Skip to content

Neighbourhood incidence rate of paediatric dental extractions under general anaesthetic in South West England

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)169-176
Number of pages8
JournalBritish Dental Journal
Volume224
Issue number3
DOIs
DateAccepted/In press - 3 Oct 2017
DatePublished (current) - 9 Feb 2018

Abstract

Introduction: Extraction of decayed teeth is the most common reason for UK children aged 5-9 years to receive a general anaesthetic. Inequalities in oral health are well recognised, but is under-explored in dental general anaesthesia (DGA).Methods Secondary analysis of routinely collected data from three local authorities in South West England was used to assess: 1) dental activities recorded for children <18 years attending NHS general dental practitioners (GDP); 2) the incidence rate of DGA and disease severity among <16-year-olds; and 3) individual and neighbourhood factors associated with higher rates of child DGA, and greater severity of disease.Results Among 208,533 GDP appointments, rates of preventive action were low where 1/7 included fluoride varnish but 1/5 included permanent fillings. The incidence rate of DGA was 6.6 admissions for every 1,000 children, rising to 12.4/1,000 among 5-9-year-olds. A total of 86 (7.6%) children had previously received a DGA at the same hospital. Area deprivation was strongly associated with higher rates of DGA, but rates of DGA remained high in less deprived areas. No associations were observed between number of teeth removed and socio-economic status.Conclusion Too many children are receiving DGA, and too few preventive actions are recorded by GDPs. Area-based inequalities in DGA were apparent, but wealthy areas also experienced substantial childhood dental decay.

    Structured keywords

  • PolicyBristol

Download statistics

No data available

Documents

Documents

  • Full-text PDF (accepted author manuscript)

    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Springer Nature at https://www.nature.com/articles/sj.bdj.2018.77. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 570 KB, PDF document

DOI

View research connections

Related faculties, schools or groups