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

NCT ID: NCT03823976

Last Updated: 2019-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

274 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-20

Study Completion Date

2019-06-20

Brief Summary

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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

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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.

Conditions

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Intellectual Disabilities (F70-F79)

Keywords

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dental care oral rehabilitation general anaesthesia tooth loss

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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Types of the dental procedures in general anaesthesia

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

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Novi Sad

OTHER

Sponsor Role lead

Responsible Party

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Bojan Petrovic

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bojan B Petrovic, PhD

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine, Dental Clinic of Vojvodina

Locations

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Dental Clinic of Vojvodina

Novi Sad, , Serbia

Site Status RECRUITING

Countries

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Serbia

Central Contacts

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Bojan B Petrovic, PhD

Role: CONTACT

Phone: +38163342639

Email: [email protected]

Facility Contacts

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Bojan B Petrovic, PhD

Role: primary

Other Identifiers

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01454/2018

Identifier Type: -

Identifier Source: org_study_id