Who is referred for sedation for dentistry and why?
Open accessAbstract
Objective To assess referrals to sedation, examining dental anxiety and background of patients, and compare these characteristics to those referred to a restorative dentistry clinic.Design Descriptive, cross sectional survey.Subjects and methods Subjects were 100 consecutive new patients in sedation and special care and 50 new patients in restorative dentistry at Guy's and St Thomas NHS Foundation Trust. A questionnaire included demographics, self-reported oral health and dental attendance, and dental fear. Information from the patients records was taken: ASA classification, previous sedation or general anaesthesia, alcohol and tobacco use, and medications.Results The best predictors of referral were dental anxiety level and an irregular attendance. The most important fears were seeing, hearing and feeling the vibrations of the dental drill, and the perception of an accelerated heart rate. Other factors such as general, mental and dental health and alcohol use were related to referral but less important.Conclusions Referral is consistent with the goal of the sedation clinic to see anxious patients. Referring general practitioners are able to identify these patients.
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For many children, sedation, general anaesthesia and/or restraint are excellent at enabling dental treatment to be performed.
“For many of these children, sedation, general anaesthesia and/or restraint are excellent at enabling dental treatment to be performed 6”
From Cognitive behaviour therapy for anxious paediatric dental patients: a systematic review. (2018) · cites this paper as [6]
The Introduction says that dentally fearful patients receive treatment under sedation or general anaesthesia, and the Conclusions say sedation can facilitate urgent care. But the study concerns predominantly adults and does not address restraint or establish that these approaches are excellent at enabling treatment for many children. No page numbers are available in our copy. (LLM, conf=0.84)
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References 14 · Cited by 55
- Authors
- Boyle, C. A., Newton, T., & Milgrom, P.
- Affiliations
- St Thomas' Hospital (GB)
- King's College London (GB)
- Corresponding author
- Boyle, C. A.
- Venue
- British Dental Journal
- Published
- 2009-03
- Volume
- 206
- Issue
- 6
- Pages
- E12-E12
- ISSN
- 0007-0610 (ISSN-L)
- 1476-5373
- PMC
- PMC3812064
- OpenAlex
- W1998070471
- Cited by
- 55
- References
- 14
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 8
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- BDJ (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (U54DE014254)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Keywords
- dental sedation, dental anxiety, restorative dentistry, patient attendance, predictors of referral, general practitioners, special care dentistry, ASA physical status, alcohol consumption, tobacco use
- MeSH terms
- Adolescent, Adult, Aged, Anesthesia, Dental, Cross-Sectional Studies, Dental High-Speed Equipment, Female, General Practice, Dental, United Kingdom, Humans, Injections, Male, Manifest Anxiety Scale, Middle Aged, Surveys and Questionnaires, Referral and Consultation, Case-Control Studies, Procedural Sedation, Dental Anxiety, Practice Patterns, Dentists', Young Adult
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