OBJECTIVE: To describe the morbidity related to general anaesthesia provided in general dental practices for the extraction of teeth in school children. DESIGN: Observational study supported by structured questionnaires and interviews. SETTING: Three general dental practices in a Lancashire health district and children's homes. SUBJECTS: 80 children aged 5-15 years undergoing extractions under general anaesthesia. MAIN OUTCOME MEASURES: Observed demeanour of the children prior to, during and immediately after the surgical procedures. Reported morbidity during the following 24 hours and 1 month later. RESULTS: 92% of the children complained of symptoms associated with the surgery under general anaesthesia. Distress was noted in 16 (20%) patients during the induction of 26 (33%) during recovery. Continued crying was reported for 24 (39%) during the journey home and for 23 (37%) once home had been reached. Other symptoms included nausea, vomiting, sickness and prolonged bleeding. Six reported psychological trauma 1 month after; three had nightmares, two had continuing bad memories and one was depressed for several days. CONCLUSION: Morbidity following extractions under general anaesthesia in general dental practice is common and has distressing consequences for the young patients and their carers.
OBJECTIVE: To describe the morbidity related to general anaesthesia provided in general dental practices for the extraction of teeth in school children. DESIGN: Observational study supported by structured questionnaires and interviews. SETTING: Three general dental practices in a Lancashire health district and children's homes. SUBJECTS: 80 children aged 5-15 years undergoing extractions under general anaesthesia. MAIN OUTCOME MEASURES: Observed demeanour of the children prior to, during and immediately after the surgical procedures. Reported morbidity during the following 24 hours and 1 month later. RESULTS: 92% of the children complained of symptoms associated with the surgery under general anaesthesia. Distress was noted in 16 (20%) patients during the induction of 26 (33%) during recovery. Continued crying was reported for 24 (39%) during the journey home and for 23 (37%) once home had been reached. Other symptoms included nausea, vomiting, sickness and prolonged bleeding. Six reported psychological trauma 1 month after; three had nightmares, two had continuing bad memories and one was depressed for several days. CONCLUSION: Morbidity following extractions under general anaesthesia in general dental practice is common and has distressing consequences for the young patients and their carers.
Authors: Amit Arora; Jane A Scott; Sameer Bhole; Loc Do; Eli Schwarz; Anthony S Blinkhorn Journal: BMC Public Health Date: 2011-01-12 Impact factor: 3.295
Authors: Michaela Goodwin; Richard Emsley; Michael Kelly; Eric Rooney; Matthew Sutton; Martin Tickle; Rebecca Wagstaff; Tanya Walsh; William Whittaker; Iain A Pretty Journal: BMC Oral Health Date: 2016-02-01 Impact factor: 2.757