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Dental Treatments under General Anesthesia on Children with Special Health Care Needs Enrolled in the Spanish Dental Care Program

María Pilar Pecci‐Lloret, Julia Guerrero‐Gironés, Belén López-González, Francisco Javier Rodríguez‐Lozano, D. Oñate-Cabrerizo, Ricardo Elías Oñate Sánchez, Miguel R. Pecci-Lloret

2021Journal of Clinical Medicine23 citationsDOIOpen Access PDF

Abstract

The purpose is to analyze the medical characteristics of children with special health care needs (CSHCN) recommended for dental treatment under general anesthesia (GA), postoperative complications, and dental treatment outcomes under the regulation of the Spanish Dental Care Program (PADI). 111 clinical records were selected. The study population was divided into three age groups. The quantitative data was specified as the mean ± SD. For the qualitative variables, the Chi-Square test was used. One-way ANOVA and Bonferroni tests were used to examine the effect of the “age group” and the number of treatment procedures. A total of 1473 treatment procedures were performed, of which 110 (7.5%) were cleanings, 898 (61%) were restorative procedures, 332 (21.7%) were extractions, 22 (1.6%) were endodontic treatments, 62 (4.2%) were pulpotomies, and 59 (4%) were stainless steel crowns. Regarding the mean number of incisor root canal treatments (RCT), age group 3 received a significantly higher mean number of incisor RCTs than age group 1 (p = 0.02). Age group 1 received a higher average of pulpotomies and stainless-steel crowns (p = 0.00) compared to groups 2 and 3. GA is a safe procedure for the dental treatment of CSHCN, with minimal postoperative complications, which should be included among dental public programs.

Topics & Concepts

MedicinePulpotomyDentistryBonferroni correctionIncisorRoot canalDental carePopulationDental traumaAnalysis of varianceRepeated measures designEndodonticsMedical recordRandomized controlled trialSurgeryMolarInternal medicineEnvironmental healthMathematicsStatisticsDental Anxiety and Anesthesia TechniquesDental Health and Care UtilizationAirway Management and Intubation Techniques