Further dental treatment needs of children receiving exodontia under general anaesthesia at a teaching hospital in the UK
Further dental treatment needs of children receiving exodontia under general anaesthesia at a teaching hospital in the UK
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DOI：
10.1111/j.1365-263x.2006.00747.x
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发表时间：
2006-07-01
影响因子：
3.8
通讯作者：
Fayle, S. A.
中科院分区：
文献类型：
--
作者：
Kakaounaki, E.;Tahmassebi, J. F.;Fayle, S. A.
目标。这项研究的目的是调查1997年在英国利兹利兹牙科研究所(LDI)的日间病例病房接受全身麻醉(GA)拔牙的儿童随后的牙科治疗需求，以及重复牙科气体(DGA)的原因。作者进行了回顾性纵向分析。研究对象和方法。从医院记录中收集的资料包括：1997年DGA的原因和拔牙的原因；随后DGA的数量、原因和治疗；1997年后牙痛或肿胀的事件和原因；1997年DGA后6年在LDI接受局部麻醉(LA)或吸入镇静(IS)治疗。研究人群包括484名儿童，他们在LDI接受GA拔牙治疗，平均年龄6.35岁[95%可信区间(CI)=6.1，6.6]，年龄范围为1-16岁。1997年DGA最常见的拔牙原因是龋病，平均拔牙次数为4.24次(95%CI=4.05，4.43)。乳牙拔除占82%。总共有143名儿童(27.5%)有在LDI接受后续治疗的记录。在这些儿童中，32%在LA下接受治疗，7%在LA和IS下接受治疗，15%只接受预防护理。DGA的总重复率为10.7%，其中龋病(84%)是主要原因。在随后拔除的牙齿中，72%的牙齿在1997年DGA时记录为无龋齿或未萌出。在1997年DGA之后的6年里，大部分的随访都是为了治疗新发的牙病。对预防保健采取更积极主动的方法可能会减少新的牙病的发生。
Objectives. The aim of this study was to investigate the subsequent dental treatment needs of children who had dental extractions under general anaesthesia (GA) in 1997 in the Day Case Unit at Leeds Dental Institute (LDI), Leeds, UK, and the reasons for repeat dental GAs (DGAs).Study design. The authors conducted a retrospective longitudinal analysis.Subjects and methods. Information collected from hospital records for the 6-year period following the first DGA included: reasons for the DGA in 1997 and teeth extracted; the number of subsequent DGAs, reasons and treatment; incidents of and reasons for toothache or swelling after 1997; treatment under local anaesthesia (LA) or inhalation sedation (IS) at LDI during the 6 years following the DGA in 1997.Results. The study population consisted of 484 children, who received GA exodontia at LDI with a mean age of 6.35 years [95% confidence interval (CI) = 6.1, 6.6] and age range of 1-16 years. The most common reason for extractions at the original DGA in 1997 was dental caries, and the mean number of extractions was 4.24 (95% Cl = 4.05, 4.43). Primary teeth extractions accounted for 82% of the cases. In total, 143 children (27.5%) had a record of follow-up treatment at LDI. Of these children, 32% had treatment under LA, 7% under LA and IS, and 15% received preventive care only. The overall repeat rate for DGA was 10.7%, with caries (84%) being the main reason for this. Of the teeth subsequently extracted, 72% were recorded as caries-free or unerupted at the time of the DGA in 1997.Conclusions. A large proportion of the follow-up visits were to treat newly developed dental disease during the 6 years following the DGA in 1997. A more proactive approach towards preventive care may have resulted in the reduction of the development of new dental disease.