Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.01221
Revista de Odontologia da UNESP
Original Article

Epidemiological profile of patients with disabilities undergoing dental treatment under general anesthesia

Perfil epidemiológico de pacientes com deficiência submetidos a tratamento odontológico sob anestesia geral

Cyntia Paula Oliveira de Souza LIMA; Graziane Ribeiro COUTO; Alina Lúcia de Oliveira BARROS; Gabriela Mancia de GUTIERREZ; Maria Teresa Botti Rodrigues SANTOS

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Abstract

Abstract: Introduction: General anesthesia is commonly used in the dental treatment of people with disabilities, anxious or difficult behavior, who need complex and/or extensive treatments.

Objective: The aim of this study was to evaluate the epidemiological profile of patients with disabilities undergoing dental treatment under general anesthesia by the team of the Dental Unit for Patients with Special Needs of the Federal University of Sergipe.

Material and method: Through the analysis of 371 dental records of patients assisted between August 2002 and March 2019.

Result: The analysis showed that 56.1% of patients were male, the most prevalent age group was 11-20 years, and the most frequent medical conditions were intellectual disability, followed by multiple disabilities. Relative to dental procedures, in 94.1% of the patients, it was observed that 4,056 dental extractions were performed and in 52.3% of patients, 1,156 restorations were performed. In 30.2% of patients, total multiple extractions were performed. Radiographic examination was performed in 51.8% of patients. As regards the origin of patients, 58.8% were from municipalities in the state, other than the capital. Return to the service for follow-up and prevention was observed in 38.5% of patients.

Conclusion: There is great need for early dental intervention, with specific preventive actions for this group of patients, focusing on those from interior regions of the state.

Keywords

Anesthesia general, disabled persons, dental care for disabled, oral surgery

Resumo

Resumo: Introdução: A anestesia geral é comumente utilizada no tratamento odontológico de pessoas com deficiência, ansiosos ou com difícil comportamento, que necessitem de tratamentos complexos e/ou extensos.

Objetivo: Avaliar o perfil epidemiológico da pessoa com deficiência submetida a tratamento odontológico sob anestesia geral pela equipe da Unidade de Odontologia para Pacientes com Necessidades Especiais da Universidade Federal de Sergipe.

Material e método: Através da análise de 371 prontuários de pacientes assistidos entre agosto de 2002 e março de 2019.

Resultado: Observou-se que 56,1% dos pacientes eram do sexo masculino, que a faixa etária mais prevalente foi de 11-20 anos de idade e que as condições médicas mais frequentes foram a deficiência intelectual, seguida pelas múltiplas deficiências. Quanto aos procedimentos odontológicos, observou-se que em 94,1% dos pacientes foram realizadas 4.056 extrações dentárias e em 52,3% dos pacientes 1.156 restaurações. Em 30,2% dos pacientes foram realizadas extrações múltiplas totais. O exame radiográfico foi realizado em 51,8% dos pacientes. Em relação a procedência dos pacientes, 58,8% eram provenientes de outros municípios do estado, distinto da capital. Os retornos ao serviço para acompanhamento e prevenção foi observado em 38,5% dos pacientes.

Conclusão: Há uma grande necessidade de intervenção precoce da odontologia, com ações preventivas específicas para esse grupo de pacientes, com enfoque no interior do estado de Sergipe.
 

Palavras-chave

Anestesia geral, pessoas com deficiência, assistência odontológica para pessoas com deficiências, cirurgia bucal

References

1 Brasil. Ministério da Saúde. Saúde Bucal. Caderno de Atenção Básica, 17 [Internet]. Ministério da Saúde. Brasília; 2008 [citado 2020 Jul 5]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/saude_bucal.pdf

2 Brasil. Secretaria dos Direitos Humanos da Presidência da República. Cartilha do Censo 2010 – Pessoas com deficiência [Internet]. SDH-PR/SNPD. Brasília; 2012 [citado 2020 Aug 10]. Disponível em: http://www.unievangelica.edu.br/novo/img/nucleo/cartilha-censo-2010-pessoas-com-deficienciareduzido.pdf

3 Rocha LL, Santrain MVL, Vieira-Meyer APGF. Access to dental public services by disabled persons. BMC Oral Health. 2015 Mar;15(1):35. http://dx.doi.org/10.1186/s12903-015-0022-x. PMid:25887657.

4 Spangler CC. Making treatment of special needs patients an important part of your growing dental practice. Dent Clin North Am. 2016 Jul;60(3):649-62. http://dx.doi.org/10.1016/j.cden.2016.02.009. PMid:27264856.

5 Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 2010 May-Jun;30(3):110-7. http://dx.doi.org/10.1111/j.1754-4505.2010.00136.x. PMid:20500706.

6 Oliveira AC, Paiva SM, Martins MT, Torres CS, Pordeus IA. Prevalence and determinant factors of malocclusion in children with special needs. Eur J Orthod. 2011 Aug;33(4):413-8. http://dx.doi.org/10.1093/ejo/cjq094. PMid:20956386.

7 Zhou N, Wong HM, Wen YF, Mcgrath C. Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta‐analysis. Dev Med Child Neurol. 2017 Oct;59(10):1019-26. http://dx.doi.org/10.1111/dmcn.13486. PMid:28627071.

8 Ortega AOL, Guimarães AS, Ciamponi AL, Marie SKN. Frequency of parafunctional oral habits in patients with cerebral palsy. J Oral Rehabil. 2007 May;34(5):323-8. http://dx.doi.org/10.1111/j.1365-2842.2006.01703.x. PMid:17441872.

