Caries Experience of Patients with Special Needs without the Treatment Under General Anaesthesia in Comparison with Other International Studies
Abstract
Purpose: The study evaluates the results obtained from the health care records of patients with special needs, who have undergone treatment under general anaesthesia at the Paediatric dentistry department in Prague. Dmft (decayed - missing - filled- teeth) was used for comparison.
Materials and Methods: A sample of 1836 children (1123 boys and 713 girls) from our dental department was evaluated. The sample was divided into two groups - special patient and disabled patient populations.
A group of 5 years old children was chosen based on the WHO guidelines for assessing the oral health status. A questionnaire was prepared to compare the oral health habits in the families of the patients.
A literary review was conducted to compare the results with other studies from different countries. Results: The DMFT of the patients was counted (disabled DMFT 11. 05 - SD 4. 82, special patient population 8. 8- SD 3. 7) and the descriptive statistics mean standard deviation was calculated.
It was used for the analysis of dispersion. The significant difference between the DMFT of disabled patient and special patient population was exerted /p<0.00003/.
The results were compared with the literary review. It was statistically evaluated that the data gained from the studies and from the WHO as population average for 5 years old children are situated under the minimum limit of the confidence interval for our study. 247 questionnaires were collected.
Interesting result was that patients from group one in 63% did not visit their dentist before 3 years of age. Conclusions: This study proves that the standards for oral health care for special needs patients treated at Motol Hospital in Prague below normal standards.