In: Dental treatment18 Mar 2010
Providing required dental treatment to adults with uncooperative behavior because of varying degrees of developmental delay continues to be a challenge for the dental profession. Dental care provided under general anesthesia continues to be an important means by which their behavior can be predictably managed. Studies have shown that approximately 5% of persons with disabilities will require dental care under general anesthesia to manage their behavior appropriately so that optimal dental care can be provided. However, the majority of studies have focused on the delivery of dental care under general anesthesia to children with disabilities and have determined this to be a safe method for delivery of the care. In contrast, there are very few studies regarding the use of general anesthesia to deliver dental care to adults with disabilities.
The use of general anesthesia to manage uncooperative behavior or severe anxiety in dental patients has been determined to be a safe practice, with a very low rate of morbidity and mortality, whether performed in an office or in a hospital setting. However, most data have been based on studies conducted on the pediatric population. canadian pharmacy generic viagra
Our institution has a program for providing dental care under general anesthesia to mentally challenged adults. The management of these patients poses a special challenge for the entire operating room team. Because of the high incidence of poor cooperation as well as aggressive behavior, these patients often arrive in the operating room for dental treatment under general anesthesia with an incomplete medical assessment. Once in the operating room, they may continue to be uncooperative or even combative. The purpose of this study was to determine what impact these behavioral limitations may have on the delivery of dental care under general anesthesia to this special group of patients.
Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.