Literature DB >> 20512107

What happens after referral for sedation?

C A Boyle1, T Newton, L J Heaton, S Afzali, P Milgrom.   

Abstract

OBJECTIVE: To follow up 100 referrals to the sedation clinic, examining dental anxiety and background of patients, and to assess how many patients attended for treatment planning, initial treatment and how many completed treatment, and describe the characteristics of each. For those who attended for initial treatment, to investigate which type of sedation they received and the level of clinician they saw.
DESIGN: Descriptive, cross-sectional survey and review of case notes. SUBJECTS AND METHODS: Subjects were 100 consecutive new patients to the Department of Sedation and Special Care Dentistry at Guy's and St Thomas NHS Foundation Trust. The notes were analysed by an experienced member of staff (CAB) and data entered into an Excel spreadsheet and an SPSS data file created. These data were merged with a dataset containing their responses to the initial questionnaire and medical history for analysis.
RESULTS: Of the 100 patients initially referred, 72 attended the treatment planning session, 66 of the 72 (92%) attended for initial dental treatment, and 33 of 66 (50%) completed treatment. Dental Fear Survey (DFS) scores were related to attendance at the initial treatment visit but not to completion of treatment. Only 33 of 100 referred patients completed treatment.
CONCLUSIONS: Attendance for treatment planning and initial treatment was high. Attendance is related to fear and mental health. Overall completion of treatment from referral was 33%.

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Year:  2010        PMID: 20512107      PMCID: PMC3812067          DOI: 10.1038/sj.bdj.2010.502

Source DB:  PubMed          Journal:  Br Dent J        ISSN: 0007-0610            Impact factor:   1.626


  11 in total

1.  Dental attendance in 1998 and implications for the future.

Authors:  N M Nuttall; G Bradnock; D White; J Morris; J Nunn
Journal:  Br Dent J       Date:  2001-02-24       Impact factor: 1.626

2.  Need and demand for sedation or general anesthesia in dentistry: a national survey of the Canadian population.

Authors:  B Chanpong; D A Haas; D Locker
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3.  Four dimensions of fear of dental injections.

Authors:  P Milgrom; S E Coldwell; T Getz; P Weinstein; D S Ramsay
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4.  Long-term effects of two different treatments for dental fear and avoidance.

Authors:  U Berggren
Journal:  J Dent Res       Date:  1986-06       Impact factor: 6.116

5.  Factor analysis of the dental fear survey with cross-validation.

Authors:  R A Kleinknecht; R M Thorndike; F D McGlynn; J Harkavy
Journal:  J Am Dent Assoc       Date:  1984-01       Impact factor: 3.634

6.  Attitudes to conscious sedation in patients attending an emergency dental clinic.

Authors:  Edith M Allen; Nick M Girdler
Journal:  Prim Dent Care       Date:  2005-01

7.  Long-term effects on dental care behavior and dental health after treatments for dental fear.

Authors:  M Hakeberg; U Berggren; S G Carlsson; H G Gröndahl
Journal:  Anesth Prog       Date:  1993

Review 8.  Assessing patients' perception of self-care agency in psychiatric care.

Authors:  Carol Cutler
Journal:  Issues Ment Health Nurs       Date:  2003-03       Impact factor: 1.835

9.  The association between dental anxiety and oral health-related quality of life in Britain.

Authors:  Colman McGrath; Raman Bedi
Journal:  Community Dent Oral Epidemiol       Date:  2004-02       Impact factor: 3.383

10.  The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear.

Authors:  Jason M Armfield; Judy F Stewart; A John Spencer
Journal:  BMC Oral Health       Date:  2007-01-14       Impact factor: 2.757

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