Dental Treatment and Oral Rehabilitation for Adult Individuals With Intellectual Disability in General Anaesthesia

A Pattern of Dental Treatment and Oral Rehabilitation for Adult Individuals With Intellectual Disability in General Anaesthesia

Sponsors

Lead Sponsor: University of Novi Sad

Source University of Novi Sad
Brief Summary

This study evaluates the types of dental procedures performed in general anaesthesia for adult persons with intellectual disability, as well as factors affecting the decision to perform the dental treatment in general anaesthesia, factors contributing to tooth loss and possibilities to perform oral rehabilitation procedures

Detailed Description

Oral diseases are not life threatening and dental procedures usually do not pose significant risk to a patient. In situation where a patient does not tolerate dental treatment, and consequently general anaethesia (GA) is used, an intellectually disabled (ID) patient with a condition that is routinely managed in the general population is exposed to significantly higher medical risk. Quality of oral health care delivery for adults with ID is considered inadequate and in need of constant improvement. Therefore, the present study aims to analyse the type of dental treatment performed in GA and factors affecting the treatment. By its design this is an observational, epidemiological, retrospective study. A representative sample of the target population is realised by the assessment of approximately n=250 ID adults treated at the Dental Clinic of Vojvodina. A number of parameters such as severity of ID, the presence of concomitant conditions, living arrangements, medical diagnoses, physical status according to the American Society of Anesthesiologists' classification (ASA score), history of previous surgical/GA treatments and injuries/trauma, frequency of dental visits, procedures that were conducted in GA and during routine dental treatment (RDT), dental status including DMFT (decay, missed, filled teeth index) and total number of extracted teeth and data about oral rehabilitation.The use of GA emphasizes the inequalities in persons with ID, since it is always more radical compared to RDT. It is a frequent occurrence that with the use of GA only prevention of complications and pain relief are accomplished, resulting in a multiple teeth extractions. This approach inevitably leads to further dysfunctions in cranio-facial system, affecting all aspects of everyday life in persons with ID.

Overall Status Recruiting
Start Date January 20, 2019
Completion Date June 20, 2019
Primary Completion Date April 20, 2019
Study Type Observational
Primary Outcome
Measure Time Frame
Tooth loss analysis calculated as T fraction in DMFT teeth after the procedure 3 months
Oral rehabilitation analysis calculated as care index (CI), defined as the number of restored teeth as a fraction of the total number of decayed (D), missing (M) and filled (F) teeth (CI= F/DMF × 100). 6months
Enrollment 274
Condition
Intervention

Intervention Type: Other

Intervention Name: Types of the dental procedures in general anaesthesia

Description: Analysis of the mean number of preventive, prophylactic, therapeutic and rehabilitation procedures

Eligibility

Sampling Method: Non-Probability Sample

Criteria:

Inclusion Criteria:

- Participants with ID older than 18 years at the time of treatment in GA

- Participants who had at least one general anesthesia dental treatment.

Exclusion Criteria:

- Participants who had dental treatment in GA due to physical condition, without ID

- Participants younger than 18,

- Participants with ID who had never had treatment in GA.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Bojan B Petrovic, PhD Principal Investigator Faculty of Medicine, Dental Clinic of Vojvodina
Overall Contact

Last Name: Bojan B Petrovic, PhD

Phone: +38163342639

Email: [email protected]

Location
Facility: Status: Contact: Dental Clinic of Vojvodina Bojan B Petrovic, PhD +38121612222 17 [email protected]
Location Countries

Serbia

Verification Date

January 2019

Responsible Party

Type: Principal Investigator

Investigator Affiliation: University of Novi Sad

Investigator Full Name: Bojan Petrovic

Investigator Title: Principal Investigator

Keywords
Has Expanded Access No
Condition Browse
Acronym DTADGA
Patient Data Undecided
Study Design Info

Observational Model: Cohort

Time Perspective: Retrospective

Source: ClinicalTrials.gov