The Structure of a Group of Adult Disabled Patients Treated Dentally Under General Anesthesia

Barbara Hendzel

Journal & Issue Details

Polish Journal of Public Health

Journal Details

Format: Journal
eISSN: 2083-4829
First Published: 23 Apr 2014
Publication timeframe: 1 time per year
Languages: English

Introduction. Adult disabled people, including mentally handicapped ones, constitute a very serious medical problem in both general and specialist medical care, including dentistry. Dental treatment under general anesthesia is the most recommended for this group of patients.

Aim. The aim of this study was to analyze the structure of a group of adult disabled patients treated dentally under general anesthesia.

Material and methods. The study was conducted among 147 disabled people, 61 females and 86 males aged 18-56 (the average age − 26.69) from the Lubelskie Voivodeship, qualified for dental treatment under general anesthesia. The survey was basedon interviews with the family members or social workers. The questionnaire included the information concerning general diseases, age, gender, place of residence and the kind of care (family or social welfare institutions). Special attention was paid to the previous dental treatment performed in outpatient clinics or under general anesthesia.

Results. The study involved a group of 147 people, including 58.50% males and 41.50% females. The average age of the patients was 26.69 ± 6.41 years (ranged from18 to 56). The patients from a big city accounted for 40.14%, 23.13% of the subjects came from a small town, and 36.73% of the people came from the village. The largest group of patients included people with mental disabilities − 54.43%. Most people (87.76%) lived with their family, while 12.24% were the residents of social welfare institutions. The analysis of the data reveals that for 89.80% of patients, it was their first dental treatment under general anesthesia, and for 10.20%, a subsequent one. Studies have shown that early treatment in outpatient clinics wasperformed in only 27.21% of treated people, while 72.79% have never been treated in a dental surgery.

Conclusions. Mentally handicapped people were the largest group of patients treated dentally under general anesthesia. Patients living in the urban areas and under the care of families were more often treated dentally under general anesthesia. Because of the lack of cooperation between disabled patients and the dentist, the complete dental treatment under general anesthesia is the most effective therapy. Adult disabled patients require special dental care.

Keywords

The adult disabled patients
dental treatment
general anesthesia

References

1. Borysewicz-Lewicka M, Gerrreth K. Opieka stomatologiczna nad pacjentem niepełnosprawnym intelektualnie – potrzeby i ograniczenia. Czas Stomatol. 2009;62(1):34-41.Search in Google Scholar

2. All Agili DE, Roseman J, Pass MA, et al. Access to dental care in Alabama for children with special needs. Parents' perspective. J Am Dent Assoc. 2004;135(4):490-5.Search in Google Scholar

3. Miller CE. Access to care for people with special needs: role of alternative providers and practice settings. J Calif Dent Assoc. 2005;33(9):715-21.Search in Google Scholar

4. Manowska B, Diechtiarow D, Arkuszewski P. Analiza problemów występujących w opiece stomatologicznej dorosłych pacjentów niepełnosprawnych umysłowo. Czas Stomatol. 2008;61(6):420-7.Search in Google Scholar

5. Borysewicz-Lewicka M, Wochna-SobańskaM, Mielnik-Błaszczak M, et al. Ocena stomatologicznych zachowań prozdrowotnych dzieci i młodzieży niepełnosprawnej z wybranych województw Polski-badania socjomedyczne. Czas Stomatol. 2010;63(1):18-26.Search in Google Scholar

6. Gerreth K, Borysewicz-Lewicka M. Ocena profilaktycznej opieki stom-atologicznej u uczniów szkół specjalnych w badaniu klinicznym i soc-jomedycznym. Czas Stomatol. 2008;61(10):691-703.Search in Google Scholar

7. Rao D, Amitha H, Munshi AK. Oral hygiene status of disabled children and adolescents attending special scools of South Canara, India. Hong Kong Dental J. 2005;2:107-13.Search in Google Scholar

8. Reid BC, Chenette R, Macek MD. Prevalence and predictors of untreated caries and oral pain among Special Olympic athletes. Spec Care Dentist. 2003;23:139-42.10.1111/j.1754-4505.2003.tb00300.xSearch in Google Scholar

9. Cortinas-Saenz M, Martinez-Gomez L, Roncerno-Going M, et al. Results of major ambulatory oral surgery program using general inhalational anesthesia on disabled patients. Med Oral Patol Oral Cir Bucal. 2009;14(11):605-11.10.4317/medoral.14.e605Search in Google Scholar

10. Michałowski A. Ocena potrzeb leczniczych u dzieci i młodzieży z Makroregionu Lubelskiego poddanych leczeniu stomatologicznemu w znieczuleniu ogólnym. Praca doktorska. Lublin: Akademia Medyczna w Lublinie; 2004.Search in Google Scholar

