Schnabl Dagmar, Strohm Matthias Michael, Schummer Pit Eugene, Sigwart Lukas, Kapferer-Seebacher Ines
University Hospital of Dental Prosthetics, Medical University of Innsbruck, 6020 Innsbruck, Austria.
University Hospital of Conservative Dentistry and Periodontology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Healthcare (Basel). 2024 Feb 20;12(5):503. doi: 10.3390/healthcare12050503.
Disabled persons' chairside dentistry is challenging. We aimed for a retrospective breakdown of dental services delivered to disabled patients by dental students and to discuss feasibility of a chairside approach. Consecutive patients, who received scheduled dental treatment by dental students from 2002 to 2021, were included. Demographic data, medical diagnoses, number of treatment sessions, performed treatments, and treatment break-offs were collected and analyzed with descriptive statistics. In total, 224 individuals with various disabilities (mean age 36.4 ± 14.6 years) received dental services in 2282 sessions altogether (10.3 ± 11. sessions per patient). Professional tooth cleaning was the most frequently provided treatment (55.8% of sessions). A total of 654 teeth were restored with fillings, 97 teeth were extracted, 56 teeth had endodontic treatment, and 25 removable dentures were fitted. Treatment break-off due to incompliance and referral to dental general anesthesia occurred in 74 patients (33%). Chairside treatment of disabled persons by dental students is feasible in many cases. Our study may serve as an incentive for clinicians/researchers to report on treatment modalities and outcomes of chairside dentistry in patients with special oral health care needs, preferably by the use of prospective study designs, to contribute data and strategies in the fight for control of oral health inadequacies.
为残疾人士提供椅旁牙科治疗颇具挑战性。我们旨在对牙科学生为残疾患者提供的牙科服务进行回顾性分类,并讨论椅旁治疗方法的可行性。纳入了2002年至2021年期间接受牙科学生定期牙科治疗的连续患者。收集了人口统计学数据、医学诊断、治疗次数、所进行的治疗以及治疗中断情况,并采用描述性统计进行分析。共有224名患有各种残疾的个体(平均年龄36.4±14.6岁)共接受了2282次牙科服务(每位患者10.3±11.次)。专业牙齿清洁是最常提供的治疗(占治疗次数的55.8%)。共补牙654颗,拔牙97颗,进行牙髓治疗56颗,安装可摘义齿25副。74名患者(33%)因不配合治疗和转至牙科全身麻醉而导致治疗中断。牙科学生对残疾人士进行椅旁治疗在很多情况下是可行的。我们的研究可能会激励临床医生/研究人员报告有特殊口腔保健需求患者的椅旁牙科治疗方式和结果,最好采用前瞻性研究设计,为控制口腔健康不足的斗争贡献数据和策略。