Children choosing between general anaesthesia or inhalation sedation for dental extractions: the effect on dental anxiety

International Journal of Paediatric Dentistry
L M ArchG T Lee

Abstract

To compare the levels of dental anxiety experienced by children having dental extractions using general anaesthesia (GA) with those having extractions using local anaesthesia and inhalation sedation (IHS) when offered a programmed choice between the two techniques prior to treatment. Structured interview with child at pre-treatment and at one week (approximately) follow up. Community: primary health care centre. Children aged 9-15 years referred to a local NHS Trust dental clinic (n = 88). Child and parent provided with information about IHS and its benefits over GA for the assistance in tolerating extraction of teeth and provided with a choice of procedure. An eight question modified child dental anxiety scale. Full information was received from 76 children giving an 86% response rate. Post-operative dental anxiety was lower in children who had chosen (with their parent) IHS in comparison to those who had chosen general anaesthesia (P < 0.05). Dental anxiety remained unchanged in the group who chose to have their extractions under GA. Children and their parents who select IHS as opposed to GA to assist in extractions demonstrate less psychological distress.

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Citations

Jun 9, 2007·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·E AlexopoulosM T Hosey
Sep 17, 2008·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·M A KlaassenJ Hoogstraten
Nov 28, 2002·International Journal of Paediatric Dentistry·R A E Bryan
Jan 1, 2011·The Australasian Medical Journal·Roslind Preethi GeorgeMarc Tennant
Mar 29, 2014·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·V BokaN Kotsanos
Oct 28, 2008·Disability and Rehabilitation·Valérie ColladoMartine Hennequin
Jul 20, 2007·Developmental Medicine and Child Neurology·Denise FaulksPeter Onody
Sep 14, 2012·Community Dentistry and Oral Epidemiology·Jenny PorrittZoe Marshman
Dec 20, 2014·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·F KebriaeeF Mazhari
Sep 29, 2015·The Cochrane Database of Systematic Reviews·Paul F AshleyJennifer Parry
Dec 7, 2018·International Journal of Paediatric Dentistry·Ghadah S AldossariMohammed S Aldossary
Mar 19, 2016·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·C Mac Giolla PhadraigJ Nunn
Dec 1, 2017·Dental Update·Jennifer LawsonChris Deery
Sep 6, 2002·British Dental Journal·J Foley

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