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European Archives of Paediatric Dentistry

, Volume 1, Issue 2, pp 106–111 | Cite as

An inhalation sedation patient profile at a specialist paediatric dentistry unit: a retrospective survey

  • A. Busuttil NaudiEmail author
  • C. Campbell
  • J. Holt
  • M. T. Hosey
Article

Abstract

Aims: To report on the characteristics, treatment, attendance, scheduling and duration of treatment sessions of child patients attending a specialist paediatric dental hospital service for inhalation sedation. Method: A retrospective study was carried out of all 88 patient case notes of inhalation sedation recipients between September 2004 and March 2005. The recorded data included: child’s age, gender and the level of social deprivation together with the details of the treatment that was undertaken, the time between the first and the current/last sedation appointment and the total number of appointments attended, cancelled and missed. Results: Twenty of the subjects were excluded giving a sample of 68; 51% male, mean age at start of treatment of 9.8 years (range 4 to 15) and mean age at end of treatment 10.6 years (range 4 to 16). Of these children 35 (51%) were socially deprived. In respect to treatment, 29% had extractions, 22% endodontics, 81% restorations and 25% fissure sealants. In respect to the number of quadrants that had teeth requiring treatment; 26.5% had one, 25% two, 22% three and 26.5% had four. The mean number of treatment sessions required was 4.4 with a mean duration between first appointment and last appointment of 9.5 months (range: 0.25–51). There were 27% of appointments cancelled, while 12% of patients failed to keep their appointment. Conclusions: Although over half of the children treated under inhalation sedation, came from social deprived areas attendance was reasonable and the majority required less than 5 appointments for treatment completion. The treatment provided was variable not only in respect to the procedures but also to the number of quadrants treated.

