Česká Stomatologie a Praktické Zubní Lékařství (Mar 2010)
Dental Condition in Children with Health Damage and Uncooperative Children after Treatment under General Anaesthesia
Abstract
Introduction: The study evaluates the results gained from medical records documentation of Pediatric patients, who have undergone treatment under general anesthesia at the Pediatric Dentistry Department in the years 2006-2008. Aim: The retrospective study analyzes the oral health status of the patients. Particularly evaluates the extent of the treatment. The aim of this article is to show the difference of the length of hospitalization between the groups of patients with different basic diagnosis. The study contemplates the distribution of groups according to sex and age. Materials and methods: A sample of 831 children (489 males and 342 females) was evaluated. The statistically significant difference in oral health between boys and girls has been observed. The observational study has been conducted in the retrospective way from the documentation which was accessible due to signature of informed consent. The patients were divided into 14 groups according to their basic diagnosis. Results: The total of 7794 teeth was intervened. Caries prevalence DMFT/dmft was examined at the age of 5, 12, and 15, the important groups according to the WHO classification. The influence of the handicap has been explored on the length of hospital admission rate. The average number of extractions and fillings for every group of patients at the same age was evaluated. Conclusions: The use of general anesthesia in pediatric dentistry ward has a wide impact and especially for handicapped patients and patients who are not liable for treatment due to non-compliance. The successful treatment depends on the cooperation between the child patient, parents and dentist. The general anaesthesia enables effective, short and safe treatment of the patient, but also doubtless be surgical intervention severely burdening the organism of the child. It is .indicated for the patients with multiple caries and for the patients whose basic diagnosis does not enable the treatment in local anaesthesia.
