Brown, L, Kenny, K orcid.org/0000-0001-9076-5856 and O'Sullivan, E (2019) Dental general anaesthetic pre-assessments completed by a specialist—does it change patient outcomes? A UK-based study. International Journal of Paediatric Dentistry, 29 (2). pp. 162-168. ISSN 0960-7439
Abstract
Background: In the United Kingdom, assessments for dental general anaesthetics (DGA), completed by a Specialist in Paediatric Dentistry, are purported to be the gold standard. Aim: To evaluate the outcome of dental assessments completed by a Specialist in Paediatric Dentistry after a referral for an exodontia DGA by the patients’ General Dental Practitioner (GDP). Design: Six hundred and forty-two sets of notes were reviewed from patients referred for exodontia DGA at a community dental service in the United Kingdom. Information was gathered regarding patients’ oral health and the treatment they had received at three key points; at initial assessment by the Specialist in Paediatric dentistry, hypothetically if the GDPs treatment plan had been followed, and following specialist assessment and treatment. Results: Statistically significant differences were found in the dental assessment and the subsequent treatment children received between GDP plans and specialist plans. Proposed exodontia plans were changed by the specialist in 85% of cases, with more than 12% of the sample avoiding the need for a DGA. Conclusions: An assessment by a Specialist in Paediatric Dentistry prior to an exodontia GA significantly changed the outcome for patients. Further work is required to investigate whether there is any long-term effect of specialist DGA assessment on oral health.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd This is the peer reviewed version of the following article: Brown L, Kenny K, O'Sullivan E. Dental general anaesthetic pre‐assessments completed by a specialist—does it change patient outcomes? A UK‐based study. Int J Paediatr Dent. 2019;29:162–168., which has been published in final form at https://doi.org/10.1111/ipd.12442. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | care index; extraction; general anaesthesia; treatment planning |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Paediatric Dentistry (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Feb 2019 10:51 |
Last Modified: | 26 Oct 2019 00:39 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/ipd.12442 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:142769 |