Need for dental treatment in individuals with disabilities under general anesthesia: A retrospective cohort study
DOI:
https://doi.org/10.33448/rsd-v13i5.45724Keywords:
Intellectual disability; Cerebral palsy; Autism spectrum disorder; Down syndrome; Oral health.Abstract
This retrospective cohort study aimed to compare the need for dental treatment performed under general anesthesia (GA) among individuals with intellectual disabilities (ID), cerebral palsy (CP), autism spectrum disorder (ASD) or Down syndrome (DS) attended at the dental service of São Juliao’s Hospital, in Mato Grosso do Sul, Brazil. Data from 790 dental records of individuals of both sexes with special health care needs (SHCNs) and 0 to 59 years of age, who underwent treatment under GA, were collected. Patients were evaluated and divided into four groups: G1 (ID [n=321]); G2 (CP [n=285]); G3 (ASD [n=131]); and G4 (DS [n=53]). Preventive, restorative, and surgical procedures were performed in a surgery center; the stage of caries disease was assessed using the Caries Assessment Spectrum and Treatment (i.e., CAST) instrument. The chi-squared test and analysis of variance were used for comparisons, with a significance level of 5%. There was a higher percentage of males (p=0.0062) and subjects between 19 and 35 years of age (p<0.0001). The groups differed significantly (p<0.05) in terms of mean age, with G3 the youngest. Regarding the CAST instrument, subjects in G1 and G2 demonstrated a significantly higher percentage of code 7 (p<0.01 [chi-squared test]). Twelve months after the first procedure performed under GA, only 16.45% returned for a second appointment. The need for dental treatment accumulated in all four groups, with the greatest number of subjects diagnosed with ID and CP (i.e., G1 and G3, respectively).
References
Aburahma, S. K., Mhanna, A., Al-Mousa, S., Al-Nusair, J., & Al Habashneh, R. (2021). Dental health status and hygiene in children with cerebral palsy: A matched case-control study. International Journal of Paediatric Dentistry.
Ahuja, R., Jyoti, B., Shewale, V., Shetty, S., Subudhi, S. K., & Kaur, M. (2016). Comparative Evaluation of Pediatric Patients with Mental Retardation undergoing Dental Treatment under General Anesthesia: A Retrospective Analysis. Journal of Contemporary Dental Practice, 17(8), 675-678.
Akpinar, H. (2019). Evaluation of general anesthesia and sedation during dental treatment in patients with special needs: A retrospective study. Journal of Dental Anesthesia and Pain Medicine, 19(4), 191-199.
AlJameel, A. H., Watt, R. G., Tsakos, G., & Daly, B. (2020). Down syndrome and oral health: mothers' perception on their children's oral health and its impact. Journal of Patient-Reported Outcomes, 4(1), 45.
Anders, P. L., & Davis, E. L. (2010). Oral health of patients with intellectual disabilities: a systematic review. Special Care in Dentistry, 30(3), 110-117.
Baginska, J., Rodakowska, E., Wilczko, M., & Kierklo, A. (2016). Caries Assessment Spectrum and Treatment (CAST) Index in the Primary Molars of 6- to 7-year-old Polish Children. Oral Health & Preventive Dentistry, 14(1), 85-92.
Batawi, H. E., & Fakhruddin, K. S. (2017). Patterns of dental caries among school children assessed using Caries Assessment Spectrum and Treatment tool. European Journal of Dentistry, 11(2), 168-173.
Bensi, C., Costacurta, M., & Docimo, R. (2020). Oral health in children with cerebral palsy: A systematic review and meta-analysis. Special Care in Dentistry, 40(5), 401-411.
Cheng, R. H., Leung, W. K., Corbet, E. F., & King, N. M. (2007). Oral health status of adults with Down syndrome in Hong Kong. Special Care in Dentistry, 27(4), 134-138.
Brasil. (2010). Estatuto da criança e do adolescente: lei nº 8.069 de 13 de julho de 1990 e legislação correlata [recurso eletrônico]. 9 ed. Brasília: Câmara dos Deputados, Edições Câmara.
