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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creator | Grant, S M Davidson, L E Livesey, S |
description | 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 |
doi_str_mv | 10.1038/sj.bdj.4809811 |
format | Article |
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: 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</description><identifier>ISSN: 0007-0610</identifier><identifier>EISSN: 1476-5373</identifier><identifier>DOI: 10.1038/sj.bdj.4809811</identifier><identifier>PMID: 9807918</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject><![CDATA[Age Factors ; Ambulatory Care - statistics & numerical data ; Ambulatory Care - trends ; Anesthesia, Dental - statistics & numerical data ; Anesthesia, Dental - trends ; Anesthesia, General - statistics & numerical data ; Anesthesia, General - trends ; Child ; Child, Preschool ; Dental Service, Hospital - statistics & numerical data ; Dental Service, Hospital - trends ; Dentistry ; England - epidemiology ; Female ; Hospitals, Teaching - trends ; Humans ; Longitudinal Studies ; Male ; Mass Screening ; Orthodontics, Corrective - statistics & numerical data ; Orthodontics, Corrective - trends ; Outcome Assessment (Health Care) ; Practice Guidelines as Topic ; Referral and Consultation - statistics & numerical data ; Referral and Consultation - trends ; Residence Characteristics ; Retrospective Studies ; Tooth Extraction - statistics & numerical data ; Tooth Extraction - trends]]></subject><ispartof>British dental journal, 1998-10, Vol.185 (7), p.347-352</ispartof><rights>Springer Nature Limited 1998</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-b41e1b70f3e733e9be05f824e9fe89f7a55473497d96e900d8912a589ffaf6443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.bdj.4809811$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.bdj.4809811$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9807918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grant, S M</creatorcontrib><creatorcontrib>Davidson, L E</creatorcontrib><creatorcontrib>Livesey, S</creatorcontrib><title>Trends in exodontia under general anaesthesia at a dental teaching hospital</title><title>British dental journal</title><addtitle>Br Dent J</addtitle><addtitle>Br Dent J</addtitle><description>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</description><subject>Age Factors</subject><subject>Ambulatory Care - statistics & numerical data</subject><subject>Ambulatory Care - trends</subject><subject>Anesthesia, Dental - statistics & numerical data</subject><subject>Anesthesia, Dental - trends</subject><subject>Anesthesia, General - statistics & numerical data</subject><subject>Anesthesia, General - trends</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dental Service, Hospital - statistics & numerical data</subject><subject>Dental Service, Hospital - trends</subject><subject>Dentistry</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Hospitals, Teaching - trends</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Orthodontics, Corrective - statistics & numerical data</subject><subject>Orthodontics, Corrective - trends</subject><subject>Outcome Assessment (Health Care)</subject><subject>Practice Guidelines as Topic</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Referral and Consultation - trends</subject><subject>Residence Characteristics</subject><subject>Retrospective Studies</subject><subject>Tooth Extraction - statistics & numerical data</subject><subject>Tooth Extraction - trends</subject><issn>0007-0610</issn><issn>1476-5373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1PwzAQxS0EKqWwsiFlYkt6rp3YHlHFl6jEUmbLiS9totQpdiLBf49RS1emk97v3dPdI-SWQkaByXlos9K2GZegJKVnZEq5KNKcCXZOpgAgUigoXJKrEFoAyjkUEzJREoSickre1h6dDUnjEvzqbe-GxiSjs-iTDTr0pkuMMxiGLYZIzJCYxKIboj6gqbaN2yTbPuybqFyTi9p0AW-Oc0Y-nh7Xy5d09f78unxYpRXLF0Nacoq0FFAzFIyhKhHyWi44qhqlqoXJcy4YV8KqAhWAlYouTB5RbeqCczYj94fcve8_x3ib3jWhwq4zDvsxaAHAuGR5NGYHY-X7EDzWeu-bnfHfmoL-bU-HVsf29LG9uHB3TB7LHdqT_VhX5PMDD5G4DXrd9qN38dl_E50ZRo-nxD_-A_IvhRs</recordid><startdate>19981010</startdate><enddate>19981010</enddate><creator>Grant, S M</creator><creator>Davidson, L E</creator><creator>Livesey, S</creator><general>Nature Publishing Group UK</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19981010</creationdate><title>Trends in exodontia under general anaesthesia at a dental teaching hospital</title><author>Grant, S M ; Davidson, L E ; Livesey, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-b41e1b70f3e733e9be05f824e9fe89f7a55473497d96e900d8912a589ffaf6443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Age Factors</topic><topic>Ambulatory Care - statistics & numerical data</topic><topic>Ambulatory Care - trends</topic><topic>Anesthesia, Dental - statistics & numerical data</topic><topic>Anesthesia, Dental - trends</topic><topic>Anesthesia, General - statistics & numerical data</topic><topic>Anesthesia, General - trends</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dental Service, Hospital - statistics & numerical data</topic><topic>Dental Service, Hospital - trends</topic><topic>Dentistry</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Hospitals, Teaching - trends</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Orthodontics, Corrective - statistics & numerical data</topic><topic>Orthodontics, Corrective - trends</topic><topic>Outcome Assessment (Health Care)</topic><topic>Practice Guidelines as Topic</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Referral and Consultation - trends</topic><topic>Residence Characteristics</topic><topic>Retrospective Studies</topic><topic>Tooth Extraction - statistics & numerical data</topic><topic>Tooth Extraction - trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grant, S M</creatorcontrib><creatorcontrib>Davidson, L E</creatorcontrib><creatorcontrib>Livesey, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grant, S M</au><au>Davidson, L E</au><au>Livesey, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in exodontia under general anaesthesia at a dental teaching hospital</atitle><jtitle>British dental journal</jtitle><stitle>Br Dent J</stitle><addtitle>Br Dent J</addtitle><date>1998-10-10</date><risdate>1998</risdate><volume>185</volume><issue>7</issue><spage>347</spage><epage>352</epage><pages>347-352</pages><issn>0007-0610</issn><eissn>1476-5373</eissn><abstract>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</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>9807918</pmid><doi>10.1038/sj.bdj.4809811</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Age Factors Ambulatory Care - statistics & numerical data Ambulatory Care - trends Anesthesia, Dental - statistics & numerical data Anesthesia, Dental - trends Anesthesia, General - statistics & numerical data Anesthesia, General - trends Child Child, Preschool Dental Service, Hospital - statistics & numerical data Dental Service, Hospital - trends Dentistry England - epidemiology Female Hospitals, Teaching - trends Humans Longitudinal Studies Male Mass Screening Orthodontics, Corrective - statistics & numerical data Orthodontics, Corrective - trends Outcome Assessment (Health Care) Practice Guidelines as Topic Referral and Consultation - statistics & numerical data Referral and Consultation - trends Residence Characteristics Retrospective Studies Tooth Extraction - statistics & numerical data Tooth Extraction - trends |
title | Trends in exodontia under general anaesthesia at a dental teaching hospital |
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