title: Preventive and invasive treatment in special needs patients: a German retrospective study.
abstract: OBJECTIVE
  Data on dental treatment of children with special healthcare needs (CSHCN) are sparse. Hence, this study provides information about the changes in the dental condition in a cohort of CSHCN treated in a university dental department in Germany.
  
  
  METHODS
  Patient records of CSHCN treated from January 2004 to December 2012 were screened retrospectively for medical diagnoses (ICD-10) and the type of treatment performed with outpatient dental care (ODC) or general anesthesia (GA). Follow-up data of patients adhering to the recommended recall were recorded, including time and further treatments.
  
  
  RESULTS
  A total of 795 CSHCN with a mean age of 6.8 years were included. In 41.6 % (331/795) of cases, treatment was performed under ODC, and 58.4 % (464/795) received GA. Caries experience in CSHCN treated under GA was significantly higher (7.9 d3/4mft/0.9 D3/4MFT) than in ODC (2.5 d3/4mft /0.9 D3/4MFT). Over time, patient flow shifted from invasive (IC) to preventive-based care (PC).
  
  
  CONCLUSIONS
  Caries-related treatments were most frequent under GA and ODC, though initial caries experience was higher in GA patients. The choice of GA or ODC was statistically independent from the medical condition.
  
  
  CONCLUSIONS
  This study provides characteristics of a large population of CSHCN treated with and without GA for dental care.
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany.
authors.forename: Katrin
authors.initials: K
authors.lastname: Rothmaier
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Bücher
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany.
authors.forename: Isabel
authors.initials: I
authors.lastname: Metz
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany.
authors.forename: Vinay
authors.initials: V
authors.lastname: Pitchika
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Hickel
authors.affiliation: Department of Preventive Dentistry and Pediatric Dentistry, University Hospital Jena, Jena, Germany.
authors.forename: Roswitha
authors.initials: R
authors.lastname: Heinrich-Weltzien
authors.affiliation: Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, Goethestrasse 70, 80336, Munich, Germany. jkuehn@dent.med.uni-muenchen.de.
authors.forename: Jan
authors.initials: J
authors.lastname: Kühnisch
mesh_terms: D002648:Child; D019140:Dental Care for Children / Q000458:organization & administration*; D003730:Dental Care for Persons with Disabilities / Q000458:organization & administration*; D003731:Dental Caries / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D011313:Preventive Dentistry; D012189:Retrospective Studies
keywords: Caries; Children with special healthcare needs; Dental treatment; Oral health; Preventive dental care