We have been actively providing dental treatment for disabled patients under behavior control based on medication at Kyushu Dental College Hospital.
In this study, we made an actual status survey of patients in their childhood who received dental treatment under behavior control using medication other than general anesthesia for 5 years from July 1999 to June 2004, and obtained results as below through the clinical examination.
1) Cases of dental treatment under behavior control using medication are divided into 13 cases of premedication,4 cases of nitrous oxide inhalation, and 123 cases of intravenous sedation.
2) The reasons for choosing behavior control based on medication were as follow: mental retardation in 52 cases, noncooperation of the patient in 37 cases, autism in 21 cases, gag reflex in 18 cases, and other reasons in 10 cases such as complications casused by mental retardation and epilepsia in 5cases, complications casused by Down's syndrome and autism in 3 cases, complication casused by mental retardation and Down's syndrome and cerebral palsy in 1 case.
3) The average times a dental treatment under intravenous sedation and the time under anesthetic time were 28.7 minutes and 54.2 minutes, respectively.
4) The annual number of cases of dental treatment under intravenous sedation has been increasing since July 2002. The average number of treated teeth per patient was 1.7. The annual average number of treated teeth remained stable.
5) In dental treatment under intravenous sedation, no complications were observed and all the patients in 123 cases went home on the day of the treatment.