Brasil Edi. (2013). Legislação sobre o idoso: Lei nº 10.741 de 1º de outubro de 2003 (Estatuto do idoso) e legislção correlata [recurso eletrônico]. 3 ed. Brasília: Câmara dos Deputados,Coordenação Edições Câmara.
Ciftci, V., & Yazicioglu, İ. (2020). A Retrospective Comparison of Dental Treatment under General Anesthesia Provided for Uncooperative Healthy Patients and Patients with Special Health Care Needs. Journal of Clinical Pediatric Dentistry, 44(3), 196-201.
Corridore, D., Zumbo, G., Corvino, I., Guaragna, M., Bossù, M., & Polimeni, A., et al. (2020). Prevalence of oral disease and treatment types proposed to children affected by Autistic Spectrum Disorder in Pediatric Dentistry: a Systematic Review. Clinical Therapeutics, 171(3), e275-e282.
Diéguez-Pérez, M., de Nova-García, M. J., Mourelle-Martínez, M. R., & Bartolomé-Villar, B. (2016). Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I. Journal of Clinical and Experimental Dentistry, 8(3), e337-e343.
De Souza, A. L., Bronkhorst, E. M., Creugers, N. H., Leal, S. C., & Frencken, J. E. (2014). The caries assessment spectrum and treatment (CAST) instrument: its reproducibility in clinical studies. International Dental Journal, 64(4), 187-194.
Escanilla-Casal, A., Aznar-Gómez, M., Viaño, J. M., López-Giménez, A., & Rivera-Baró, A. (2014). Dental treatment under general anesthesia in a group of patients with cerebral palsy and a group of healthy pediatric patients. Medicina Oral, Patología Oral y Cirugía Bucal, 19(5), e490-e494.
Estrela, C. (2018). Metodologia científica: ciência, ensino, pesquisa. Artes médicas.
Ferrazzano, G. F., Salerno, C., Bravaccio, C., Ingenito, A., Sangianantoni, G., & Cantile, T. (2020). Autism spectrum disorders and oral health status: review of the literature. European Journal of Paediatric Dentistry, 21(1), 9-12.
Ferreira, A. C. F. M., Mayer, M. P. A., Kawamoto, D., & Santos, M. T. B. R. (2019). Constipation, antiepileptic drugs, and gingivitis in children and adolescents with cerebral palsy. International Journal of Paediatric Dentistry, 29(5), 635-641.
Frencken, J. E., Hilgert, A. L. d. S., Bronkhorst, E. M., & Leal, S. C. (2015). Cast Manual: Caries Assessment Spectrum and Treatment. Nijmegen: Department of Global Oral Health.
Ismail, A. I., Sohn, W., Tellez, M., Amaya, A., Sen, A., & Hasson, H., et al. (2007). The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dentistry and Oral Epidemiology, 35(3), 170-178.
Instituto Brasileiro de Geografia e Estatística - IBGE. (2000). Censo Demográfico 2000. Disponível em
https://www.ibge.gov.br/estatisticas/sociais/administracao-publica-e-participacao-politica/9663-censo-demografico-2000.html?=&t=o-que-e. Acesso em 17 de novembro de 2022.
Instituto Brasileiro de Geografia e Estatística - IBGE. (2010). Censo Demográfico 2010. Disponível em
https://www.ibge.gov.br/estatisticas/sociais/populacao/9662-censo-demografico-2010.html?edicao=9665&t=resultados. Acesso em 17 de novembro de 2022.
Instituto Brasileiro de Geografia e Estatística - IBGE-. Disponível em
https://biblioteca.ibge.gov.br/visualizacao/periodicos/94/cd_2010_religiao_deficiencia.pdf. Acesso em 17 de novembro de 2022.
Kuo, D. Z., et al. (2022). Research Agenda for Implementation of Principles of Care for Children and Youth With Special Health Care Needs. Academic Pediatrics, 22(2), S41-S46.
Leal, S. C., Ribeiro, A. P. D., & Frencken, J. E. (2017). Caries Assessment Spectrum and Treatment (CAST): A Novel Epidemiological Instrument. Caries Research, 51(5), 500-506.