9 Santos MTBR, Ferreira MCD, Guaré RO, Diniz MB, Rösing CK, Rodrigues JA, et al. Gingivitis and salivary osmolality in children with cerebral palsy. Int J Paediatr Dent. 2016 Nov;26(6):463-70. http://dx.doi.org/10.1111/ipd.12220. PMid:26726753.

10 Yogi H, Alves LAC, Guedes R, Ciamponi AL. Determinant factors of malocclusion in children and adolescents with cerebral palsy. Am J Orthod Dentofacial Orthop. 2018 Sep;154(3):405-11. http://dx.doi.org/10.1016/j.ajodo.2017.11.042. PMid:30173844.

11 Williams JJ, Spangler CC, Yusaf NK. Barriers to dental care access for patients with special needs in an affluent metropolitan community. Spec Care Dentist. 2015 Jul-Aug;35(4):190-6. http://dx.doi.org/10.1111/scd.12110. PMid:25891784.

12 Gutierrez GM, Diniz MB, Lima BFA, Santos KK, Santos MT. Barriers to access to dental treatment for people with physical disabilities in a Brazilian metropolis. Pesqui Bras Odontopediatria Clin Integr. 2018 Sep;18(1):e3946. http://dx.doi.org/10.4034/PBOCI.2018.181.95.

13 American Dental Association – ADA. Guidelines for the use of sedation and general anesthesia by dentists [Internet]. Chicago: American Dental Association; 2016 [cited 2020 Jun 17]. Available from: https://www.ada.org/en/~/media/ADA/Education%20and%20Careers/Files/ADA_Sedation_Use_Guidelines

14 Lim MAWT, Borromeo GL. The use of general anesthesia to facilitate dental treatment in adult patients with special needs. J Dent Anesth Pain Med. 2017 Jun;17(2):91-103. http://dx.doi.org/10.17245/jdapm.2017.17.2.91. PMid:28879336.

15 World Health Organization – WHO, ICD-10 International Statistical Classification of Diseases and Related Health Problems. 10th Revision [Internet]. Geneve: WHO; 2019 [cited 2020 Aug 20]. Available from: https://icd.who.int/browse10/2019/en

16 Dougherty N. The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist. 2009 Jan-Feb;29(1):17-20. http://dx.doi.org/10.1111/j.1754-4505.2008.00057.x. PMid:19152563.

17 Shin B, Yoo S, Kim J, Kim S, Kim J. A survey of dental treatment under general anesthesia in a Korean university hospital pediatric dental clinic. J Dent Anesth Pain Med. 2016 Sep;16(3):203-8. http://dx.doi.org/10.17245/jdapm.2016.16.3.203. PMid:28884154.

18 Santos JS, Valle DA, Palmier AC, Amaral JHL, Abreu MHNG. Utilização dos serviços de atendimento odontológico hospitalar sob sedação e/ou anestesia geral por pessoas com necessidades especiais no SUS-MG, Brasil. Cien Saude Colet. 2015 Fev;20(2):515-24. http://dx.doi.org/10.1590/1413-81232015202.06732014. PMid:25715145.

19 Castro AM, Marchesoti MGN, Oliveira FS, Novaes MSP. Avaliação do tratamento odontológico de pacientes com necessidades especiais sob anestesia geral. Rev Odontol UNESP. 2010 Maio-Jun;39(3):137-42.

20 Özkan AS, Erdoğan MA, Şanlı M, Kaçmaz O, Durmuş M, Çolak C. Retrospective evaluation of dental treatment under general anaesthesia. Turk J Anaesthesiol Reanim. 2015 Oct;43(5):332-6. http://dx.doi.org/10.5152/TJAR.2015.82542. PMid:27366523.

21 Ohtawa Y, Tsujino K, Kubo S, Ikeda M. Dental treatment for patients with physical or mental disability under general anesthesia at Tokyo Dental College Suidobashi Hospital. Bull Tokyo Dent Coll. 2012;53(4):181-7. http://dx.doi.org/10.2209/tdcpublication.53.181. PMid:23318923.

22 Lee P-Y, Chou M-Y, Chen Y-L, Chen L-P, Wang C-J, Huang W-H. Comprehensive dental treatment under general anesthesia in healthy and disabled children. Chang Gung Med J. 2009 Nov;32(6):636-42. PMid:20035643.

23 Dall Magro AK, Dall Magro E, Kuhn GF. Perfil clínico dos pacientes especiais tratados sob anestesia geral no Hospital São Vicente de Paulo de Passo Fundo entre os anos de 2005 e 2010. RFO. 2010 Set-Dez;15(3):251-4.

24 Salles PS, Tannure PN, Oliveira CAGR, Souza IPR, Portela MB, Castro GFBA. Dental needs and management of children with special health care needs according to type of disability. J Dent Child. 2012 Sep-Dec;79(3):165-9. PMid:23433620.

25 Mallineni SK, Yiu CKY. A retrospective review of outcomes of dental treatment performed for special needs patients under general anaesthesia: 2-year follow-up. ScientificWorldJournal. 2014;2014:748353. http://dx.doi.org/10.1155/2014/748353. PMid:25610913.

26 Sari ME, Ozmen B, Koyuturk AE, Tokay U. A retrospective comparison of dental treatment under general anesthesia on children with and without mental disabilities. Niger J Clin Pract. 2014 May-Jun;17(3):361-5. http://dx.doi.org/10.4103/1119-3077.130243. PMid:24714018.
 


Submitted date:
03/06/2021

Accepted date:
09/17/2021

617835f7a9539571cc4c4e03 rou Articles
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