Characteristics of children undergoing dental extractions under general anaesthesia in Wolverhampton: 2007-2012

Raja, Abida; Daly, Ashley; Harper, R. A. Kemp; Senghore, N; White, Deborah; Ravaghi, Vahid

doi:10.1038/sj.bdj.2016.297

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…106 There are also numerous studies stating that, on average, children aged 5-9 years were more likely to be admitted for DGAs. 41,49,62,69,98,99,[107][108][109][110][111][112][113][114][115] Children aged 5-9 may experience more DGAs due to their primary teeth being less resistant to caries, and their age making treatment under local anaesthetic less likely when compared to older children (10-14 years), where permanent teeth are present. 116 Most studies, with rare exceptions, 113 have found males to be more likely to undergo a DGA.…”

Section: ) Socio-demographic and Geographical Characteristics Of Children Undergoing Dgas A) Agementioning

confidence: 99%

“…142,143 Similarly, across several countries it has been shown that minority groups can also experience higher numbers of extracted teeth. 114 The remoteness of some Aboriginal and indigenous groups also presents a significant barrier to access, as does the socioeconomic status of these groups. 101,132 Similar patterns have been found for those with migrant backgrounds in European based studies, 123,144,145 despite some research finding little difference according to ethnicity regarding the ability to complete treatment without a DGA 55 or in the number of decayed teeth extracted.…”

Section: C) Ethnicity and Culturementioning

confidence: 99%

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A rapid review of variation in the use of dental general anaesthetics in children

et al. 2020

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The use of dental general anaesthetics (DGAs) remains a cause for concern due to additional strains placed on health services. There are numerous factors influencing the prevalence and use of DGAs, and understanding these is an important first step in addressing the issue. AimConduct a rapid review of current peer reviewed and grey literature on the variation in the use of dental general anaesthetics in children. MethodsElectronic searching using MEDLINE via Ovid covering DGA articles from 1998 onwards, written in English. Publication types included primary and secondary sources from peer reviewed journals and reports, as well as grey literature. ResultsFrom 935 results, 171 articles were included in the final review. Themes emerging from the literature included discussions of DGA variation, variations in standards of service provision by health services, and the socio-demographic and geographical characteristics of children. Prominent 2 socio-demographic and geographical characteristics included age, other health conditions, ethnic and cultural background, socio-economic status and deprivation, and geographical location. ConclusionsThis review identified numerous variations in the patterns associated with DGA provision and uptake at both a health service and individual level. The findings demonstrate the complicated and multifaceted nature of DGA practices worldwide. Key points The continuing high DGA rates are a concern amongst policy makers  At the health service level there are varying standards being applied to DGA preassessments, as well as compliance with guidelines for administering DGAs  Socio-demographic characteristics act as key predictors of DGA use, with many children facing multiple burdens due to combinations of ethnic background, deprivation, and geographical location

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Section: ) Socio-demographic and Geographical Characteristics Of Children Undergoing Dgas A) Agementioning

confidence: 99%

Section: C) Ethnicity and Culturementioning

confidence: 99%

A rapid review of variation in the use of dental general anaesthetics in children

et al. 2020

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“…Tooth extraction under DGA is now the leading cause of hospital admission for children aged 5–9 years old, 8 with trends for increasing admissions and younger age at admission. 9 10 11 …”

Section: Introductionmentioning

confidence: 99%

Ten years on: Is dental general anaesthesia in childhood a risk factor for caries and anxiety?

et al. 2017

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Describes longer-term (ten year) oral health outcomes following dental general anaesthesia.Suggests dental general anaesthetic status is informative when allocating patients into caries risk groups.Provides further clarification of the link between dental general anaesthetic and dental anxiety.Highlights that further information is required about the effects of dental general anaesthetic on oral health and anxiety.

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“…A recent study exploring the characteristics of children who underwent extractions under GA in Wolverhampton showed that children of Mixed ethnicity (defined as neither White nor South Asian in that study) required more extractions than other ethnic groups. 15 However, this may simply be a reflection of ethnic differences in the prevalence and severity of dental caries 24 rather than the preference of clinicians to offer one technique over another for the provision of complex dental care.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies to date have described the characteristics of child patients receiving dental treatment under either CS [9][10][11] or GA. [12][13][14][15][16] A few studies have compared the profile of child patients in the two groups. A study of 76 9-to-15-year-olds referred for GA extractions showed no differences between CS (n=26) and GA groups (n=50) in terms of sex, age or pre-treatment dental anxiety scale scores.…”

Section: Introductionmentioning

confidence: 99%

Comparing the profile of child patients attending dental general anaesthesia and conscious sedation services

2017

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Aims To compare the profile of paediatric patients receiving dental treatment under general anaesthesia (GA) or conscious sedation (CS). A second aim was to explore whether there is an overlap between the two patient groups.Design This service evaluation study was based on sociodemographic and clinical data extracted from clinical records of patients attending dental appointments for GA or CS services at King's College Hospital. Sociodemographic and clinical differences between GA and CS groups were explored using logistic regression models.Results Data from 113 children (58 GA and 55 CS) were analysed. There were differences between groups in terms of age and numbers of quadrants and teeth treated, but not in terms of sex, ethnicity or deprivation scores. In the adjusted model, older children and those having more teeth treated were more likely to be in the GA than in the CS group. An overlap between the GA and CS groups was found, with 50% of children aged four to nine years having two to four teeth treated in both groups.Conclusion Age and number of teeth treated were the main characteristics associated with receiving care under GA or CS. Some overlap between children receiving dental treatment under GA or CS existed despite demographic and clinical differences between both groups.

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Characteristics of children undergoing dental extractions under general anaesthesia in Wolverhampton: 2007-2012

Abstract: A clear dental public health issue has been reinforced through the relatively high level of DGA activity reported. Though rigorous caries prevention remains the ultimate goal, a better assessment and discharge process may help reduce the need for first time DGAs as well as repeats.

Cited by 8 publications

References 16 publications

A rapid review of variation in the use of dental general anaesthetics in children

A rapid review of variation in the use of dental general anaesthetics in children

Ten years on: Is dental general anaesthesia in childhood a risk factor for caries and anxiety?

Comparing the profile of child patients attending dental general anaesthesia and conscious sedation services

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