Lima, C. P. O. d. S., Couto, G. R., Barros, A. L. d. O., Gutierrez, G. M. d., & Santos, M. T. B. R. (2021). Epidemiological profile of patients with disabilities undergoing dental treatment under general anesthesia. Revista de Odontologia da UNESP, 50.
Makkar, A., Indushekar, K. R., Saraf, B. G., Sardana, D., & Sheoran, N. (2019). A cross-sectional study to evaluate the oral health status of children with intellectual disabilities in the National Capital Region of India (Delhi-NCR). Journal of Intellectual Disability Research, 63(1), 31-39.
Mallineni, S. K., & Yiu, C. K. (2016). Dental treatment under general anesthesia for special-needs patients: analysis of the literature. Journal of Investigative and Clinical Dentistry, 7(4), 325-331.
Monse, B., Heinrich-Weltzien, R., Benzian, H., Holmgren, C., & van Palenstein Helderman, W. (2010). PUFA--an index of clinical consequences of untreated dental caries. Community Dentistry and Oral Epidemiology, 38(1), 77-82.
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica.
Pesaressi, E., Villena, R. S., & Frencken, J. E. (2020). Dental caries and oral health-related quality of life of 3-year-olds living in Lima, Peru. International Journal of Paediatric Dentistry, 30(1), 57-65.
Pini, D. M., Fröhlich, P. C., & Rigo, L. (2016). Oral health evaluation in special needs individuals. Einstein (Sao Paulo), 14(4), 501-507.
Pitts, N. B. (2009). How the detection, assessment, diagnosis and monitoring of caries integrate with personalized caries management. Monographs in Oral Science, 21, 1-14.
Qiao, Y., Shi, H., Wang, H., Wang, M., & Chen, F. (2020). Oral Health Status of Chinese Children With Autism Spectrum Disorders. Frontiers in Psychiatry, 11, 398.
Reddy, E. R., Rani, S. T., Manjula, M., Kumar, L. V., Mohan, T. A., & Radhika, E. (2017). Assessment of caries status among schoolchildren according to decayed-missing-filled teeth/decayed-extract-filled teeth index, International Caries Detection and Assessment System, and Caries Assessment Spectrum and Treatment criteria. Indian Journal of Dental Research, 28(5), 487-492.
Rodrigues dos Santos, M. T., Masiero, D., Novo, N. F., & Simionato, M. R. (2003). Oral conditions in children with cerebral palsy. Journal of Dentistry for Children, 70(1), 40-46.
Rollon-Ugalde, V., Coello-Suanzes, J. A., Lopez-Jimenez, A. M., Herce-Lopez, J., Toledano-Valero, P., & Montero-Martin, J., et al. (2020). Oral health-related quality of life after dental treatment in patients with intellectual disability. Medicina Oral, Patología Oral y Cirugía Bucal, 25(5), e576-e583.
Shepherd, A. R., & Ali, H. (2015). A Care Pathway for Children Unable to Accept Dental Care Within the General Dental Services Involving the Use of Inhalation Sedation and General Anaesthesia. Primary Dental Journal, 4(2), 29-34.
Solanki, N., Kumar, A., Awasthi, N., Kundu, A., Mathur, S., & Bidhumadhav, S. (2016). Assessment of Oral Status in Pediatric Patients with Special Health Care Needs receiving Dental Rehabilitation Procedures under General Anesthesia: A Retrospective Analysis. Journal of Contemporary Dental Practice, 17(6), 476-479.
Toassi, R. F. C., & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde.
Voruganti, S., Haricharan, P. B., Mudrakola, D. P., & Turagam, N. (2020). Reliability of Caries Assessment Spectrum and Treatment Tool in the Indian Subcontinent. Journal of International Society of Preventive and Community Dentistry, 10(4), 410-414.
World Health Organization. (1997). Oral Health Surveys: Basic Methods. Geneva.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Valéria Bordallo Pacheco; Fernando Martins Baeder; Paola Fernanda Leal Corazza; Eduardo Motta; Keller De Martini ; Gabriela Traldi Zaffalon; Jose Cassio de Almeida Magalhães ; Ana Cristina Fernandes Maria Ferreira; Maria Teresa Botti Rodrigues dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
