Clefts and Dental General Anesthesia: The South Thames Experience

Background: Children with clefts have high dental needs and often require a dental general anesthesia (DGA) for the management of their dentition. Objective: To assess the number of children with clefts requiring a pediatric dental consultant led DGA in the South Thames Cleft Service over a 3-year p...

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Published in:The Cleft palate-craniofacial journal 2022-01, Vol.59 (1), p.66-71
Main Authors: Patel, Maalini, Vaidyanathan, Mina, Bhujel, Nabina
Format: Article
Language:English
Subjects:
Anesthesia, General
Birth defects
Child
Children & youth
Cleft Lip - surgery
Cleft Palate - surgery
Dental care
General anesthesia
Humans
Pediatrics
Referral and Consultation
Retrospective Studies
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creator Patel, Maalini
Vaidyanathan, Mina
Bhujel, Nabina
description Background: Children with clefts have high dental needs and often require a dental general anesthesia (DGA) for the management of their dentition. Objective: To assess the number of children with clefts requiring a pediatric dental consultant led DGA in the South Thames Cleft Service over a 3-year period. Design: Data were collected retrospectively over a 36-month period. Results: Sixty-five children with cleft lip and/or palate required a DGA with the South Thames Cleft Service. The average age of the child was 7 years, and the average number of teeth treated under the general anesthetic was 9. Families traveled an average of 21 miles to access their child’s care, and the referral-to-treat time was on average 14 weeks. Conclusion: Results highlight the need for DGA provision for children with clefts. Cleft centers need sufficient capacity for this service to prevent long wait times, and in view of distances traveled shared, care should be implemented with local providers.
doi_str_mv 10.1177/1055665621995044
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subjects Anesthesia, General
Birth defects
Child
Children & youth
Cleft Lip - surgery
Cleft Palate - surgery
Dental care
General anesthesia
Humans
Pediatrics
Referral and Consultation
Retrospective Studies
title Clefts and Dental General Anesthesia: The South Thames Experience
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