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Comprehensive Dental Treatment under General Anesthesia in Healthy and Disabled Children

Author(s): Pei-Ying Lee | Ming-Yen Chou | Yi-Ling Chen | Li-Ping Chen | Ching-Jung Wang | Wen-Hsi Huang

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 32;
Issue: 06;
Start page: 636;
Date: 2009;
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Keywords: dental care | disabled | general anesthesia | dental treatment | teeth extracted

Background: Differences in dental treatment under general anesthesia (GA) in healthy anddisabled children are rarely reported. This retrospective study evaluated thecharacteristics and treatment modalities performed under general anesthesiain pediatric dental patients at Taipei Chang Gung Memorial Hospitalbetween 2004 and 2005, and compared the different treatment patterns performedin healthy children and children with special health care needs.Methods: The data were reviewed in pediatric patients from 1 to 18 years old whounderwent dental treatment performed under general anesthesia from January2004 to December 2005. Patients with special health care needs who had atleast one type of mental or physical disability were assigned to the disabledgroup (Group D) and the other healthy patients were assigned to the healthygroup (Group H). The treatment modalities of operative restoration, crowns,pulp therapy, sealant and extracted teeth were compared in the two groups.Results: A total of 185 patients were assigned to group H and 112 to group D. Thepatients in group D were significantly older than those in group H. Therewere no significant differences in the mean number of teeth treated betweenthe two groups. However, there was a significantly greater mean total numberof teeth extracted in group D patients (p < 0.001). In addition, there weremore stainless steel crown reconstructions (p < 0.05) and pulp therapies (p
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