Brown Lucy, Kenny Kate, O'Sullivan Elizabeth
Department of Paediatric Dentistry, Leeds Dental Institute, Leeds, UK.
Dental Department, City Health Care Partnership CIC, Leeds, UK.
Int J Paediatr Dent. 2018 Oct 26. doi: 10.1111/ipd.12442.
In the United Kingdom, assessments for dental general anaesthetics (DGA), completed by a Specialist in Paediatric Dentistry, are purported to be the gold standard.
To evaluate the outcome of dental assessments completed by a Specialist in Paediatric Dentistry after a referral for an exodontia DGA by the patients' General Dental Practitioner (GDP).
Six hundred and forty-two sets of notes were reviewed from patients referred for exodontia DGA at a community dental service in the United Kingdom. Information was gathered regarding patients' oral health and the treatment they had received at three key points; at initial assessment by the Specialist in Paediatric dentistry, hypothetically if the GDPs treatment plan had been followed, and following specialist assessment and treatment.
Statistically significant differences were found in the dental assessment and the subsequent treatment children received between GDP plans and specialist plans. Proposed exodontia plans were changed by the specialist in 85% of cases, with more than 12% of the sample avoiding the need for a DGA.
An assessment by a Specialist in Paediatric Dentistry prior to an exodontia GA significantly changed the outcome for patients. Further work is required to investigate whether there is any long-term effect of specialist DGA assessment on oral health.
在英国，由儿科牙科专家完成的牙科全身麻醉（DGA）评估据称是金标准。
评估患者的普通牙科医生（GDP）转诊进行拔牙DGA后，由儿科牙科专家完成的牙科评估结果。
回顾了英国一家社区牙科服务机构中642例转诊进行拔牙DGA患者的病历。收集了患者口腔健康以及在三个关键点接受治疗的信息；在儿科牙科专家进行初始评估时、假设遵循GDP的治疗计划时以及在专家评估和治疗之后。
在GDP计划和专家计划之间，儿童接受的牙科评估和后续治疗存在统计学上的显著差异。在85%的病例中，专家改变了提议的拔牙计划，超过12%的样本无需进行DGA。
拔牙全身麻醉前由儿科牙科专家进行评估显著改变了患者的治疗结果。需要进一步开展工作来调查专家DGA评估对口腔健康是否有任何长期影响。
