Dental Treatment in Patients with Mental Retardation: A Retrospective Study.

Objective: Dental treatments of the patients with mental retardation are often carried out under general anesthesia as a day case due to difficulty of cooperation. In this study, we aimed to analyze retrospectively the patients with mental retardation treated in Ege University School of Dentistry, O...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 830 - 837
Autores principales: Çagiran Y, Esra, Efeoglu, Candan, Balcioglu, Taner, Koca, Hüseyin
Formato: pictorial research tables/charts Journal Article
Publicado: Turkiye Klinikleri Aug2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2011
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      pub: Turkiye Klinikleri
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        2011333698
        10.5336/medsci.2010-16906
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        atl: Dental Treatment in Patients with Mental Retardation: A Retrospective Study.
      aug:
        au:
          Çagiran Y, Esra
          Efeoglu, Candan
          Balcioglu, Taner
          Koca, Hüseyin
      sug:
        subj:
          Dental Care
          Intellectual Disability
          Academic Medical Centers
          Adolescence
          Adult
          Child
          Child, Preschool
          Descriptive Statistics
          Human
          Record Review
          Retrospective Design
          Scales
          Turkiye
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
      ab: Objective: Dental treatments of the patients with mental retardation are often carried out under general anesthesia as a day case due to difficulty of cooperation. In this study, we aimed to analyze retrospectively the patients with mental retardation treated in Ege University School of Dentistry, Oral Surgery Department , General Anesthesia Unit. Material and Methods: Three hundred and thirty patients with mental retardation who had undergone dental treatment at general anaesthesia unit of our department were included in this study. The medical records of the patients were investigated retrospectively. Demographic features, ASA status, comorbidities, dental treatments , duration of intervention, intraoperative and postoperative complications and PAPDSS ?9 time (Post-Anesthesia Patient Discharge Scoring System) were evaluated and recorded as mean ± standard deviation or in numbers. Results: Mean age of the 330 patients included in the study was 18.13 ± 16 years and female to male ratio was 156/174. Two-hundred-seventy-five (83.3%) of the patients were classified as ASA I, and 55 were classified as ASA II (16.7%). Mean duration of surgery was calculated as 99.5 ± 40.4 minutes and the time needed to become PAPDSS ?9 was 119.6 ± 23.6 minutes. Difficulty in endotracheal intubation was observed in six patients and one patient could not be intubated and a wakened. The number of tooth extractions per patient was 3.08 ± 1.9, and the number of fillings was 2.35 ± 2. Nausea and vomiting was evident in 28 (8.5%) patients on postoperative follow up. Conclusion: Dental treatments of patients with mental retardation were performed safely under general anaesthesia in an ambulatory setting with appropriate patient selection and anesthesia planning.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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