Usage Of Dental General Anesthesia And Assessment Of Fear Among Special Needs And Non-Special Needs Children In Kota Bharu, Kelantan
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Date
2009-03
Authors
Dawood Al-Hidabi, Fatima
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Introduction: Dental general anesthesia (DGA) is widely used to facilitate the provision
of safe and effective treatment for patients with physical, mental and medically
compromising conditions and anxious patients who fail to respond to behavior
modification techniques. This study aims to determine types of dental treatment and
assess perceived level of fear among study subjects.0 Materials and methods: A
comparative retrospective record review study of 193 special needs and 193 non-special
needs subjects aged less than 18 years was undertaken at two tertiary centers in Kota
Bharu, Kelantan from 2001-2006 to explore the utilization of DGA. Postal Child Fear
Survey Schedule-Dental Subscale (CFSS-DS) was used to describe dental anxiety and
fear. Results: Mean age was 7.4 (4.11) years. Medical problems among special needs
children were cardiovascular, respiratory, syndromes, endocrine, bleeding, craniofacial
anomalies, neurology, multi-system disorders, autism, myopathy, metabolic and HIV.
Dental treatment provided was restorations and extractions. GIC was mostly used
followed by a combination of GIC and fissure sealants. More extractions of primary teeth
were done for special needs patients followed by restorations. More restoration of
primary teeth was done for non-special needs patients followed by extractions. Common
surgical treatment for special needs was cleft lip and palate repair. The most common
surgical dental procedures for non-special needs patients was removal of impacted teeth,
treatment of dento-alveolar abscess, and anomalies.
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Keywords
Usage Of Dental General Anesthesia And Assessment Of Fear Among Special Needs And Non-Special Needs , Children In Kota Bharu, Kelantan