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Referral of children to a general anaesthetic dental service in Tayside.
Health Bull (Edinb). 2001 Mar; 59(2):136-9.HB

Abstract

OBJECTIVE

To determine the adequacy of child referral for dental general anaesthesia (DGA) by local dental practitioners, given the recent guidance document to dentists from the General Dental Council and in addition, to determine the subsequent treatment and factors which influence treatment selection.

DESIGN

A prospective study.

SETTING

Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee.

SUBJECTS

Children [n = 84] who were referred for dental extractions under general anaesthetic over a three month period.

RESULTS

Non-surgical dental extractions under general anaesthetic were requested in nearly 90% of referrals. In the majority of cases, the referral was deemed inadequate; e.g. the medical history was not mentioned in the majority of cases (85.7%) despite nearly one-fifth of patients having a relevant medical history. In general, referring practitioners under-estimated the extent of disease, requiring treatment plans to be changed in 76% of cases; all changes represented an increase in the number of dental extractions undertaken. The most common reasons for general anaesthetic use were: multiple dental extractions (73.8%); the patient's anxiety (63.1%); and patient's age (41.7%). As an alternative to general anaesthesia, treatment was undertaken successfully using inhalation sedation in nearly 15% of cases.

CONCLUSION

Dental extractions under general anaesthetic are still a common reason for referral. Referring practitioners frequently provide inadequate information, in addition to under-estimating the treatment required. Alternative forms of anxiety management are available and should be considered for children requiring dental extractions.

Authors+Show Affiliations

Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12664728

Citation

Foley, J, et al. "Referral of Children to a General Anaesthetic Dental Service in Tayside." Health Bulletin, vol. 59, no. 2, 2001, pp. 136-9.
Foley J, Evans DJ, Blackwell A. Referral of children to a general anaesthetic dental service in Tayside. Health Bull (Edinb). 2001;59(2):136-9.
Foley, J., Evans, D. J., & Blackwell, A. (2001). Referral of children to a general anaesthetic dental service in Tayside. Health Bulletin, 59(2), 136-9.
Foley J, Evans DJ, Blackwell A. Referral of Children to a General Anaesthetic Dental Service in Tayside. Health Bull (Edinb). 2001;59(2):136-9. PubMed PMID: 12664728.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Referral of children to a general anaesthetic dental service in Tayside. AU - Foley,J, AU - Evans,D J, AU - Blackwell,A, PY - 2003/4/1/pubmed PY - 2003/5/6/medline PY - 2003/4/1/entrez SP - 136 EP - 9 JF - Health bulletin JO - Health Bull (Edinb) VL - 59 IS - 2 N2 - OBJECTIVE: To determine the adequacy of child referral for dental general anaesthesia (DGA) by local dental practitioners, given the recent guidance document to dentists from the General Dental Council and in addition, to determine the subsequent treatment and factors which influence treatment selection. DESIGN: A prospective study. SETTING: Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee. SUBJECTS: Children [n = 84] who were referred for dental extractions under general anaesthetic over a three month period. RESULTS: Non-surgical dental extractions under general anaesthetic were requested in nearly 90% of referrals. In the majority of cases, the referral was deemed inadequate; e.g. the medical history was not mentioned in the majority of cases (85.7%) despite nearly one-fifth of patients having a relevant medical history. In general, referring practitioners under-estimated the extent of disease, requiring treatment plans to be changed in 76% of cases; all changes represented an increase in the number of dental extractions undertaken. The most common reasons for general anaesthetic use were: multiple dental extractions (73.8%); the patient's anxiety (63.1%); and patient's age (41.7%). As an alternative to general anaesthesia, treatment was undertaken successfully using inhalation sedation in nearly 15% of cases. CONCLUSION: Dental extractions under general anaesthetic are still a common reason for referral. Referring practitioners frequently provide inadequate information, in addition to under-estimating the treatment required. Alternative forms of anxiety management are available and should be considered for children requiring dental extractions. SN - 0374-8014 UR - https://www.unboundmedicine.com/medline/citation/12664728/Referral_of_children_to_a_general_anaesthetic_dental_service_in_Tayside_ L2 - https://medlineplus.gov/childdentalhealth.html DB - PRIME DP - Unbound Medicine ER -