Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review
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Issued Date
2025-04-01
Resource Type
ISSN
01688510
eISSN
18726054
Scopus ID
2-s2.0-85217821199
Journal Title
Health Policy
Volume
154
Rights Holder(s)
SCOPUS
Bibliographic Citation
Health Policy Vol.154 (2025)
Suggested Citation
Vacharaksa K., Thongrakard T., Vacharaksa A. Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review. Health Policy Vol.154 (2025). doi:10.1016/j.healthpol.2025.105262 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/105373
Title
Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review
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Abstract
Background: Adults with special needs have dental problems requiring treatment; however, patient management could be extremely difficult under local anesthesia. This review aimed to compare the needs of pharmacological approaches versus non-pharmacological approach for dental treatment to adults with special needs. Methods: This systematic review was registered in PROSPERO (CRD42024528488). The systematic search was conducted in databases: PUBMED; EBSCO; SCOPUS, April 10, 2024. Clinical studies published in English from 2000 to June 2024, demonstrating the needs for pharmacological as compared with non-pharmacological approach in older adults over 18 years old were included. The primary outcome was the completion of dental treatment. Results: Titles and abstracts were screened after the initial search, then forty studies were identified for potential inclusion. After retrieving full‐text studies, Information relevant to objectives and outcome measures was recorded by using a data extraction form and analyzed again by three reviewers. Only 2 articles were eligible and included. Conclusions: The best patient management approach could not be conclusive. Pharmacological approach remains necessary in many situations. Preparation of health care setting and multidisciplinary team is important to ensure patient safety. Further studies focusing on older adults with special needs are needed.