Trends in exodontia under general anaesthesia at a dental teaching hospital
Aims : To survey the use of simple exodontia for children under general anaesthesia on an out-patient basis at a Northern Dental Hospital. To monitor any effects resulting from the introduction of the Poswillo guidelines on the referral for and treatment of patients under general anaesthesia. Design...
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Veröffentlicht in: | British dental journal 1998-10, Vol.185 (7), p.347-352 |
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Sprache: | eng |
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Zusammenfassung: | Aims
: To survey the use of simple exodontia for children under general anaesthesia on an out-patient basis at a Northern Dental Hospital. To monitor any effects resulting from the introduction of the Poswillo guidelines on the referral for and treatment of patients under general anaesthesia.
Design
: A retrospective longitudinal analysis.
Setting
: A Northern Dental Hospital in England.
Materials
: Information was recorded from original case records of children undergoing exodontia under general anaesthesia on an out-patient basis during October between 1989 and 1997.
Results
: The mean and modal age of the children decreased from 7.7 years to 6.0 years respectively in 1989 to 5.7 years and 4.0 years in 1997. The proportion receiving a general anaesthetic for orthodontic extractions substantially decreased from 18.0% in 1989 to 0.7% in 1997 and the need for repeat dental general anaesthetics within 18 months was eliminated with the introduction of a pre-general anaesthetic screening service.
Conclusion
: Dental treatment under general anaesthesia should continue to be available where it is justified. A separate assessment appointment reduces the prescription of general anaesthesia and minimises its usage for orthodontic extractions and the necessity for repeat general anaesthesia |
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ISSN: | 0007-0610 1476-5373 |
DOI: | 10.1038/sj.bdj.4809811 |