Son Gahee, Oh Sohee, Lee Jaehee, Jun Saeromi, Kim Jongbin, Kim Jongsoo, Lee Joonhaeng, Han Miran, Shin Jisun
Department of Pediatric Dentistry, Dankook University Jukjeon Dental Hospital, Yongin, Republic of Korea.
Department of Pediatric Dentistry, School of Dentistry, Dankook University, Cheonan, Republic of Korea.
J Dent Anesth Pain Med. 2024 Jun;24(3):187-193. doi: 10.17245/jdapm.2024.24.3.187. Epub 2024 May 27.
Patients with autism spectrum disorder (ASD) present challenges in dental treatment cooperation owing to deficits in communication skills and social interaction. Behavioral guidance, sedation, and general anesthesia may be employed to ensure the quality of dental care for individuals with ASD. This study aimed to examine the trends in dental treatment for patients with ASD who visited the Department of Pediatric Dentistry at Dankook University Jukjeon Dental Hospital, an oral health center for the disabled in the Gyeonggi region, over the past 10 years.
This study utilized the order communication system to gather data on sex, age, cooperation level, number of quadrants treated, and administration of sedation or general anesthesia for patients with ASD who visited the Department of Pediatric Dentistry at Dankook University Jukjeon Dental Hospital between January 2013 and December 2022.
The total number of patients with ASD increased annually, possibly due to an increase in ASD prevalence and the hospital's designation as a center for disabled oral health. General anesthesia was predominant before 2017, with a shift towards NO-O sedation. The most common age group for sedation or general anesthesia was 6-9 years, with a higher prevalence in males than in females. Notably, NO-O and midazolam sedation resulted in better cooperation and fewer treated teeth than general anesthesia.
This study highlights the evolving trends in dental treatment for individuals with ASD, indicating a shift towards outpatient methods, particularly NO-O sedation. The sex distribution aligns with national statistics, emphasizing a higher prevalence of ASD in males than in females. These findings underscore the need for further research to establish evidence-based guidelines for optimal dental care strategies tailored to the unique needs of individuals with ASD.
自闭症谱系障碍（ASD）患者由于沟通技巧和社交互动方面的缺陷，在牙科治疗合作中存在挑战。行为指导、镇静和全身麻醉可用于确保为ASD患者提供高质量的牙科护理。本研究旨在调查过去10年中，在京畿道地区的残疾人口腔健康中心——檀国大学竹田牙医院小儿牙科就诊的ASD患者的牙科治疗趋势。
本研究利用订单通信系统收集了2013年1月至2022年12月期间在檀国大学竹田牙医院小儿牙科就诊的ASD患者的性别、年龄、合作水平、治疗象限数量以及镇静或全身麻醉的使用情况等数据。
ASD患者总数逐年增加，这可能是由于ASD患病率上升以及该医院被指定为残疾人口腔健康中心。2017年之前全身麻醉占主导地位，之后逐渐转向氧化亚氮-氧气（NO-O）镇静。镇静或全身麻醉最常见的年龄组为6-9岁，男性患病率高于女性。值得注意的是，与全身麻醉相比，NO-O和咪达唑仑镇静导致更好的合作且治疗牙齿数量更少。
本研究突出了ASD患者牙科治疗的演变趋势，表明向门诊治疗方法转变，尤其是NO-O镇静。性别分布与国家统计数据一致，强调男性ASD患病率高于女性。这些发现强调需要进一步研究，以建立针对ASD患者独特需求的最佳牙科护理策略的循证指南。
