A comparison of the sedation provision of NHS  dental services 2014-2016 for local authorities throughout England

Maguire, William; Lewney, Jonathan; Landes, David

doi:10.1038/s41415-019-0714-8

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…49 The main health issue being investigated was equity of access to different types of NHS dental services for particular population groups. [56][57][58][59][60][61][62][63][64] Inequalities were investigated in terms of age, 62,65 deprivation, [56][57][58][59]62,64,65 geography, 59,62,63 ethnicity, 64 and family structure. 61,64 Other studies combined historic NHS dental data with wider demographic data to inform service planning as part of health needs assessments.…”

Section: Narrative Synthesismentioning

confidence: 99%

Unlocking the potential of NHS primary care dental datasets

et al. 2022

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Introduction:Maximising the use of routinely-collected health data for research is a key part of the UK Government's Industrial Strategy. Rich data are generated by NHS primary care dental services, but the extent of their use in research is unknown. Aims:To profile the utility of the post-2006 NHS dental datsets for research, map how they have been used to date, and develop recommendations to maximise their utility. Methods:The content of and access to the four UK NHS dental datasets was collated using publicly available information and a free-text questionnaire completed by the relevant data controllers. A scoping review was carried out to identify and map literature that has utilised NHS dental activity data. Results:The contents of the UK NHS dental activity datasets are described, alongside how they may be accessed for research. Strengths and weaknesses of these datasets for research are highlighted. The scoping review identified 33 studies which had utilised NHS dental activity data since 2006. We classified 15 as public health practice, 11 as service evaluation and seven as research. Conclusion:In comparision to other NHS activity datasets, it appears that the UK dental datasets have been underutilised for research. We make 11 recommendations on how their utility for research may be increased.

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Section: Narrative Synthesismentioning

confidence: 99%

Unlocking the potential of NHS primary care dental datasets

et al. 2022

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“…IVS with midazolam is a technique offered not only in dental hospitals but also in dental practice, both privately and on the NHS, although the population experience and availability of dental sedation across England is variable. 14 It is becoming widely recognised that establishing a sedation service within the primary dental setting may facilitate care for anxious patients or those who may undergo prolonged procedures. the findings of the presented audit mirror suggestions that active steps should be taken to enable provision of safe sedation and minimise the risk of error.…”

Section: Relevance To General Dental Practicementioning

confidence: 99%

Section: Relevance To General Dental Practicementioning

confidence: 99%

Record-keeping in intravenous sedation: Are we meeting the standards?

2022

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As primary care dental services continue to offer conscious sedation in practice, this article presents the findings from a record-keeping audit carried out at a dental teaching hospital in the UK. National guidance was used to set out the gold standards for record-keeping. Various shortcomings in terms of documentation were identified. This article enables dental practitioners involved in dental sedation to review their own sedation record-keeping to meet current national standards and ultimately improve clinical practice and the quality of patient care.

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“…9 Even before the COVID-19 pandemic, access to National Health Service (NHS) sedation services varied across England. 10 This study aimed to explore the prescribing of OBZs for anxiety management by dentists in the United Kingdom (UK), including: prescribing patterns, barriers and enablers to prescribing, and alternative approaches employed to manage dentally-anxious patients.…”

Section: Introductionmentioning

confidence: 99%

The Use of Oral Benzodiazepines for the Management of Dental Anxiety: A Web-based Survey of UK Dentists

Thompson¹,

Finn²,

Moore

et al. 2022

Preprint

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Background Oral benzodiazepines can facilitate treatment of dentally anxious patients and are widely used in countries such as Australia and the United States. Dentists in the United Kingdom (UK) prescribe them much less often. Aims To examine oral benzodiazepine prescribing by dentists in the UK, including patterns of practice, barriers to use, and alternative anxiety management strategies. Methods An online mixed-methods survey was conducted utilising Qualtrics™. Participants were recruited via the Facebook private group: For Dentists, By Dentists during April to June 2021. Quantitative data were analysed with descriptive statistics and qualitative data with thematic analysis. Results 235 dentists participated, with 91% being general dentists. Only 18% were confident in their use. Half had previously prescribed oral benzodiazepines, of which 36% were in the last year. Diazepam was the anxiolytic preferred by respondents. Two thirds of dentists who had never prescribed anxiolytics were interested in doing so in the future. Concerns about managing anxious patients with benzodiazepines included: inadequate training, confusion about guidelines, medico-legal risk, and issues of GPs prescribing anxiolytics to dental patients unbeknown to their dentist. Conclusions A lack of confidence prescribing oral benzodiazepines for anxiolysis exists among UK dentists. Guidelines should be clarified, and training provided.

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A comparison of the sedation provision of NHS dental services 2014-2016 for local authorities throughout England

Cited by 7 publications

References 5 publications

Unlocking the potential of NHS primary care dental datasets

Unlocking the potential of NHS primary care dental datasets

Record-keeping in intravenous sedation: Are we meeting the standards?

The Use of Oral Benzodiazepines for the Management of Dental Anxiety: A Web-based Survey of UK Dentists

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