PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES

Oswaldo-carlos-josé Cava-arangoıtıa; Janet-ofelıa Guevara-canales; Rafael Morales-vadıllo; Carlos-enrıque Cava-vergıú; Manuel Rıbera-urıbe; Lılıana Mayo-ortega

doi:10.7126/cumudj.776746

EN

PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES

Abstract

AIM: To determine predictive indicators for dental health management of patients with different abilities, according to a new screening protocol. MATERIALS AND METHODS: This was an observational, analytical, retrospective, cross-sectional study. The sample consisted of all patients with different abilities, diagnosed with autism, Down syndrome, cognitive deficit, cerebral palsy and others, who received care between 1999 and 2019 at the Oral Health Service of the Centro Ann Sullivan del Peru and met the inclusion criteria. Data were obtained from the clinical histories to determine the predictive indicators for managing dental care in these patients. A multivariate statistical analysis was performed using binary logistic regression test. The research project was evaluated by the Research Project Reviewing Committee and then referred to the Human Ethics Committee from a university, securing the relevant approvals. RESULTS: Of the 589 cases evaluated, mean age was 14.5 years, 67.9% were male; systemic diagnosis of different abilities was autism in 62%, the most frequent treatment was caries (52.1%); and final management of these patients was conscious in 96.4% of the cases. With regard to type of classification and horizon, 67.1% of the cases corresponded to classification A, with 35.95% of these in horizon I. With regard to diagnosis of different abilities, autism presented 40.2% of the cases in classification A and horizon I. A predictive equation of 97.1% probability of whether or not sedation was used was obtained. Regression analysis showed that this model has high sensitivity (100%) and low specificity (15%). CONCLUSION: Results show that the type of management for dental care was conscious in nearly all the cases dealt with. This was significantly influenced by the Classification and Horizon Screening Protocol indicator, which established the best predictive model for whether or not to use sedation. The model adequately classifies patients who do not require sedation.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Oswaldo-carlos-josé Cava-arangoıtıa
0000-0001-8038-120X
Peru

Janet-ofelıa Guevara-canales ^*
0000-0002-7040-8269
Peru

Rafael Morales-vadıllo
0000-0002-7835-6408
Peru

Carlos-enrıque Cava-vergıú
0000-0003-0338-3425
Peru

Manuel Rıbera-urıbe
0000-0002-9919-3281
Spain

Lılıana Mayo-ortega
0000-0002-9280-6137
Peru

Publication Date

December 31, 2020

Submission Date

August 4, 2020

Acceptance Date

October 16, 2020

Published in Issue

Year 2020 Volume: 23 Number: 4

DOI

https://doi.org/10.7126/cumudj.776746

IZ

https://izlik.org/JA67LD55NS

Cite

RIS / Bibtex

APA

Cava-arangoıtıa, O.- carlos- josé, Guevara-canales, J.- ofelıa, Morales-vadıllo, R., Cava-vergıú, C.- enrıque, Rıbera-urıbe, M., & Mayo-ortega, L. (2020). PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. Cumhuriyet Dental Journal, 23(4), 283-290. https://doi.org/10.7126/cumudj.776746

AMA

1.Cava-arangoıtıa O carlos josé, Guevara-canales J ofelıa, Morales-vadıllo R, Cava-vergıú C enrıque, Rıbera-urıbe M, Mayo-ortega L. PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. Cumhuriyet Dent J. 2020;23(4):283-290. doi:10.7126/cumudj.776746

Chicago

Cava-arangoıtıa, Oswaldo-carlos-josé, Janet-ofelıa Guevara-canales, Rafael Morales-vadıllo, Carlos-enrıque Cava-vergıú, Manuel Rıbera-urıbe, and Lılıana Mayo-ortega. 2020. “PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES”. Cumhuriyet Dental Journal 23 (4): 283-90. https://doi.org/10.7126/cumudj.776746.

EndNote

Cava-arangoıtıa O- carlos- josé, Guevara-canales J- ofelıa, Morales-vadıllo R, Cava-vergıú C- enrıque, Rıbera-urıbe M, Mayo-ortega L (December 1, 2020) PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. Cumhuriyet Dental Journal 23 4 283–290.

IEEE

[1]O.- carlos- josé Cava-arangoıtıa, J.- ofelıa Guevara-canales, R. Morales-vadıllo, C.- enrıque Cava-vergıú, M. Rıbera-urıbe, and L. Mayo-ortega, “PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES”, Cumhuriyet Dent J, vol. 23, no. 4, pp. 283–290, Dec. 2020, doi: 10.7126/cumudj.776746.

ISNAD

Cava-arangoıtıa, Oswaldo-carlos-josé - Guevara-canales, Janet-ofelıa - Morales-vadıllo, Rafael - Cava-vergıú, Carlos-enrıque - Rıbera-urıbe, Manuel - Mayo-ortega, Lılıana. “PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES”. Cumhuriyet Dental Journal 23/4 (December 1, 2020): 283-290. https://doi.org/10.7126/cumudj.776746.

JAMA

1.Cava-arangoıtıa O- carlos- josé, Guevara-canales J- ofelıa, Morales-vadıllo R, Cava-vergıú C- enrıque, Rıbera-urıbe M, Mayo-ortega L. PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. Cumhuriyet Dent J. 2020;23:283–290.

MLA

Cava-arangoıtıa, Oswaldo-carlos-josé, et al. “PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES”. Cumhuriyet Dental Journal, vol. 23, no. 4, Dec. 2020, pp. 283-90, doi:10.7126/cumudj.776746.

Vancouver

1.Oswaldo-carlos-josé Cava-arangoıtıa, Janet-ofelıa Guevara-canales, Rafael Morales-vadıllo, Carlos-enrıque Cava-vergıú, Manuel Rıbera-urıbe, Lılıana Mayo-ortega. PREDICTIVE INDICATORS FOR MANAGING DENTAL CARE IN PATIENTS WITH DIFFERENT ABILITIES. Cumhuriyet Dent J. 2020 Dec. 1;23(4):283-90. doi:10.7126/cumudj.776746