11. O Donnell D, Sheiham A, Wai YK. Dental findings in 4-, 14-, and 25-to 35-year-old Hong Kong residents with mental and physical disabilities. Spec Care Dentist. 2002;22(6):231-4.10.1111/j.1754-4505.2002.tb00277.xSearch in Google Scholar

12. Wąsek A, Wiśniwska J, Koziarz A, et al. Problemy stomatologiczne dzieci i młodzieży z niedorozwojem umysłowym w materiale własnym. Mag Stomatol. 2002;12:46-8.Search in Google Scholar

13. Dobroczyńska-Krefta B. Ocena stanu jamy ustnej osób dorosłych niepełnosprawnych intelektualnie i wpływ sprawowanej opieki na potrzeby stomatologiczne tej grupy chorych. Praca doktorska. Lublin: Uniwersytet Medyczny w Lublinie; 2010.Search in Google Scholar

14. Pezzementi ML, Fisher MA. Oral health status of people with intellectual disabilities in the southeastern Unitet States. Jada. 2005;136:903-12.Search in Google Scholar

15. Seirawan H, Schneiderman J, Greene V, Mulligan R. Intedisciplinary approach to oral health for persons with developmental disabilities. Spec Care Dentist. 2008;28(2):43-52.10.1111/j.1754-4505.2008.00010.xSearch in Google Scholar

16. Vazquez CR, Garcilan MR, Riaboo R, Bratos E. Prevalence of dental caries in an adult population with mental disabilities in Spain. Spec Care Dentist. 2002;22(2):65-9.10.1111/j.1754-4505.2002.tb01164.xSearch in Google Scholar

17. Gerreth K, Cieślińska K. Zabiegi stomatologiczne w znieczuleniu ogólnym u dzieci niepełnosprawnych. Fam Med Prim Care Rev. 2005;7(1):63-7.Search in Google Scholar

18. Chałas R, Tarczydło B, Orłowski M, et al. Dental services done in general anesthesia among handicapped persons being patients of Department of Conservative Dentistry in Lublin. Pol J Environ Stud. 2006;15(6B):510-1.Search in Google Scholar

19. Messieha Z, Chelva RA, Hoffman I, Hoffman W. Five year ouycomes study of dental rehabilitation conducted under general anesthesia for special needs patients. Anesth Prog. 2007;54:170-4.10.2344/0003-3006(2007)54[170:FYOSOD]2.0.CO;2Search in Google Scholar

20. Adamczyk Ł, Olczak-Kowalczyk D. Leczenie stomatologiczne w znieczuleniu ogólnym dzieci przewlekle chorych. Dent Med Probl. 2010;47(1):61-8.Search in Google Scholar

21. Al.-Eheideb AA, Herman NG. Outcomes of dental procedures perfomed on children under general anesthesia. J Clin Pediatr Dent. 2003;27:181-3.10.17796/jcpd.27.2.k3307186n7086r11Search in Google Scholar

22. Lee PY. Chou MT, Chen YL, et al. Comprehensive dental treatment under general anesthesia in healthy and disabled children. Chang Gung Med J. 2009;32(6):636-41.Search in Google Scholar

23. Michałowski A, Mielnik-Błaszczak M. Trzyletnia analiza zabiegów stomatologicznych w znieczuleniu ogólnym w makroregionie lubel-skim. Stomatol Współcz. 2005;(Suppl. 2):33-6.Search in Google Scholar

24. O'Leary I, Kinirons M, Strwart C, et al. Levels of oral disease in a sample of children with disability;a study carried out prior to comprehensive dental treatment under general anaesthesia. Eur Arch Paediatr Dent. 2007;8(3):150-2.10.1007/BF03262585Search in Google Scholar

25. Michałowski A, Mielnik-Błaszczak M, Skawińska A, Teleon-Przekora E. Zabiegi stomatologiczne w znieczuleniu ogólnym w materiale Kat-edry i Zakładu Stomatologii Wieku Rozwojowego Uniwersytetu Me-dycznego w Lublinie – obserwacja roczna. Mag Stomatol. 2009;9:70-2.Search in Google Scholar

26. Nowak T, Janas A, Bialkowska-Głowacka J, Grzesiak-Janas G. Lec-zenie chirurgiczne pacjentów z niedorozwojem umysłowym oraz ze wskazań psychicznych i neurologicznych w znieczuleniu ogólnym krótkotrwałym. Poradnik Stomatol. 2009;1:15-7.Search in Google Scholar

27. Tsai CL, Tsai YL, Lin YT. A retrospective study of dental treatment under general anesthesia of children with or without a chronic ilness and/or a disability. Chang Gung Med J. 2006;29(4):412-8.Search in Google Scholar