title: Descriptive study of the patients treated at the clinic "integrated dentistry for patients with special needs" at Complutense University of Madrid (2003-2012).
abstract: OBJECTIVE
  To study clinical and epidemiological characteristics of the patients treated at the clinic "Integrated Dentistry for Patients with Special Needs (Special Care Dentistry)" at Complutense University of Madrid (UCM), as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of dental students education about this type of patients.
  
  
  METHODS
  Medical records review of all the patients referred to the clinic of "Integrated dentistry for patients with special needs", performing a retrospective cross-sectional study analyzing their main pathology, ASA risk score (Classification system used by the American Society of Anesthesiologists to estimate the risk posed by the anesthesia for various patient conditions), pharmacological treatment, what kind of dental treatment was necessary, whether the patient was treated or not, and if it was required to change any procedure due to the patient health status (sedation or antibiotic prophylaxis).
  
  
  RESULTS
  The number of patients referred to the clinic was 447, of whom 426 were included in this study. Out of them, 52,35 % were men and 47,89 were women, with a mean age of 49,20 years. More frequent pathologies were cardiovascular or cerebrovascular diseases (24,29 %), infectious diseases (12,41%), endocrine diseases (11,66%) and intellectual disability (8,85%). 70'18% of the patients were treated, with with sedation being necessary in 9,03% of the cases and antibiotic prophylaxis in 11,70%.
  
  
  CONCLUSIONS
  Given the high number of patients with some kind of pathology and the amount of medicines that they use, it seems necessary for dentistry students to have a specific training regarding how to handle and treat these patients, so they will be able to provide them the best possible care.
authors: Department of Medicine and Buccofacial Surgery, Faculty of Dentistry, UCM, Plaza Ramón y Cajal s/n, Ciudad Universitaria, 28040 Madrid, Spain, esparza@odon.ucm.es.
authors: Marta
authors: M
authors: Monteserín-Matesanz
authors: Germán C
authors: GC
authors: Esparza-Gómez
authors: Begoña
authors: B
authors: García-Chías
authors: Carmen
authors: C
authors: Gasco-García
authors: Rocío
authors: R
authors: Cerero-Lapiedra
mesh_terms: D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated; D003752:Dental Health Services; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013030:Spain; D014076:Tooth Diseases / Q000150:complications / Q000628:therapy*