“Abordaje odontopediátrico a pacientes discapacitados. Una revisión sistemática”

Abstract

OBJECTIVE: To determine the most appropriate pediatric dentistry approach for children with disabilities. MATERIALS AND METHODS: The research was conducted following the guidelines of the PRISMA statement, with a modification of the PICO question (PIO). The PubMed, Web of Science, Scopus, and SciELO databases were used. Articles in English and Spanish, clinical trials, and observational studies were randomly selected as inclusion criteria. The quality of the articles was evaluated using the CONSORT scale for randomized clinical trials and STROBE for observational studies. RESULTS: A total of 15 articles were included for qualitative analysis; 67% were low bias, and 33% were medium bias. Efficacy, parental preference, and type of pediatric dentistry treatment were analyzed. CONCLUSIONS: Basic techniques were the most effective and preferred by parents for behavioral management of their children with disabilities, followed as a complementary technique by nitrous oxide sedation. At the same time, general anesthesia is utilized in more complex treatments.