Abstract
Abstract
Purpose
The aim of this retrospective study is to determine children’s attendance and
experience of preventative interventions and operative treatment (restorations and
extractions) with their primary care dentist (PCD) in the 12 months before and after
their caries management under dental general anaesthetic (DGA).
Methods
A record of all children who had an elective DGA in 2016 across two hospital sites was
retrospectively obtained (n = 1308). A representative sample of 300 was randomly
selected encompassing 114 dental practices. An online questionnaire to the children’s
PCDs collated quantitative and qualitative data regarding participation in the pre- and
post-DGA period.
Results
Data was collated and analysed for 80 children (mean age: 6 years 10 months
[SD = 2.49; range: 2 years 1 month – 14 years 3 months]; equal sex distribution) with 43
responding PCDs. Attendance for examination declined significantly from 85% (n = 68)
pre-DGA to 57.5% (n = 46) post-DGA (p ≤ 0.001). Attendance at emergency
appointments pre-DGA was high (33.75% [n = 27]); a significant reduction post-DGA
was recorded (p ≤ 0.001). Over one third of children (37.5% [n = 30]) did not receive
any form of preventative intervention over 24 months. A non-significant reduction in the
provision of operative treatment was observed post-DGA (p = 0.06 [fill, primary]; p = 0.78
[fill, permanent]; p = 0.66 [ext, primary]). No statistical difference between age and
treatment experience was found. Qualitative analysis revealed challenges in providing
care included behavioural difficulties and poor attendance.
Conclusion
Improvements are required in strategies employed to support high caries risk children
pre- and post-DGA to facilitate a higher incidence of attendance and preventative
intervention with PCDs.
Funder
College of Medicine and Veterinary Medicine, University of Edinburgh
Publisher
Springer Science and Business Media LLC
Subject
Dentistry (miscellaneous),Pediatrics, Perinatology and Child Health
Cited by
3 articles.
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