Impact of Long Waits on Treatment Plan Validity among Paediatric Patients Listed For Dental Extraction under General Anaesthesia

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dc.contributor.advisorProfessor. Siobhan barry
dc.contributor.authorNASSER ABDULRAHMAN NASSER ALSOLAIHIM
dc.date2021
dc.date.accessioned2022-06-06T03:06:03Z
dc.date.available2021-12-01 13:22:22
dc.date.available2022-06-06T03:06:03Z
dc.description.abstractIntroduction: Dental caries has a significant impact on the oral, general and psychological health of children. In the latest oral health survey of 5 year old children, almost one-quarter of 5 year old children in the UK had experienced dental caries. General anaesthesia (GA) may be necessary to provide dental treatment for children, but waiting times in the UK are a substantial challenge and may lead to children developing symptoms of dental pain and infection and possible requiring additional extractions on the day of operation. Aim: To determine the impact of long waits on treatment plan validity amongst paediatric patients listed for dental extraction under general anaesthesia in the Manchester University Foundation Trust. Method: This was a retrospective, electronic case-note analysis service evaluation. All paediatric dental patients who attended for dental extractions under GA between December 2019 and February 2020 were included which gave a convenience sample of 103 patient records. Data regarding patient waiting time for GA, any symptoms experienced while waiting and validity of each treatment plan was collected. Results: Out of 103 case records, 54 cases were female and 49 were male. Median age at the time of GA was 7 years [IQR 5 -9]. Significantly more teeth were extracted then planned with a median of 7 [4-10] teeth per child planned to be extracted and 8 [5-12] eventually extracted (Wilcoxon Signed Rank, p=0.006). In 41 (40%) subjects, the planned number of teeth extracted was identical to what was planned. With a median of waiting time of 341 days [322-344], the amount of time on the waiting list was not correlated with the numbers of lost teeth or the difference between planned and extracted teeth Conclusion: This service evaluation has highlighted the possible detrimental effects of long waiting times for children who need dental extractions under GA.
dc.format.extent46
dc.identifier.other108762
dc.identifier.urihttps://drepo.sdl.edu.sa/handle/20.500.14154/67685
dc.language.isoen
dc.publisherSaudi Digital Library
dc.titleImpact of Long Waits on Treatment Plan Validity among Paediatric Patients Listed For Dental Extraction under General Anaesthesia
dc.typeThesis
sdl.degree.departmentMSc in Clinical Dentistry (Paediatric Dentistry)
sdl.degree.grantorSchool of Dentistry
sdl.thesis.levelMaster
sdl.thesis.sourceSACM - United Kingdom
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