Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-02-12 DOI:10.1016/j.healthpol.2025.105262

Kamheang Vacharaksa , Ticha Thongrakard , Anjalee Vacharaksa

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引用次数: 0

Abstract

Background

Adults with special needs have dental problems requiring treatment; however, patient management could be extremely difficult under local anesthesia. This review aimed to compare the needs of pharmacological approaches versus non-pharmacological approach for dental treatment to adults with special needs.

Methods

This systematic review was registered in PROSPERO (CRD42024528488). The systematic search was conducted in databases: PUBMED; EBSCO; SCOPUS, April 10, 2024. Clinical studies published in English from 2000 to June 2024, demonstrating the needs for pharmacological as compared with non-pharmacological approach in older adults over 18 years old were included. The primary outcome was the completion of dental treatment.

Results

Titles and abstracts were screened after the initial search, then forty studies were identified for potential inclusion. After retrieving full‐text studies, Information relevant to objectives and outcome measures was recorded by using a data extraction form and analyzed again by three reviewers. Only 2 articles were eligible and included.

Conclusions

The best patient management approach could not be conclusive. Pharmacological approach remains necessary in many situations. Preparation of health care setting and multidisciplinary team is important to ensure patient safety. Further studies focusing on older adults with special needs are needed.

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有特殊需要的老年人牙科治疗的非药物管理与镇静或全身麻醉的需要：一项系统综述

背景有特殊需要的成年人有牙齿问题需要治疗；然而，在局部麻醉下，病人管理可能非常困难。本综述旨在比较有特殊需要的成人牙科治疗的药物方法与非药物方法的需求。方法本系统评价在PROSPERO注册（CRD42024528488）。系统检索数据库：PUBMED；EBSCO;SCOPUS， 2024年4月10日。从2000年到2024年6月发表的英文临床研究，证明了18岁以上老年人的药物治疗与非药物治疗的需求。主要结果是完成牙科治疗。结果初步检索后对标题和摘要进行筛选，筛选出40项研究。检索全文研究后，使用数据提取表记录与目标和结果测量相关的信息，并再次由三名审稿人进行分析。只有2篇文章符合条件并被纳入。结论最佳患者管理方法尚无定论。药理学方法在许多情况下仍然是必要的。卫生保健环境和多学科团队的准备是确保患者安全的重要因素。需要对有特殊需要的老年人进行进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.