Dental Treatments during full mouth rehabilitation under General Anesthesia in Healthy and special needs pediatric dental patients in Baghdad, Iraq

Sami Malik Abdulhameed

Abstract


Dental treatments under general anesthesia (GA) in healthy and disabled children are rarely reported. This retrospective study evaluated the characteristics and treatment modalities performed under general anesthesia in pediatric dental patients at Bagh- dad Private Hospitals, and compared the different treatment patterns performed in healthy children and children with special health care needs.

The data were reviewed in pediatric patients from 1 to 18 years old who underwent dental treatment performed under general anesthesia from January 1990 to December 2011. Patients with special health care needs who had at least one type of mental or physical disability were assigned to the disabled group (Group A) and the other healthy patients were assigned to the healthy group (Group B). The treatment modalities of operative restoration, crowns, pulp therapy, sealant and extracted teeth were com- pared in the two groups.

A total of 105 patients were assigned to group B and 80 to group A. The patients in group A were significantly older than those in group B. There were no significant differences in the mean number of teeth treated between the two groups. However, there was a significantly greater mean total number of teeth extracted in group A patients (p < 0.001). In addition, there were more stainless steel crown reconstructions (p < 0.05) and pulp therapies (p < 0.001) performed in group B patients. In group A, there were no significant differences in the total number of teeth extracted between the 1-3 year old patients and the 3-6 year-old patients (p = 0.99). For very young children or those with special health care needs, dental treatment performed under general anesthesia is beneficial and efficient. The findings of this study suggest that underlying medical or mental conditions may influence the dental condition and treatment modality provided.


Keywords


dental care, disabled, general anesthesia, dental treatment, teeth extracted

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DOI: http://dx.doi.org/10.26477/idj.v34i1.175

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