS进行分析。定量数据通过描述性分析（频率）和卡方检验（<0.05）进行分析。
2017年1月至2022年6月期间接受治疗的患者数量激增了220%，患者年龄从2岁至91岁不等，男性患者较多。大多数患者患有智力残疾（49.7%），其次是医疗状况不佳（16.4%）以及遗传疾病或综合征（12.0%）。43%的患者患有龋齿，在女性中更为普遍，31.6%的患者患有牙周疾病，大多数患者年龄在21岁至40岁之间。牙周治疗占牙科治疗的大部分（76.1%）。尽管仅进行了小比例的牙髓治疗（2.4%），但在诊所就诊的患者的治疗、性别和年龄组之间发现了显著关联。
考虑到患者的健康状况、口腔诊断和治疗，本研究展示了SCD专科诊所中遇到的各类患者。这些有用信息将有助于为该社区建立一个综合护理牙科中心。
