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Factors affecting the use of protective stabilization in dental patients with cognitive disabilities
Author(s) -
Karibe Hiroyuki,
Umezu Yuko,
Hasegawa Yuko,
Ogihara Eiwa,
Masuda Risa,
Ogata Kiyokazu,
Shirase Toshiomi,
Kawakami Tomomi,
Warita Sachie
Publication year - 2008
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2008.00037.x
Subject(s) - medicine , odds ratio , observational study , confidence interval , medical prescription , cognition , antipsychotic , dentistry , schizophrenia (object oriented programming) , psychiatry , pharmacology
The goal of this study was to investigate the effects of various factors on the use of protective stabilization (PS) in patients with cognitive disabilities during dental treatment. An observational, case‐control design was used with a case (protective stabilization group or PS group) and a control (usual management group or UM group) to assess a sample of subjects. Forty‐eight dental patients were selected from the two groups. Various factors were compared between the groups. The prevalence of patients with profound cognitive disabilities was higher in the PS group (68.7%) than in the UM group (6.2%) ( p < 0.0001). The odds ratio of using protective stabilization was 6.18 (95% confidence interval, 1.20–31.72) for patients who were prescribed antipsychotic agents. Our results suggest that patients with profound cognitive disabilities and/or prescriptions for antipsychotic medications have more behavioral disturbances during dental treatments and require protective stabilization.