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Dental treatment under general anesthesia for patients with severe disabilities

Journal of Dental Anesthesia and Pain Medicine 2021³â 21±Ç 2È£ p.87 ~ 98
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ÃÖÁ¤ÀÓ ( Choi Jung-Lim ) - Dankook University College of Dentistry Department of Advanced General Dentistry
µµ·¹¹Ì ( Doh Re-Mee ) - Dankook University College of Dentistry Department of Advanced General Dentistry

Abstract


Patients with disabilities have difficulties tolerating in-office dental treatment due to limitations relating to cooperation and/or physical problems. Therefore, they often require general anesthesia or sedation to facilitate safe treatment. When deciding on dental treatment under general anesthesia, the plan should be carefully determined because compared to general patients, patients with disabilities are more likely to experience anesthetic complications because of their underlying medical conditions and potential drug interactions. Clinicians prefer simpler and more aggressive dental treatment procedures, such as extraction, since patients with impairment have difficulty maintaining oral hygiene, resulting in a high incidence of recurrent caries or restorative failures. This study aimed to review the available literature and discuss what dentists and anesthesiologists should consider when providing dental treatment to patients with severe disability under general anesthesia.

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Dental Care for Disabled; General Anesthesia

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