Issues arising following a referral and subsequent wait for extraction under general anaesthetic: impact on children

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• 作者：Michaela Goodwin (8)
  Caroline Sanders (9)
  Gill Davies (10)
  Tanya Walsh (8)
  Iain A Pretty (8)
  
  8. The Dental Health Unit ; School of Dentistry ; The University of Manchester ; Williams House ; Manchester Science Park ; M15 6SE ; Manchester ; England
  9. Centre for Primary Care ; The University of Manchester ; Williamson Building ; Oxford Road ; Manchester ; M13 9PL ; England
  10. Public Health England ; Greater Manchester Centre ; 3 Piccadilly Place ; Manchester ; M1 3BN ; England
  
• 关键词：Caries ; Children ; Pain ; Impact ; General anaesthetic
• 刊名：BMC Oral Health
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
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• 刊物主题：Dentistry; Oral and Maxillofacial Surgery;
• 出版者：BioMed Central
• ISSN：1472-6831

文摘

Background Untreated caries in young children can result in a referral for extraction in hospital under general anaesthetic (GA). This study aims to explore the impact of caries during the ensuing wait for GA on children resident in the North West of England. Methods The study involved 456 respondents referred to six hospitals in the Northwest of England. Over a two-month period each of these children/ families completed a questionnaire and gave permission to access their referral and consultation notes. Results Children (6.78?years old: 1.50 to 16.42) had on average five teeth extracted (ranging from one to a full clearance, with all teeth removed). Sixty seven per cent of parents reported their child had been in pain, 26% reported schools days being missed and 38% having sleepless nights. The average time from referral to operation was 137?days. Results indicated that children could be in discomfort during their wait, as pain was experienced, on average, 14?days before the operation. Wait time significantly predicated the number of sleepless nights b--004, t(340)- 2.276, p = .023. Conclusions It is clear that pain, sleepless nights and missed school are a feature during a wait for dental GA and can be exacerbated by an extended wait. These data support the need for not only effective prevention of caries within primary care to reduce wait times and experience of GA but also effective management of pain and infection during a prolonged wait for treatment.