Evidence map›Paper›PMID 30830265›Full record

ArticleClinical oral investigations2019

Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years.

Dagmar Schnabl, Annachiara Guarda, Maria Guarda, Lia Marie Irmtraut von Spreckelsen, Marina Riedmann, Rene Steiner, Herbert Dumfahrt

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. The use of general anaesthesia in special care dentistry: A clinical guideline from the British Society for Disability and Oral Health.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2022
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  14. Dental treatment under general anesthesia for patients with severe disabilities.Journal of dental anesthesia and pain medicine · 2021
    Review
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  19. Dental extractions do not predict further use of dental general anesthesia in people with disabilities: A longitudinal analysis.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Dagmar SchnablUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria. dagmar.schnabl@tirol-kliniken.at.
Annachiara GuardaUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Maria GuardaUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Lia Marie Irmtraut von SpreckelsenUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Marina RiedmannDepartment of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Rene SteinerUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Herbert DumfahrtUniversity Hospital of Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, 6020, Innsbruck, Austria.
Universität Innsbruck · ATInnsbruck Medical University · AT

Funding

Medical University of Innsbruck (None; consumable supplies)
6 · The paper itself

Abstract

objectivesSpecial needs patients are prone to insufficient oral care and subsequent caries or periodontitis. The aim of this retrospective study was the assessment of demand for restorative therapy and tooth extractions under general anesthesia in adults with intellectual and/or physical disablement (IPD) or psychiatric disorders (PDs) with inherent dentist phobia at the University Hospital of Innsbruck with regard to demographic factors. MATERIALS AND

methodsA total of 444 consecutive cases of scheduled dental general anesthesia (DGA) in adults from 2003 to 2014 were included. From patient files, demographic data, the presence of either IPD or a PD, attested by a mandatory certificate, and restorative therapy and tooth extractions performed under DGA were obtained. Data analysis was carried out by means of descriptive and comparative statistics.

resultsFour hundred two cases (mean age 37.5 ± 13.87 years) assigned to 283 individuals with IPD and 42 cases (mean age 36.09 ± 13.03 years) assigned to 39 individuals with PDs arose in the observed period. Patients with PDs required significantly more restorations (in 7.98 ± 5.4 versus 5.34 ± 4.41 teeth; p = 0.002; Mann-Whitney U test) and extractions (of 4.86 ± 4.51 versus 2.6 ± 3.96 teeth; p < 0.001; Mann-Whitney U test) than patients with IPD.

conclusionsDemand for dental treatment was high in the collective of special needs patients. Oral health status was worse in patients with PDs than in patients suffering IPD. CLINICAL RELEVANCE: While in patients with severe disablement, DGA presents the only treatment option, specific preventive programs should be implemented for patients with minor disablement or dentist phobia. In these patients, alternative approaches should be promoted.

Indexed as

Anesthesia, DentalAnesthesia, GeneralDental CarePersons with DisabilitiesAdultAustriaDental CariesFemaleHospitals, UniversityHumansMaleMiddle AgedRetrospective StudiesTooth ExtractionYoung AdultDental general anesthesiaDentist phobiaIntellectual disablementPhysical disablementPsychiatric disordersSpecial needs

Identifiers

PMID30830265
OpenAlexW2919758543

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.