June 2007

Volume 24, Issue 2

General dental practitioner’s views on dental general anaesthesia services.

Authors: A.G. Threlfall D. King K.M. Milsom A.S. Blinkhorn M. Tickle
doi:

Abstract

Objective Policy has recently changed on provision of dental general anaesthetic services in England. The aim of this study was to investigate general dental practitioners’ views about dental general anaesthetics, the reduction in its availability and the impact on care of children with toothache. Research Design Qualitative study using semi-structured interviews and clinical case scenarios. Participants General dental practitioners providing NHS services in the North West of England. Results 93 general dental practitioners were interviewed and 91 answered a clinical case scenario about the care they would provide for a 7-year-old child with multiple decayed teeth presenting with toothache. Scenario responses showed variation; 8% would immediately refer for general anaesthesia, 25% would initially prescribe antibiotics, but the majority would attempt to either restore or extract the tooth causing pain. Interview responses also demonstrated variation in care, however most dentists agree general anaesthesia has a role for nervous children but only refer as a last resort. The responses indicated an increase in inequalities, and that access to services did not match population needs, leaving some children waiting in pain. Conclusions Most general dental practitioners support moving dental general anaesthesia into hospitals but some believe that it has widened health inequalities and there is also a problem associated with variation in treatment provision. Additional general anaesthetic services in some areas with high levels of tooth decay are needed and evidence based guidelines about caring for children with toothache are required. Key words: children, dental, general anaesthetic, pain

£10 single article

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Editorial - Where next in oral cancer prevention and control? 66-69 £10 single article
Interventions for tobacco cessation in the dental setting. A systematic review 70-74 £10 single article
The cost-effectiveness of adding fluorides to milk-products distributed by the National Food Supplement Programme (PNAC) in rural areas of Chile 75-81 £10 single article
Dietary patterns, toothbrushing habits and caries experience of schoolchildren in West Yorkshire, England. 82-87 £10 single article
Prevalence and severity of dental caries in 5- and 12-year old children in the Veneto Region (Italy) 88-92 £10 single article
General dental practitioner’s views on dental general anaesthesia services. 93-96 £10 single article
Reliability methodology in caries epidemiological studies conducted in the Nordic countries between 1990 and 2001 97-104 £10 single article
The reproducibility of the Denplan Oral Health Score (OHS®) in general dental practitioners 105-110 £10 single article
The oral health status of postpartum mothers in South-East Hungary 111-116 £10 single article
Challenges associated with the evaluation of a dental health promotion programme in a deprived urban area 117-121 £10 single article
Dental caries and associated factors among young male adults between 1999 and 2003 in Southern Brazil 122-127 £10 single article

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