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

BMC Oral Health

Iain A Pretty³  Tanya Walsh³  Gill Davies²  Caroline Sanders¹  Michaela Goodwin³ 

[1] Centre for Primary Care, The University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, England;Public Health England, Greater Manchester Centre, 3 Piccadilly Place, Manchester M1 3BN, England;The Dental Health Unit, School of Dentistry, The University of Manchester, Williams House, Manchester Science Park, M15 6SE Manchester, England

关键词: General anaesthetic;    Impact;    Pain;    Children;    Caries;   

Others  :  1090496
DOI  :  10.1186/1472-6831-15-3

 received in 2014-08-28, accepted in 2015-01-05,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Goodwin et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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