title: Dental needs and management of children with special health care needs according to type of disability.
abstract: OBJECTIVE
  The purpose of this study was to investigate the dental needs and management of special health care needs children in Rio de Janeiro, Brazil, according to the type of disability.
  
  
  METHODS
  Records of 428 0- to 19-year-old patients who received dental treatment  at the Patients Special Care Needs Clinic (Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro) from 1996-2009 were analyzed. Information about the type of disability, use of medication, dental exam findings, management during treatment,  dental treatment performed, and follow-up examinations were collected. Children were divided into 2 groups: those with medical conditions and those with intellectual disability.
  
  
  RESULTS
  Patients with medical conditions used more medications and were older than those with intellectual  disability. The most common dental treatments received were dental restorations (63%) and extractions (47%). There was no association between the type of disability and dental treatment needed. Children with intellectual disability were 3 times more likely to need general anesthesia and 7  times more likely to need physical restraint for dental care than the other group.
  
  
  CONCLUSIONS
  Children with intellectual disability have a greater chance of requiring advanced management techniques during dental treatment. The development of effective oral health programs is recommended  as well as a specific education program for their parents.
authors: Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil.
authors: Priscilla Soares
authors: PS
authors: Salles
authors: Patricia Nivoloni
authors: PN
authors: Tannure
authors: Cristiana Aroeira Gomes da Rosa
authors: CA
authors: Oliveira
authors: Ivete Pomarico Ribeiro de
authors: IP
authors: Souza
authors: Maristela Barbosa
authors: MB
authors: Portela
authors: Gloria Fernanda Barbosa de Araújo
authors: GF
authors: Castro
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000766:Anesthesia, Dental / Q000706:statistics & numerical data; D000768:Anesthesia, General / Q000706:statistics & numerical data; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D017742:Dental Care for Chronically Ill / Q000706:statistics & numerical data; D003730:Dental Care for Persons with Disabilities / Q000706:statistics & numerical data*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D019988:Children with Disabilities / Q000145:classification / Q000706:statistics & numerical data; D004358:Drug Therapy / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000453:epidemiology; D008297:Male; D020380:Needs Assessment / Q000706:statistics & numerical data*; D009971:Orthodontics, Corrective / Q000706:statistics & numerical data; D012149:Restraint, Physical / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012390:Root Canal Therapy / Q000706:statistics & numerical data; D014081:Tooth Extraction / Q000706:statistics & numerical data; D055815:Young Adult