Key words

Child anxiety inhalation sedation 

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References

  1. Blain KM, Hill FJ. The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children. Br Dent J. 1998; 184:608–11.PubMedCrossRefGoogle Scholar
  2. Bryan RA. The success of inhalation sedation for comprehensive dental care within the Community Dental Service. Int J Paediatr Dent. 2002;12:410–4.PubMedCrossRefGoogle Scholar
  3. Can S, Macfarlane T, O’Brien KD. The use of postal reminders to reduce nonattendance at an orthodontic clinic: a randomised controlled trial. Br Dent J. 2003; 195:199–201PubMedCrossRefGoogle Scholar
  4. Cooper J, Jobling D, Edmunds DH. Sedation for minor oral surgery: inhalation sedation with 25 per cent nitrous oxide. J Dent. 1978;6:265–7.PubMedCrossRefGoogle Scholar
  5. Crawford AN. The use of nitrous oxide-oxygen inhalation sedation with local anaesthesia as an alternative to general anaesthesia for dental extractions in children. Br Dent J. 199019; 168:395–8.CrossRefGoogle Scholar
  6. Department of Health: Report of an expert working party. General anaesthesia, sedation and resuscitation in dentistry. London: Department of Health, 1990, HMSO, London.Google Scholar
  7. Department of Health. A Conscious Decision: A review of the use of general anaesthesia and conscious sedation in primary dental care. Report by a Group chaired by the Chief Medical Officer and Chief Dental Officer, 2000, HMSO, London.Google Scholar
  8. Duncan GH, Moore P. Nitrous oxide and the dental patient: a review of adverse reactions. J Am Dent Assoc. 1984; 108:213–9.PubMedGoogle Scholar
  9. Evans D, Attwood D, Blinkhorn AS, Reid JS. A review of referral patterns to paediatric dental consultant clinics. Community Dental Health. 1991; 8:357–360PubMedGoogle Scholar
  10. Trends in exodontia under general anaesthesia at a dental teaching hospital. Br Dent J. 1998;185:347–52.CrossRefGoogle Scholar
  11. Hallonsten AL, Koch G, Schroder U. Nitrous oxide-oxygen sedation in dental care. Community Dent Oral Epidemiol 1983; 11: 347–55PubMedCrossRefGoogle Scholar
  12. Hosey MT, UK National Clinical Guidelines in Pediatric Dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry. Int J Paediatr Dent. 2002;12:359–72.PubMedCrossRefGoogle Scholar
  13. Jastak JT, Paravecchio R. An analysis of 1,331 sedations using inhalation, intravenous, or other techniques. Am Dent Assoc. 1975;91:1242–9. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103:405–12.Google Scholar
  14. Lindauer SJ, Rubenstein LK, Wilkins C, Davidovitch M. Effect of telephone reminders on appointment failure rate. J Clin Orthod. 1993;27:427–31.PubMedGoogle Scholar
  15. MacCormac C, Kinirons M. reasons for referral of children to a general anaesthetic service in Northern Ireland. Int J Paediatr Dent 1998; 8:191–196PubMedCrossRefGoogle Scholar
  16. Factors influencing referral of children for dental extractions under general and local anaesthesia. Community Dent Health. 2005;22:282–8.Google Scholar
  17. McLoone P. Carstairs scores for Scottish postcode sectors from the 2001 Census. MRC Social & Public Health Sciences Unit, March 2004Google Scholar
  18. National Audit for Scotland. A national audit to determine the reasons for the choice of anaesthesia in dental extractions for children across Scotland. Executive summary and symposium report. University of Dundee, University of Glasgow, 2002.Google Scholar
  19. Patel P, Forbes M, Gibson J. The reduction of broken appointments in general dental practice: an audit and intervention approach. Prim Dent Care. 2000;7:141–4.PubMedCrossRefGoogle Scholar
  20. Pitts NB. Inequalities in children’s caries experience: the nature and size of the UK problem. Community Dent Health. 1998; 15 Suppl 1:296–300.PubMedGoogle Scholar
  21. Richardson A. Failed appointments in an academic orthodontic clinic. Br Dent J. 1998 Jun 27; 184:612–5.PubMedCrossRefGoogle Scholar
  22. Roberts GJ, Gibson A, Porter J, de Zoysa S. Relative analgesia. An evaluation of the efficacy and safety. Br Dent J. 1979 20; 146:177–82.CrossRefGoogle Scholar
  23. Shaw AJ, Meechan JG, Kilpatrick NM, Welbury RR. The use of inhalation sedation and local anaesthesia instead of general anaesthesia for extractions and minor oral surgery in children: a prospective study. Int J Paediatr Dent. 1996; 6:7–11.PubMedCrossRefGoogle Scholar
  24. Shaw AJ, Nunn JH, Welbury RR. A survey of referral patterns to a paediatric dentistry unit over a 2-year period. Int J Paediatr Dent. 1994; 4:233–237PubMedCrossRefGoogle Scholar
  25. Shepherd AR, Hill FJ. Orthodontic extractions: a comparative study of inhalation sedation and general anaesthesia. Br Dent J. 2000; 188:329–31.PubMedGoogle Scholar
  26. Dental treatment of fearful children, using nitrous oxide. Part I: Treatment times. ASDC J Dent Child. 1991;58:453–7.Google Scholar
  27. Warren VN, Crawford AN, Young TM. The use of Entonox as a sedation agent for children who have refused operative dentistry. J Dent. 1983; 11;306–12.PubMedCrossRefGoogle Scholar
  28. Weinstein P, Domoto PK, Holleman E. The use of nitrous oxide in the treatment of children: results of a controlled study. J Am Dent Assoc. 1986;12:325–31.Google Scholar

Copyright information

© European Academy of Paediatric Dentistry 2006

Authors and Affiliations

  • A. Busuttil Naudi
    • 1
    Email author
  • C. Campbell
    • 1
  • J. Holt
    • 1
  • M. T. Hosey
    • 1
  1. 1.Child Dental Health DepartmentGlasgow Dental Hospital and SchoolGlasgowScotland

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