Department of Medicine, Surgery and Health Sciences, University of Trieste, 34125 Trieste, Italy.
Department of Life Sciences, University of Trieste, 34125 Trieste, Italy.
Medicina (Kaunas). 2024 Jan 3;60(1):91. doi: 10.3390/medicina60010091.
Special Needs Patients (SNPs) and young non-collaborative children are more predisposed to develop oral pathologies due to poor collaboration and scarce access to dental treatment. The aim of this retrospective study was to analyze a sample of SNPs who received dental treatments either under general anesthesia (GA) or deep sedation (DS) over a period of 6 years. The number and type of procedure were analyzed. In total, 131 patients were included and mostly (>90%) treated under GA. Patients were either uncooperative and phobic (Group 1) or affected by mental, behavioral, and neurological disorders (Group 2), diseases of the nervous system (Group 3), or developmental anomalies (Group 4). Patients in Group 2 required more invasive dental treatments than those in the other groups. Therapies were mainly preventive and restorative, except in Groups 3 and 4, where extractions were more frequent. The type of dental treatment significantly varied according to age and systemic condition. Only 5.3% of the patients needed a second intervention, despite only 17.6% of patients respecting the scheduled follow-up. Treatment under GA is effective, but the poor adherence to follow-ups and the risk of reintervention should be contrasted by improving the perception by parents/guardians of the importance of oral hygiene and periodic visits.
特殊需求患者 (SNPs) 和年轻不合作的儿童由于合作不佳和难以获得牙科治疗，更容易出现口腔疾病。本回顾性研究的目的是分析在 6 年期间接受全身麻醉 (GA) 或深度镇静 (DS) 治疗的 SNPs 样本。分析了治疗次数和类型。共有 131 名患者被纳入研究，其中大多数 (>90%) 接受 GA 治疗。患者要么不合作和恐惧 (第 1 组)，要么患有精神、行为和神经障碍 (第 2 组)、神经系统疾病 (第 3 组) 或发育异常 (第 4 组)。第 2 组患者比其他组患者需要更具侵入性的牙科治疗。治疗主要是预防性和修复性的，除了第 3 组和第 4 组，其中拔牙更为常见。根据年龄和全身状况，牙科治疗的类型差异显著。尽管只有 17.6%的患者按时接受随访，但只有 5.3%的患者需要第二次干预。GA 治疗有效，但应通过提高家长/监护人对口腔卫生和定期就诊重要性的认识来应对不良的随访依从性和再次干预的风险。
