A retrospective analysis of episodes of single tooth extraction under general anaesthesia for adults

British Dental Journal
B Hong, A Birnie

Abstract

To investigate the provision of adult dental extraction under general anaesthesia (DGA) at the Royal Cornwall Hospitals NHS Trust (RCHT)-- specifically adult single tooth DGA episodes in regards to numbers, demographics, justifications, and appropriateness regarding the use of resources. Data were collected retrospectively from the patient case notes and electronic records for the complete study cohort. This study included all episodes of adult single tooth DGA in all RCHT sites during 2014, except for mandibular third molar and impacted teeth. Each case was tested against the DGA case selection criteria empirically devised for this study. In 2014, 106 episodes of adult single tooth DGA were carried out in RCHT that met the inclusion criteria. Younger females from more socio-economically deprived areas of Cornwall were increasingly likely to have this procedure. Mental disorders were the most prevalent co-morbidity (21.7%) in this cohort. The vast majority of patients (93.4%) had previously tolerated dental treatment without the need for general anaesthesia (GA). Many referrals (46.2%) and listings (30.2%) specifically stated patient demand-driven reasons. None of the cohort had DGA due to failure of sedation. There were potent...Continue Reading

References

Mar 15, 2000·British Dental Journal·G L Tyrer
Apr 25, 2006·European Journal of Oral Sciences·Sirpa AnttilaMatti Joukamaa
Dec 17, 2008·International Journal of Paediatric Dentistry·E O'SullivanUNKNOWN British Society of Paediatric Dentistry
Jan 20, 2011·European Journal of Oral Sciences·Vesa PohjolaSatu Lahti
Jun 30, 2011·Indian Journal of Anaesthesia·Mohamed Daabiss
May 7, 2015·The British Journal of Oral & Maxillofacial Surgery·Nageena Khalique Qc

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