An Ying, Ferretti Margaret, Jones Lindsey, Welsh Eilish, McCray Justin, Kim Seungchan, Thompson Maya, Ferretti Gerald
Department of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
University Hospitals Rainbow Babies and Children Hospital, Cleveland, OH 44106, USA.
Children (Basel). 2025 May 23;12(6):670. doi: 10.3390/children12060670.
For dental providers, it can be difficult to distinguish dental neglect from legitimate barriers to care, preventing the completion of dental treatment for pediatric patients. The aim of this study was to utilize caretakers' self-reported reasons for missing their child's appointments to identify barriers to treatment completion versus dental neglect. The treatment setting was oral rehabilitation under deep or intravenous sedation (IV) or general anesthesia (GA). After the responses were examined, patients were categorized into one of four groups: Low-Risk, Treatment Completed; Low-Risk, Treatment Not Completed; High-Risk, Treatment Completed; High-Risk, Treatment Not Completed. Low- or high-risk classifications were determined based on whether the reported rationale was a temporary hindrance that could be overcome through additional effort or assistance, or whether it was because the parent or guardian did not follow through with the recommended instructions and treatment. A chi-square test was completed. A total of 602 IV charts and 1, 296 GA charts were reviewed for this study. For both IV and GA settings, the proposed low- and high-risk factors for dental neglect were statistically significant (IV: = 0.000442; GA: < 0.00001). The patients whose appointments were not completed for reasons deemed high risk for dental neglect had a higher risk of having uncompleted treatment. These patients should be closely followed due to a higher risk of dental neglect.
对于牙科医疗服务提供者而言，很难区分忽视牙齿护理与合理的就医障碍，这阻碍了儿科患者完成牙科治疗。本研究的目的是利用看护人自述的错过孩子预约就诊的原因，来确定导致治疗未完成的障碍与牙齿护理忽视之间的区别。治疗环境为在深度镇静、静脉镇静或全身麻醉下进行口腔修复。在对回复进行审查后，患者被分为四组之一：低风险，治疗已完成；低风险，治疗未完成；高风险，治疗已完成；高风险，治疗未完成。低风险或高风险分类是根据报告的理由是可以通过额外努力或协助克服的临时障碍，还是因为父母或监护人未遵循推荐的指示和治疗来确定的。完成了卡方检验。本研究共审查了602份静脉镇静图表和1296份全身麻醉图表。对于静脉镇静和全身麻醉环境，所提出的牙齿护理忽视的低风险和高风险因素均具有统计学意义（静脉镇静： = 0.000442；全身麻醉： < 0.00001）。因被视为牙齿护理忽视高风险原因而未完成预约的患者，未完成治疗的风险更高。由于牙齿护理忽视风险较高，应对这些患者进行密切随访。
