Dental care of a child in pain -- a comparison of treatment planning options offered by GDPs in California and the North-west of England

International Journal of Paediatric Dentistry
A S Blinkhorn, R Zadeh-Kabir

Abstract

To compare the treatment plans offered by general dental practitioners (GDPs) in the North-west of England (UK) and California (USA) in dealing with a child in pain. A cross-sectional postal survey of a convenience sample of 135 UK and 170 USA GDP. These GDPs were asked to consider a case scenario of a 5-year-old child with pain from a lower first primary molar and to offer a treatment plan. The plan was to have three phases: immediate care, follow-up care and longer term preventive strategy. The influence of cost on treatment plans was also recorded. Response rates for the GDPs were 117 (86.6%) from the UK and 139 (81.8%) from the USA. The major differences in immediate care were as follows: 98% of Americans would take a radiograph, 41% would consider extraction, 37% would place a space maintainer and 4% would use general anaesthesia to extract a tooth. Comparable proportions for the English dentists were 20%, 21%, 2% and 40%. Later clinical options also showed differences: 39% of UK dentists would extract all first primary molars compared to only 1% of Americans. Eighty-eight per cent of USA dentists would place a nickel chrome crown compared to 4% of UK respondents. There were also differences in the longer term preventive m...Continue Reading

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Citations

Oct 22, 2005·International Journal of Paediatric Dentistry·N SavanheimoM Numminen
Jun 9, 2006·International Journal of Paediatric Dentistry·D HaubekI Rølling
Dec 2, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·J Foley
Aug 12, 2014·International Journal of Environmental Research and Public Health·Geovanna C M MachadoLuciane R Costa
Feb 7, 2015·Community Dentistry and Oral Epidemiology·Anelise DaherLuciane R Costa
Jan 1, 2016·The Cochrane Database of Systematic Reviews·Nicola P T InnesRuth M Santamaria
May 23, 2020·International Journal of Clinical Pediatric Dentistry·Sheikh Bilal BadarRobia Ghafoor

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