Comparative Analysis of Dental Treatment for Children With and Without Special Healthcare Needs at Academic Dental Hospitals in South Africa.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2025-01-16 DOI:10.1111/ipd.13295

Nancy Njoroge, Phumzile Hlongwa, Ansuyah Magan

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Abstract

Background: Children with special healthcare needs (CSHCN) experience higher unmet dental treatment needs than their healthy peers (NSHCN).

Aim: We compared dental treatment received by CSHCN and NSHCN at academic dental hospitals in South Africa (SA).

Design: Clinical records of 1-16-year-old children who had dental treatment under general anaesthetic (GA) between 2017 and 2023 were reviewed. Descriptive analyses were performed, and the Chi-square/Fisher's exact test used to analyse the categorical variables.

Results: Four hundred records (CSHCN: 116 [29%] and NSHCN: 284 [71%]) were analysed. The median age at assessment was 5 years (IQR: 3-6.5). CSHCN were older than NSHCN, (p < 0.001). More CSHCN (52.6%) than NSHCN (25.4%) were referred from primary health centres, (p < 0.001). Caries was the main dental diagnosis. Multiple extractions were done in 54.7% of CSHCN < 6 years and 52.8% of 6-11-year-old NSHCN. Restorative treatment was performed in 26.1% of 6-11-year-old CSHCN and 27.2% of NSHCN < 6 years.

Conclusions: Most of the CSHCN and NSHCN who needed GA were young with extensive caries. Treatment provided to both groups was primarily extractions, perhaps due to late presentation and limited resources. Timely preventative strategies for children at risk of caries could enhance oral health and reduce the burden of GA in SA.

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南非学术牙科医院对有和无特殊保健需要儿童的牙科治疗的比较分析。

背景：有特殊保健需要的儿童（CSHCN）比健康的同龄人（NSHCN）有更高的未满足的牙科治疗需求。目的：比较南非学术牙科医院CSHCN和NSHCN的牙科治疗情况。设计：回顾2017年至2023年接受全身麻醉（GA）牙科治疗的1-16岁儿童的临床记录。进行描述性分析，并使用卡方/费雪精确检验来分析分类变量。结果：共分析400例病例，其中CSHCN: 116例（29%），NSHCN: 284例（71%）。评估时中位年龄为5岁（IQR: 3-6.5）。结论：需要GA的CSHCN和NSHCN多为广泛龋病的年轻人。两组的治疗主要是拔牙，可能是由于出现较晚和资源有限。对有患龋风险的儿童采取及时的预防措施，可提高口腔健康水平，减轻南南非地区的龋病负担。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.