General anesthesia for oral and dental care in paediatric patients with special needs: a systematic review

• Ana López-Velasco ^[1] ; Miguel Puche-Torres ^[2] ; Francisco J. Carrera-Hueso ^[3] ; Francisco-Javier Silvestre ^[4]
  1. [1] Service of Stomatology, Centro de Especialidades El Grao, Departamento Hospital clínico/Malvarrosa, Valencia; Pediatric dentistry Associate Professor Universidad European de Valencia
  2. [2] Department of Maxillofacial Surgery, Hospital Clínico Universitario de Valencia, INCLIVA. Associate Professor, Surgery Department, Facultad de Medicina y Odontología Universidad de Valencia
  3. [3] PharmD. PhD. Pharmacy Service. Hospital Universitario La Plana, Villa-real (Castellón) Spain. Attached Pharmacist University La Plana Hospital of Castellón, Spain
  4. [4] Unit. Hospital Universitario Dr. Peset de Valencia y Departamento de Estomatología Universidad from Valencia

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 13, Nº. 3 (March), 2021, págs. 303-312
• Idioma: inglés
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• Resumen

  • The objective of this study is to conduct a systematic review of the literature on the characteristics, needs and current situation of dental care for pediatric patients with special needs.

    An exhaustive search for literature published until June 1, 2020. It was carried out using PubMed, Web of Science, Scopus, Cochrane and EBSCO, with the following keywords: Oral Surgical Procedures and Dentistry, Operational and Anesthesia, General Y (Spanish[lang] or English[lang] ) Y (infant[MeSH] Or child[MeSH] Or adolescent[MeSH]). The research was carried out following the PRISMA research methodology.

    The most common indication for general anesthesia (GA) was tooth decay in 16 studies (6.5-90.8% of patients), followed by lack of cooperation and/or fear of dental professionals performing dental procedures in 8 studies. There is a higher prevalence of treatment in the group of patients with special needs, reaching 87.7% compared to 69.9% in healthy patients.

    In paediatric patients with special needs the use of GA is increasing, monitoring and preventive care are insufficient and withdrawal rates are high.