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Repeat paediatric dental general anaesthesia at Sheffield Children's NHS Foundation Trust: a service evaluation. | LitMetric

Repeat paediatric dental general anaesthesia at Sheffield Children's NHS Foundation Trust: a service evaluation.

Br Dent J

Paediatric Dentistry, Charles Clifford Dental Services, Sheffield Teaching Hospitals NHS Foundation Trust, Wellesley Road, Sheffield, UK; Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK; Unit of Oral Health, Dentistry & Society, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK.

Published: February 2020

AI Article Synopsis

Article Abstract

Introduction The use of general anaesthesia in paediatric dentistry should be appropriate and justified. During the treatment of children, a clinician should have foresight into the future dental requirements of the patient and whether a future general anaesthetic will be required in quick succession. Efforts should be made when possible to avoid this.Aims This service evaluation was performed to gather information regarding repeat dental general anaesthetics within Sheffield Children's Hospital NHS Foundation Trust.Methods All children's records who had experienced a repeat dental general anaesthetic between 1 January 2015 and 31 December 2018 were analysed. Those who had experienced a repeat dental general anaesthetic within two years were investigated.Results Overall, 0.63% of children had a repeat dental general anaesthetic within a two-year period. These repeat dental general anaesthetics were mainly justified due to new dental caries. 43.9% had modifying factors, such as a complex medical history, that could have impacted the need for a second dental general anaesthetic.Conclusion The repeat rate in Sheffield Children's Hospital NHS Foundation Trust is low. We believe this is a result of specialist treatment planning and appropriate use of both 'extraction only' and 'restorative and extraction' GA lists.

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Source
http://dx.doi.org/10.1038/s41415-020-1256-9DOI Listing

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