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ACTA
STOMATOLOGICA
NAISSI

 Table of Contents for
 Decembar 2024 • Volume 40 • Number 90

SPECIFICITIES OF ORAL SURGICAL REHABILITATION OF PATIENTS WITH SPECIAL NEEDS UNDER GENERAL ANESTHESIA

 

 

Milan Spasic1,
Kosta Todorović1,2,
Milica Petrović1,2, Marija Bojović1,2,
Rodoljub Jovanović3,
Ana Todorović1,2,
Milan Miljković4,
Ivan Tijanić1,5,
Miloš Zarev1,3

 

 

 
 

1CLINIC OF DENTAL MEDICINE, NIŠ, SERBIA
2UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, NIŠ, SERBIA
3UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, PHD STUDENT, NIŠ, SERBIA                                   
4UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, Research Centre for Biomedicine, NIŠ, SERBIA                                                                   
5UNIVERSITY CLINICAL CENTER NIŠ, CLINIC FOR HEMOATOLOGY, NIS, SERBIA

  
   
...Abstract


 

Introduction: People with special needs have long-term physical, mental, intellectual or sensory impairments that can hinder their full and effective participation in society. A high frequency of oral diseases is very common in this population and they visit the dentist when it is necessary to provide urgent treatment.
Aim: This study aimed to perform an analysis of the dental treatments among people with special needs provided under general anesthesia at the Clinic for Dental Medicine in Niš within three years, with special reference to their oral surgical treatment.
Materials and methods: The retrospective study involved patients with special needs who underwent a tooth restoration under general anesthesia at the Clinic for Dental Medicine in Niš within three years from December 1, 2021 to December 1, 2024. Demographic data on patients as well as the ones on their health status along with the date of dental intervention, type and reference number of dental services provided under general anesthesia were collected.
Results: During the given period, 124 patients with special needs, within the age range 29.31 ± 5.59 and both genders nearly equally represented were treated under general anesthesia. In 74.2% of them, both conservative restoration and oral surgical restoration of teeth were performed at the same time, 4.03% underwent only conservative restoration and 21.77% only oral surgical treatment. Each patient had an average of 9.04 ± 5.56 repaired teeth with rate which is significantly higher for extracted than conservatively repaired teeth (p = 0.007).
Results: Dental treatment of patients with special needs is mainly provided in health care institutions at the tertiary level, under general anesthesia and is accompanied by multiple tooth extractions.
Conclusion: The inclusion of these patients in dental monitoring systems would make it much easier to manage their dental problems and decrease the number of urgent dental treatments as well as general anesthesia rehabilitation.

 

 

 Key words: general anesthesia, developmentally disabled persons, dental care

 
 
...Authors and Reprint Information

 

Address of correspondence:
Milan Spasić DDS, PhD student
Clinic for dental medicine, Departement of oral surgery, Niš
Dr Zoran Djindjić Blvd 52, Niš,
E-mail:milan.s.spasic@gmail.com

 

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