Dental admissions in children under two years – a total‐population investigation

Slack‐Smith, Linda; Colvin, Lyn; Leonard, Helen; Kilpatrick, Nicky; Read, Anne W.; Messer, Louise Brearley

doi:10.1111/j.1365-2214.2011.01360.x

Cited by 12 publications

(22 citation statements)

References 14 publications

(19 reference statements)

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“…(26,27,(29)(30)(31) In Western Australia, linked birth and hospital records have been used to show risks for DGA before the age of 2 years are higher among boys, indigenous children, those with intellectual disability, birth defects, and in areas without water fluoridation. (32) To our knowledge, no studies have used hospital records to estimate rates of DGA in the population alongside estimates of disease severity, nor to examine area-based inequalities. Moreover, none have included area-based records of dental activity to examine possible associations between dental care activity and local rates of DGA.…”

Section: Introductionmentioning

confidence: 99%

Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England

et al. 2018

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Introduction Extraction of decayed teeth is the most common reason for UK children aged 5-9 years to receive a general anaesthetic. Inequalities in oral health are well recognised, but is under-explored in dental general anaesthesia (DGA).Methods Secondary analysis of routinely collected data from three local authorities in South West England was used to assess: 1) dental activities recorded for children <18 years attending NHS general dental practitioners (GDP); 2) the incidence rate of DGA and disease severity among <16-year-olds; and 3) individual and neighbourhood factors associated with higher rates of child DGA, and greater severity of disease.Results Among 208,533 GDP appointments, rates of preventive action were low where 1/7 included fluoride varnish but 1/5 included permanent fillings. The incidence rate of DGA was 6.6 admissions for every 1,000 children, rising to 12.4/1,000 among 5-9-year-olds. A total of 86 (7.6%) children had previously received a DGA at the same hospital. Area deprivation was strongly associated with higher rates of DGA, but rates of DGA remained high in less deprived areas. No associations were observed between number of teeth removed and socio-economic status.Conclusion Too many children are receiving DGA, and too few preventive actions are recorded by GDPs. Area-based inequalities in DGA were apparent, but wealthy areas also experienced substantial childhood dental decay.

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Section: Introductionmentioning

confidence: 99%

Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England

et al. 2018

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“…This data indicate that 47% of 5-to 6-year-old children have cavitated carious lesions, and of these lesions, 80% are active and untreated 9 . A recent Australian study estimated that 45% of hospital 'oral cavity' admissions for children aged <2 years of age were related to dental caries 10 . It is important to understand the natural history of ECC in order to implement effective preventive strategies.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of risk factors during first year of life for early childhood caries

Leong

Gussy

Barrow

et al. 2012

Int J Paed Dentistry

177

153

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“…2 The pain associated with ECC is debilitating and may increase the likelihood of poor growth, disturbed sleep, and disrupted developmental, academic and social outcomes. [3][4][5] Untreated dental caries is likely to require emergency care, antibiotic, anaesthetic and surgical intervention accounting for 6.7% of hospital admissions among [5][6][7][8][9] year olds in Western Australia (WA). 6,7 Many children under five years old do not receive routine dental care but of those that do, some require hospital admission for the treatment of dental caries.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Many children under five years old do not receive routine dental care but of those that do, some require hospital admission for the treatment of dental caries. 8,9 Many humanitarian entrant refugee children already have severe dental disease when they enter Australia, often progressively worsening after resettlement. 10 Limited dental pathways exist for children aged 0-4 years in WA; concession card holders can access public care at subsidized fees and non-card holders need to access private dentists.…”

Section: Introductionmentioning

confidence: 99%

Caries burden and efficacy of a referral pathway in a cohort of preschool refugee children

et al. 2015

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Background: This study aimed to assess the early caries experience and the efficacy of a community based dental referral pathway in preschool refugees in Western Australia. Methods: Preschool refugee children referred to the Western Australian paediatric hospital Refugee Health Clinic were prospectively screened for caries by a paediatric dentist before being referred to community dental clinics. Dental forms and medical records were audited to assess decayed, missing and filled teeth (dmft), medical data and dental services engagement. Poisson regression analysis determined the contribution of count variables to the final model. Results: Among the 105 screened children (54% male, median age 3.2 years, 41% Burmese), community dental clinic engagement was low (46%, n = 48). Of the 62% with caries (n = 65/105, mean dmft 5.2, SD 4.1), 45% were recommended for specialist dental services and 48% were treated. After adjustment for age, gender and total number of teeth, caries incidence was significantly associated with BMI-for-age Z score (p = 0.02). Conclusions: Preschool refugee caries burden was high. The community dental referral pathway was ineffective compared to co-located intersectorial dental screening. Specialist dental service needs are high in this cohort and require a targeted approach.

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Dental admissions in children under two years – a total‐population investigation

Abstract: Using total-population data allowed us to describe the admissions in children under two years and associated factors while able to identify children with intellectual disability or birth defects.

Cited by 12 publications

References 14 publications

Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England

Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England

A systematic review of risk factors during first year of life for early childhood caries

Caries burden and efficacy of a referral pathway in a cohort of preschool refugee children

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