Factors associated with use of general anaesthesia for dental procedures among British children

• Published in: British dental journal 2017-09, Vol.223 (5), p.339-345
• Main Authors: Ramdaw, A., Hosey, M. T., Bernabé, E.
• Format: Article
• Language: English
• Subjects: 692/700/3032/3086/3088; 692/700/3032/3099/3105; 692/700/3032/3148; 706/689/159; Age; Anesthesia; Anxiety; Children; Classification; Dental fillings; Dentistry; Medicine; Minority & ethnic groups; Regression analysis; Teeth; Toothbrushing
• ISSN: 0007-0610; 1476-5373
• DOI: 10.1038/sj.bdj.2017.763

Key Points Reviews the UK literature on factors associated with dental general anaesthesia. Highlights that factors beyond child age, dental anxiety and dental status were associated with receiving dental treatment under general anaesthesia. Understanding the distal determinants of use of dental general anaesthesia among children may help to identify high risk groups for targeted oral health promotion. Objectives To assess the demographic, socioeconomic, behavioural and clinical factors associated with use of dental general anaesthesia (DGA) among British children. Methods This study used data from 3053 children who participated in the 2013 Children's Dental Health Survey in England, Wales and Northern Ireland. Data were collected through parental questionnaires and clinical examinations. The crude and adjusted association of demographic (sex, age, ethnicity and country of residence), socioeconomic (socioeconomic classification and area deprivation), behavioural (age toothbrushing started, age when first went to the dentist, usual reason for dental visit and dental anxiety) and clinical factors (numbers of decayed and filled teeth) with DGA was assessed in logistic regression models. Results The lifetime prevalence of DGA use was 9.1%. Older children and those living in Wales, with higher levels of dental anxiety and more dental fillings, who visited the dentist only when in trouble, and who had parents in routine/manual occupations and parents who never worked have greater odds of reporting having ever used DGA. Conclusion This study shows that family socioeconomic background, usual reason for dental visit and country of residence were associated with DGA use among British children, over and above the effect of child age, dental anxiety and dental status.