title: Factors affecting the use of protective stabilization in dental patients with cognitive disabilities.
abstract: The goal of this study was to investigate the effects of various factors on the use of protective stabilization (PS) in patients with cognitive disabilities during dental treatment. An observational, case-control design was used with a case (protective stabilization group or PS group) and a control (usual management group or UM group) to assess a sample of subjects. Forty-eight dental patients were selected from the two groups. Various factors were compared between the groups. The prevalence of patients with profound cognitive disabilities was higher in the PS group (68.7%) than in the UM group (6.2%) (p<0.0001). The odds ratio of using protective stabilization was 6.18 (95% confidence interval, 1.20-31.72) for patients who were prescribed antipsychotic agents. Our results suggest that patients with profound cognitive disabilities and/or prescriptions for antipsychotic medications have more behavioral disturbances during dental treatments and require protective stabilization.
authors.affiliation: Department of Pediatric Dentistry, School of Life Dentistry, The Nippon Dental University, Tokyo, Japan. h-karibe@tky.ndu.ac.jp
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Karibe
authors.forename: Yuko
authors.initials: Y
authors.lastname: Umezu
authors.forename: Yuko
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Eiwa
authors.initials: E
authors.lastname: Ogihara
authors.forename: Risa
authors.initials: R
authors.lastname: Masuda
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Ogata
authors.forename: Toshiomi
authors.initials: T
authors.lastname: Shirase
authors.forename: Tomomi
authors.initials: T
authors.lastname: Kawakami
authors.forename: Sachie
authors.initials: S
authors.lastname: Warita
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D016022:Case-Control Studies; D016854:Dental Anxiety / Q000150:complications* / Q000628:therapy; D017742:Dental Care for Chronically Ill / Q000379:methods; D003730:Dental Care for Persons with Disabilities / Q000379:methods*; D005260:Female; D006801:Humans; D007103:Immobilization / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D016555:Matched-Pair Analysis; D001523:Mental Disorders / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D016017:Odds Ratio; D012720:Severity of Illness Index
chemical_list: D014150:Antipsychotic Agents