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Br Dent J. 1999 Mar 13;186(5):245-7.

An investigation of the effects on children of tooth extraction under general anaesthesia in general dental practice.

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1
Tameside General Hospital, Ashton-under-Lyne, Lancashire.

Abstract

OBJECTIVE:

To describe the morbidity related to general anaesthesia provided in general dental practices for the extraction of teeth in school children.

DESIGN:

Observational study supported by structured questionnaires and interviews.

SETTING:

Three general dental practices in a Lancashire health district and children's homes.

SUBJECTS:

80 children aged 5-15 years undergoing extractions under general anaesthesia.

MAIN OUTCOME MEASURES:

Observed demeanour of the children prior to, during and immediately after the surgical procedures. Reported morbidity during the following 24 hours and 1 month later.

RESULTS:

92% of the children complained of symptoms associated with the surgery under general anaesthesia. Distress was noted in 16 (20%) patients during the induction of 26 (33%) during recovery. Continued crying was reported for 24 (39%) during the journey home and for 23 (37%) once home had been reached. Other symptoms included nausea, vomiting, sickness and prolonged bleeding. Six reported psychological trauma 1 month after; three had nightmares, two had continuing bad memories and one was depressed for several days.

CONCLUSION:

Morbidity following extractions under general anaesthesia in general dental practice is common and has distressing consequences for the young patients and their carers.

PMID:
10205973
[Indexed for MEDLINE]
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