Evidence map›Paper›PMID 40148724›Full record

ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2025

Interdisciplinary management of patients with special healthcare needs undergoing dental treatment in a tertiary care hospital setting in Germany: a retrospective study.

N Schulz-Weidner, M Hofmann, C Uebereck, N Krämer, M A Schlenz, V Becker, F Edinger, D Leicht, M F Müller, T S Zajonz

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Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

N Schulz-WeidnerDental Clinic - Department of Paediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392, Giessen, Germany.ORCID https://orcid.org/0000-0003-4562-8232
M HofmannDental Clinic - Department of Paediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392, Giessen, Germany. maria.hofmann2@dentist.med.uni-giessen.de.ORCID http://orcid.org/0009-0002-5891-5599
C UebereckDental Clinic - Department of Paediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392, Giessen, Germany.
N KrämerDental Clinic - Department of Paediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392, Giessen, Germany.ORCID https://orcid.org/0000-0002-2883-9874
M A SchlenzDepartment of Prosthodontics, Christian Albrecht University of Kiel, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.ORCID https://orcid.org/0000-0003-4747-824X
V BeckerDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.
F EdingerDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.ORCID https://orcid.org/0000-0002-7149-9705
D LeichtDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.
M F MüllerDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.
T S ZajonzDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.ORCID https://orcid.org/0000-0002-1693-8461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this retrospective study was to analyse the dental and medical parameters, including peri- and postoperative management and complications, of patients with special healthcare needs receiving dental treatment in a tertiary care hospital setting.

methodsA total of 154 patients (mean age 7.8 ± 4.1 years) who received dental treatment under general anaesthesia or analgosedation at the Department of Paediatric Dentistry of the XXX University in XXXXXXX between 2021 and 2023 were divided into the following diseases: metabolic disease, nervous system disorder, congenital heart disease, tumour disease, gastroenterological disease, genetic syndrome, pulmonology disease and coagulopathy. Caries experience (dmf-t/DMF-T), type of anaesthesia and pre- and perioperative parameters were recorded.

resultsRegardless of disease, all children showed higher caries experience in the primary dentition compared to permanent dentition (mean ± standard deviation; 6.44 ± 4.85/2.01 ± 3.87). Most of the children suffered from genetic syndrome, followed by congenital heart and metabolic disease. Dental treatment was mostly performed under general anaesthesia. 92.2% of those patients were intubated orotracheally and 66.9% received antiemetics. The complication rate was lower than 3%.

conclusionsData show that special healthcare needs patients regardless of kind of disease are highly affected by caries and require dental treatment. Most dental restorations were performed under general anaesthesia. Regardless of disease and type of anaesthesia, the complication rate was low, which underlines the high clinical relevance of adequate dental care under general anaesthesia for this vulnerable patient group.

Indexed as

Dental Care for ChildrenDental Care for Chronically IllDental Care for Persons with DisabilitiesPatient Care TeamAdolescentAnesthesia, DentalAnesthesia, GeneralChildChild, PreschoolDental CariesFemaleGermanyHumansMaleRetrospective StudiesTertiary Care CentersDental treatmentGeneral anaesthesiaInterdisciplinary studyPaediatric dentistryRetrospective studySpecial healthcare needs

Identifiers

PMID40148724
PMCPMC12165975

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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.