Analysis of performed paediatric oral and maxillofacial procedures under general anaesthesia over a two-year period in a North London NHS Trust

Shah, Farhan; Orchard, Alex; Shakib, Kaveh

doi:10.1016/j.bjoms.2020.09.039

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…This study also indicated that the majority of patients referred for treatment under GA/sedation had a mean age of 5.9 years. These findings were consistent with other reports examining the treatment and outcomes of children receiving GA [3,5,7,[12][13][14].…”

Section: Discussionsupporting

confidence: 92%

“…Patients referred from the CDHU for GA/sedation included 34% of self-referrals, 33% who were referred from Regional Health Authorities' community dental clinics, and 23.5% who were referred by general dental practitioners. Contrasting findings were reported in another study conducted in the UK, where most of their referrals for treatment under GA were initially from general dental practitioners (76.0%), self-referrals (17.1%), and referrals from community clinics (3.7%) [5].…”

Section: Discussioncontrasting

confidence: 84%

“…However, in many instances, the treatment services offered at these facilities are determined by a patient's co-operation or are limited to simple restorations and extractions. There is a high prevalence of dental caries, especially in young children, in Trinidad and Tobago [1,2], and for children who do not allow for treatment due to their young age, who exhibit limited cooperation or significant medical or physical challenges, adjunctive services such as dental sedation or general anesthesia (GA) are desired [3][4][5][6]. These services allow the dentist to provide a high quality of care to patients while minimizing dental anxiety [7].…”

Section: Introductionmentioning

confidence: 99%

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A Preliminary Study of the Treatment Outcomes of Paediatric Dental Patients Referred for General Anaesthesia or Sedation at a Regional Hospital in Trinidad

Percival

Bhagoutie

2021

Children

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General anaesthesia and sedation are known to be useful adjuncts in the care of paediatric dental patients. There are several challenges that prevent patients from receiving care. Aim: To assess the treatment outcomes of paediatric dental patients seen at an emergency facility who were referred for treatment under sedation or general anaesthesia at a regional hospital in Trinidad. Methods: Records of patients seen at the Child Dental Health Unit Emergency clinic at the University of The West Indies Dental School from 2012 to 2017 were assessed. The parents of children referred for general anaesthesia or sedation at the regional hospital were then interviewed via telephone. Results: Most children (53.4%) were younger than 6 years old and the most common reasons for referral were the treatment of multiple carious teeth and behaviour management. Furthermore, 66.1% of cases did not receive treatment and had a mean waiting time of 4.7 years, and 61.7% of referred cases needed emergency care while awaiting general anaesthesia or sedation. Limited access to these services and the high cost of treatment were the main reasons for non-treatment. Conclusion: There is significant need for the timely treatment of paediatric dental patients referred for general anaesthesia or sedation. Improved availability and accessibility of these services could improve patients’ quality of life.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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A Preliminary Study of the Treatment Outcomes of Paediatric Dental Patients Referred for General Anaesthesia or Sedation at a Regional Hospital in Trinidad

Percival

Bhagoutie

2021

Children

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Possibilities of Different Approaches Using During Dental Restoration in Preschool Children

Soloshenko

2022

Ukr. Dent. Alm.

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Caries of temporary teeth in children occurs already from the first year of life, and the prevalence and intensity of early childhood caries tend to increase with age. Therefore, its treatment in children of early childhood and preschool age is a difficult but very important task for a dentist. The purpose of our study was to compare different approaches to oral hygiene in children of early childhood and preschool age. We examined 25 children aged 2 to 6 years who had suband decompensated caries and belonged to 2 health groups. These children were divided into two groups depending on the approach to dental treatment. The first group consisted of 10 children who were treated in outpatient settings. The second group consisted of 15 children who underwent oral rehabilitation under general anesthesia. The children of the first group were 5-6 years old persons, the second group included 2-5 years old children. Treatment of children of the 1st group, who had a positive attitude to dental manipulations, was carried out under local anesthesia in an outpatient setting. In the 2nd group of children who had either a negative attitude to dental treatment or an early age, rehabilitation was carried out under general anesthesia. Isolation of the working field was carried out using a rubberdam system. Universal nano-ceramic material SeramX SphereTEC one (Dentsply) was used for permanent fillings. When diagnosing pulpitis, treatment was carried out by the method of vital amputation or extirpation. Bio MTA Plus (Cerkamed P.P.H, Poland) was used as biological material during amputation, and Metapex filling material (Meta Biomed) was used to fill root canals during extirpation. Riva LC (SDI Limited, Australia) was used as a gasket for pulpitis. Research results and their discussion. We could not (in the most cases) provide quality treatment to the children of the 1st group, despite the fact that they had an older age, a lower intensity of caries, and a lower percentage of complicated caries. Although there is a significant number of dental visits (from 4 to 9) compared to children of the 2nd group, who were completely rehabilitated in the oral cavity in one visit. Conclusions. As the results of the clinical study demonstrated, it is better to treat children in early childhood and preschool age who have a high intensity of caries under general anesthesia. This will allow the doctor to carry out the high-quality treatment according to modern protocols with a predictable result and will save the child from a negative experience of dental treatment, which in the future will make it possible to safely carry out rehabilitation of the oral cavity in an outpatient setting.

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Analysis of performed paediatric oral and maxillofacial procedures under general anaesthesia over a two-year period in a North London NHS Trust

Cited by 2 publications

References 18 publications

A Preliminary Study of the Treatment Outcomes of Paediatric Dental Patients Referred for General Anaesthesia or Sedation at a Regional Hospital in Trinidad

A Preliminary Study of the Treatment Outcomes of Paediatric Dental Patients Referred for General Anaesthesia or Sedation at a Regional Hospital in Trinidad

Possibilities of Different Approaches Using During Dental Restoration in Preschool Children

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