Abstract
AIM: To examine the reasons for referral to the Paediatric Dental Department, Cork University Dental School and Hospital, Ireland and to study the profile of these reasons in terms of the various sources of referral. STUDY DESIGN: Clinical review. METHODS: Consecutive clinical records for children attending the service were reviewed with regard to a child’s age at initial attendance, the reason for referral and the source of referral. Reasons for referral were recorded based on a defined list of acceptance criteria and were categorised by their different sources of referral. RESULTS: Records were available for 612 children with a mean age at time of initial consultation was 9.13 (SD±3.94) years. Reason for referral; children who had difficulty co-operating for dental treatment made up the largest group (36.1%). Children who only required treatment planning comprised 25.0% of the total. Source of referral: 56.0% of consultations were from the salaried public dental service and 31.2% from private dental practitioners. Forty seven patients (7.7%) were from emergency department, while 31 (5.1 %) were from medical practitioners. From the public dental service, 51.0% of referrals were for children who had difficulty co-operating for dental treatment and 22.7% were for treatment planning only. Referrals from private dental practitioners were most commonly for treatment planning only (38.2%). The proportion of referrals from the public dental service for children who had difficulty cooperating for dental treatment was twice as high as from private dentists. The proportion of referrals for trauma and for extensive dental disease from private dental practitioners was twice as high as from the public dental service. Almost all attendances from an emergency hospital department were for dental trauma. The majority of attendances from medical doctors were for medically at risk patients. CONCLUSIONS: Children with difficulty cooperating for dental treatment made up the largest single group of children attending the service. The majority of children attending were referred from the salaried public dental service.
Similar content being viewed by others
References
EAPD. 2008. Guidelines on Prevention of Early Childhood Caries: An EAPD Policy Document. Available: http://www.eapd.gr/dat/1722F50D/file.pdf [Accessed 26.07.11].
Eckersley AJ, Blinkhorn FA. Dental attendance and dental health behaviour in children from deprived and non-deprived areas of Salford, north-west England. IntJ Paediatr Dent 2001; 11:103–109.
Evans D, Attwood D, Blinkhorn AS, Reid JS. A review of referral patterns to paediatric dental consultant clinics. Community Dent Health 1991; 8:357–360.
Harris RV, Pender SM, Merry A, Leo A. Unravelling referral paths relating to the dental care of children: a study in Liverpool. Prim Dent Care 2008; 15:45–52.
Hseie, HSE. 2011. Health Service Executive website Dental and Orthodontic Services in Donegal [Online]. Available: http://www.hse.ie/eng/services/Find_a_Service/LHO/Donegal/Dental_and_Orthodontic_Services/ [Accessed 18.08.2011].
IOHSGI. 2009. Irish Oral Health Services Guideline Initiative. Strategies to prevent dental caries in children and adolescents: Evidence-based guidance on identifying high caries risk children and developing preventive strategies for high caries risk children in Ireland. Available: http://www.dentalhealth.ie/download/pdf/full_strategies_finaleb.pdf [Accessed 21.06.11].
Klingberg G, Andersson-Wenckert I, Grindefjord M et al. Specialist paediatric dentistry in Sweden 2008 — a 25-year perspective. Int J Paediatr Dent 2010:20:313–321.
Kopycka-Kedzierawski DT, Billings RJ. Prevalence of dental caries and dental care utilisation in preschool urban children enrolled in a comparative-effectiveness study. Eur Arch Paediatr Dent 2011:12:133–138.
Morris AJ, Burke FJ. Primary and secondary dental care: the nature of the interface. Br Dent J 2001; 191:660–664.
Oulis C, Curzon MEJ, Martens L, Koch G. Paediatric dentistry as a specialty in Europe: recognition and development. Eur Arch Paediatr Dent 2007: 8:131–135.
Salam S, Al Badri S, Lee GTR. A review of referrals of new patients to the paediatric department of a teaching hospital during a six-month period in 2004. Prim Dent Care 2005; 12:106–111.
Shaar KH, Mccarthy M, Meshefedjian G. Disadvantage in physically disabled adults: an assessment of the causation and selection hypotheses. Soc Sci Med 1994; 39:407–413.
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; 4:233–237.
Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201:625–626.
Stewart DJ, Elliott RH, Kernohan DC, Pielou WD, Saunders ID. A regional paediatric hospital dental service. J Dent 1977; 5:67–72.
Weerheijm KL, Frankenmolen FW. [Dental caries. Which strategy suits whom?]. Ned Tijdschr Tandheelkd 2009; 116:417–422.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Stewart, C., Lone, M. & Kinirons, M. A review of the reasons and sources of referral to a hospital paediatric dental service in Ireland. Eur Arch Paediatr Dent 13, 87–90 (2012). https://doi.org/10.1007/BF03262850
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03262850