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Clinical Oral Investigations
Published in: Clinical Oral Investigations 4/2017

01-05-2017 | Original Article

Preventive and invasive treatment in special needs patients: a German retrospective study

Authors: Katrin Rothmaier, Katharina Bücher, Isabel Metz, Vinay Pitchika, Reinhard Hickel, Roswitha Heinrich-Weltzien, Jan Kühnisch

Published in: Clinical Oral Investigations | Issue 4/2017

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Abstract

Objectives

Data on dental treatment of children with special healthcare needs (CSHCN) are sparse. Hence, this study provides information about the changes in the dental condition in a cohort of CSHCN treated in a university dental department in Germany.

Material and methods

Patient records of CSHCN treated from January 2004 to December 2012 were screened retrospectively for medical diagnoses (ICD-10) and the type of treatment performed with outpatient dental care (ODC) or general anesthesia (GA). Follow-up data of patients adhering to the recommended recall were recorded, including time and further treatments.

Results

A total of 795 CSHCN with a mean age of 6.8 years were included. In 41.6 % (331/795) of cases, treatment was performed under ODC, and 58.4 % (464/795) received GA. Caries experience in CSHCN treated under GA was significantly higher (7.9 d3/4mft/0.9 D3/4MFT) than in ODC (2.5 d3/4mft /0.9 D3/4MFT). Over time, patient flow shifted from invasive (IC) to preventive-based care (PC).

Conclusion

Caries-related treatments were most frequent under GA and ODC, though initial caries experience was higher in GA patients. The choice of GA or ODC was statistically independent from the medical condition.

Clinical significance

This study provides characteristics of a large population of CSHCN treated with and without GA for dental care.
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Metadata
Title
Preventive and invasive treatment in special needs patients: a German retrospective study
Authors
Katrin Rothmaier
Katharina Bücher
Isabel Metz
Vinay Pitchika
Reinhard Hickel
Roswitha Heinrich-Weltzien
Jan Kühnisch
Publication date
01-05-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 4/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1900-6

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