The behaviour, social status and number of teeth extracted in children under general anaesthesia: A referral centre revisited
Abstract
Objective To report on the changing profile of children attending for Dental General Anaesthetic extractions (DGA) at the same centre in 1998 and again in 2004 compared to 1991.Design Prospective clinical.Setting Glasgow Dental Hospital DGA service during August 1999 and August/September 2004.Subjects and method Children presenting for DGA extractions. Data recorded: age, gender, number of teeth extracted and level of behaviour using the Frankl scale.Results In 1999: 190 children (97 boys) mean age five years. In 2004: 106 children (55 boys) mean age five years. There was a significant increase in the mean number of teeth extracted (p < 0.001), 4.2 (1-16) and 7.8 (1-17) in 1999 and 2004 respectively, compared to 3.7 in 1991. Twenty-six per cent of children had between six and 16 teeth extracted in 1999 compared to 74% in 2004. Significantly fewer children demonstrated "definitely positive" behaviour compared to 1991. Children were in the poorest socioeconomic groups, reflecting the geographic area.Conclusion Over half of the children were aged five years and under. Fewer highly co-operative children were treated. More teeth were extracted per child, suggesting that there should be greater opportunities to carry out restorations, not just extractions under general anaesthesia.
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Based on acceptance of anaesthetic induction measured using A-VAS, using results from the Phase II study for a statistical power of 90%, and for a difference of 2 cm on the Visual Analogue Scale (SD = 3.1) at the time of anaesthetic induction (an effect size of 0.65), 53 children will be required in each group.
“Based on acceptance of anaesthetic induction measured using a 10 cm Visual Analogue Scale (A-VAS), using results from the Phase II study [13] for a statistical power of 90%, and for a difference of 2 cm on the Visual Analogue Scale (SD = 3.1) at the time of anaesthetic induction (an effect size of 0.65), 53 children will be required in each group.”
Up to 30% of children referred for dental GA might have undergone a GA previously.
“our previous work has shown that up to 30% of children referred for dental GA might have undergone a GA previously [13,28]”
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- Authors
- Hosey, M. T., Bryce, J., Harris, P., McHugh, S., & Campbell, C.
- Affiliations
- University of Glasgow (GB)
- Corresponding author
- Hosey, M T
- Venue
- British Dental Journal
- Published
- 2006-03
- Volume
- 200
- Issue
- 6
- Pages
- 331-334
- ISSN
- 0007-0610 (ISSN-L)
- 1476-5373
- OpenAlex
- W2034418366
- Cited by
- 28
- References
- 15
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- BDJ (publishedVersion)
- PubMed (publishedVersion)
- 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 general anaesthesia, tooth extraction, pediatric dental anesthesia, child behavior, Frankl scale, social status, socioeconomic deprivation, children under five, dental restorations, temporal trends
- MeSH terms
- Age Factors, Anesthesia, Dental, Anesthesia, General, Child, Child, Preschool, Cooperative Behavior, Epidemiologic Methods, Female, Humans, Infant, Male, Scotland, Socioeconomic Factors, Tooth Extraction, Sex Distribution, Dental Care for Children
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