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
Hauptverfasser: Grant, S M, Davidson, L E, Livesey, S
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container_title British dental journal
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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
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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. 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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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