title: Accuracy of estimation of dental treatment need in special care patients.
abstract: OBJECTIVE
  To assess the ability of carers and dental professionals to estimate treatment need in a group of children and adults with special needs.
  
  
  METHODS
  A retrospective study of a series of 103 special needs patients who had received restorative dental treatment under general anaesthetic was undertaken. The initial reason for attendance and the time lapse between first symptoms and decision to consult were established. The parent or carer was asked to estimate treatment need and to assess the degree of discomfort suffered by the patient. The dentist evaluated treatment need by means of a pre-operative treatment plan. These results were compared to actual treatment performed.
  
  
  RESULTS
  Treatment need was severely underestimated by both carer and dentist. The degree of advanced pathology found in the population would suggest that pain suffered was also underestimated.
  
  
  CONCLUSIONS
  Access of patients with special needs to dental care may be limited by the ability of their carers to evaluate their oral condition and/or by the persons inability to express their pain or discomfort.
authors.affiliation: Unit of Special Needs Dentistry, Faculté de Chirurgie Dentaire, Clermont-Ferrand, France. martine.hennequin@u-clermont1.fr
authors.forename: M
authors.initials: M
authors.lastname: Hennequin
authors.forename: D
authors.initials: D
authors.lastname: Faulks
authors.forename: D
authors.initials: D
authors.lastname: Roux
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D017028:Caregivers / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D003730:Dental Care for Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D005602:France; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013997:Time Factors