Radiological Examination of the Mentally Handicapped Patients

Study Overview
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Brief Summary
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Aim of this study is to evaluate the necessity of the radiological examinations of mentally handicapped or uncooperative patients.

Detailed Description
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Dental radiography has become an indispensable part of routine dental examination with the help of the technological development of radiological devices. However, medical procedures like dental treatment and medical imaging (magnetic resonance imaging-MRI, computed tomography-CT, orthopantomography- OPG, etc.) that require cooperation are usually hard to apply to mentally handicapped (MHP) or uncooperative patients (UCP). Treatments that will be done without radiological examination can be missing or incorrect.

Official Title
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Computed Tomographic Assessment of the Maxillofacial Region of Mentally Handicapped or Uncooperative Patients Under Intravenous Sedation

Conditions
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Profound Mental Retardation

Intervention / Treatment
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* Other: Radiological examination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mentally Handicapped patients that radiological examination cannot performed Suitable for IV sedation Exclusion Criteria: Healthy Patients Patients in which the radiological examination performed
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Radiological imaging<br>Mentally handicapped patients underwent sedation anesthesia with IV Propofol and then tomographic images were obtained with NewTom 5G. Orthopantomographies (OPGs) were obtained by processing the raw images and radiological examination of the patients were performed on OPGs. | Other: Radiological examination<br>* During the period of two years, mentally handicapped patients were enrolled in this study. First a radiological examination was performed under sedation anesthesia and then an oral examination was performed when patient underwent general anesthesia for dental treatments. Oral and radiological examinations were compared with each other and also with treatment results to define the necessity of the radiological examination of mentally handicapped patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of the radiological and oral examinations in mentally handicapped patients | Radiological images of the mentally handicapped patients obtained under sedation anesthesia with cone beam dental tomography. Radiological examination were performed on tomograpic images and indications (tooth filling, root canal treatment, extraction) were noted. Same procedure was performed for oral examination and indications were compared. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cone-Beam Computed Tomography, Mentally Handicapped