Literature DB >> 23393529

Hospitalisation for the surgical removal of impacted teeth: Has Australia followed international trends?

Roslind Preethi George1, Estie Kruger, Marc Tennant.   

Abstract

BACKGROUND: The aim of the study was to undertake a six-year analysis from 1999/00 to 2004/05, of the demographic characteristics of hospitalisations for the surgical removal of impacted teeth in Western Australia under general anaesthesia.
METHOD: Data for the current analysis was obtained from the Western Australian Hospital Morbidity Data System (HMDS). Gender, age, indigenous status, place of residence, type of hospital admitted, insurance status, and Diagnostic Related Group (DRG) cost estimates for the procedure were analysed.
RESULTS: A total of 37.6% of all oral health-related hospitalisations in Western Australia over the six years were for the removal of impacted teeth. Admitted patients were predominantly females (58.8%) and very few Indigenous people were hospitalised (0.2%). The average age of patients was 21.4 years (sd=9.9). Metropolitan patients were hospitalised 1.5 times more than rural patients for this condition. The majority of patients were hospitalised at a private metropolitan hospital and were insured. The total cost of hospitalisation for this condition contributes to 27% of all the oral health condition-related hospitalisation costs.
CONCLUSION: This study suggests that the hospital-based removal of impacted teeth in Western Australia is associated with factors such as indigenous status, age, gender and private hospital access along with insurance status raising interesting questions over the equity of provision of this service.

Entities:  

Keywords:  Australia; Impacted teeth; indigenous; third molars

Year:  2011        PMID: 23393529      PMCID: PMC3562882          DOI: 10.4066/AMJ.2011.688

Source DB:  PubMed          Journal:  Australas Med J        ISSN: 1836-1935


  17 in total

1.  Prevalence of impacted teeth and associated pathologies--a radiographic study of the Hong Kong Chinese population.

Authors:  F C S Chu; T K L Li; V K B Lui; P R H Newsome; R L K Chow; L K Cheung
Journal:  Hong Kong Med J       Date:  2003-06       Impact factor: 2.227

2.  Prevalence of impacted teeth and associated pathology in middle-aged and older Swedish women.

Authors:  M Ahlqwist; H G Gröndahl
Journal:  Community Dent Oral Epidemiol       Date:  1991-04       Impact factor: 3.383

3.  Removal of third molars in Scottish oral and maxillofacial surgery units: a review of practice in 1995 and 2002.

Authors:  C M Dunne; C A Goodall; J A Leitch; D I Russell
Journal:  Br J Oral Maxillofac Surg       Date:  2005-09-12       Impact factor: 1.651

4.  The American Association of Oral and Maxillofacial Surgeons Age-Related Third Molar Study.

Authors:  Richard H Haug; David H Perrott; Martin L Gonzalez; Reena M Talwar
Journal:  J Oral Maxillofac Surg       Date:  2005-08       Impact factor: 1.895

5.  A four-year retrospective study of adult hospitalization for oral diseases in Western Australia.

Authors:  K Smith; E Kruger; M Tennant
Journal:  Aust Dent J       Date:  2006-12       Impact factor: 2.291

6.  The incidence of impacted teeth. A survey at Harlem hospital.

Authors:  R M Kramer; A C Williams
Journal:  Oral Surg Oral Med Oral Pathol       Date:  1970-02

Review 7.  Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults.

Authors:  T G Mettes; M E L Nienhuijs; W J M van der Sanden; E H Verdonschot; A J M Plasschaert
Journal:  Cochrane Database Syst Rev       Date:  2005-04-18

8.  Accessing government subsidized specialist oral and maxillofacial surgery services in Western Australia.

Authors:  E Kruger; M Tennant
Journal:  Aust Dent J       Date:  2005-09       Impact factor: 2.291

9.  Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction.

Authors:  V Lopes; R Mumenya; C Feinmann; M Harris
Journal:  Br J Oral Maxillofac Surg       Date:  1995-02       Impact factor: 1.651

10.  The prophylactic extraction of third molars: a public health hazard.

Authors:  Jay W Friedman
Journal:  Am J Public Health       Date:  2007-07-31       Impact factor: 9.308

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  2 in total

1.  Cost effectiveness modelling of a 'watchful monitoring strategy' for impacted third molars vs prophylactic removal under GA: an Australian perspective.

Authors:  A A Anjrini; E Kruger; M Tennant
Journal:  Br Dent J       Date:  2015-07-10       Impact factor: 1.626

2.  International benchmarking of hospitalisations for impacted teeth: a 10-year retrospective study from the United Kingdom, France and Australia.

Authors:  A A Anjrini; E Kruger; M Tennant
Journal:  Br Dent J       Date:  2014-04       Impact factor: 1.626

  2 in total

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