Why are children still having preventable extractions under general anaesthetic? A service evaluation of the views of parents of a high caries risk group of children
Abstract
Introduction Despite overall improvements in oral health, the number of children admitted to hospital for extraction of teeth due to caries under general anaesthesia (GA) has been reported as increasing dramatically in England. The new UK government plans to transform NHS dentistry by improving oral health.Aim To evaluate the dental care received by children who required caries-related extractions under GA and obtain the views of their parents or guardians on their experiences of oral health services and the support they would like to improve their child's oral health, to inform future planning.Method An interview questionnaire was designed and piloted to collect data from a consecutive sample of 100 parents or guardians during their child's pre-operative assessment appointment. This took place at one London dental hospital between November 2009 and February 2010.Results Most children were either white (43%) or black British (41%); the average age was seven years (range 2-15, SD 3.1, SE 0.31) and the female:male ratio was 6:5. Most (84%) had experienced dental pain and 66% were referred by a general dental practitioner (GDP). A large proportion of parents or guardians (47%) reported previous dental treatment under GA in their children or child's sibling/s. Challenges discussed by parents in supporting their child's oral health included parenting skills, child behaviour, peer pressure, insufficient time, the dental system and no plans for continuing care for their child. Three out of four parents (74%) reported that they would like support for their child's oral health. Sixty percent of all parents supported school/nursery programmes and 55% supported an oral health programme during their pre-assessment clinic.Discussion These findings suggest that the oral health support received by high caries risk children is low. Health promotion programmes tailored to this cohort are necessary and our findings suggest that they would be welcomed by parents.
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Families with previous experience of general anaesthesia have a rate of 47% repeat dental GA experience.
“bearing in mind that these families have a rate of 47% repeat dental GA experience [22].”
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- Authors
- Olley, R. C., Hosey, M. T., Renton, T., & Gallagher, J.
- Affiliations
- St Thomas' Hospital (GB)
- Corresponding author
- Olley, R. C.
- Venue
- British Dental Journal
- Published
- 2011-04
- Volume
- 210
- Issue
- 8
- Pages
- E13-E13
- ISSN
- 0007-0610 (ISSN-L)
- 1476-5373
- OpenAlex
- W2161643260
- Cited by
- 55
- References
- 24
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 10 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- BDJ (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- King's College Hospital NHS Foundation Trust
- Public Health Wales
- King's College London
- Cardiff University
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- dental caries, children, tooth extraction, general anesthesia, high caries risk, parental attitudes, oral health promotion, parental support, NHS dentistry
- MeSH terms
- Adolescent, Age Factors, Anesthesia, Dental, Anesthesia, General, Attitude to Health, Child, Child Behavior, Child, Preschool, Continuity of Patient Care, Dental Caries, Dental Caries Susceptibility, Feeding Behavior, Female, Health Promotion, Humans, London, Male, Oral Health, Parents, Peer Group, School Dentistry, State Dentistry, Time Factors, Tooth Extraction, Parenting, Dental Care for Children, Black People, White People
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