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Biomedical subjects

A N Crawford

Publications and source records attributed to A N Crawford.

At least 19 recordsLinked to original sources
PubMed2001

Factors affecting dental attendance following treatment for dental anxiety in primary dental care.

AIM: To explore factors affecting patients' dental attendance behaviour following referral from a dental anxiety clinic to a general dental practitioner. DESIGN: A four-year follow up of patients who completed a course of treatment for dental anxiety by conducting semi-structured interviews, face-to-face or by telephone, with confirmation of dental attendance from the dental records. SUBJECTS: Forty-one patients who had completed a course of treatment for dental anxiety, in a specially designed community clinic. Mean time since last dental visit before treatment was 7.8 years (range 0.5-29). RESULTS: Twenty-three patients were successfully followed up and 11 (47%) were receiving regular asymptomatic dental care. The dental anxiety scores of those who subsequently became asymptomatic attenders were significantly lower at follow-up than the patients who became symptomatic attenders (P = 0.01). Effective dentist-patient communication was a common theme of the interviews. CONCLUSIONS: At four-year follow-up, dental anxiety was substantially lower in those who subsequently became asymptomatic attenders than those who became symptomatic attenders. A positive dentist-patient relationship had developed with the asymptomatic attenders.

Adult↗
PubMed1998

The transfer of child patients from the community dental service to the general dental service.

OBJECTIVE: To determine an effective strategy for the transfer of children from the CDS to the GDS. DESIGN: Single centre study comprising a retrospective analysis of a 50% random sample of dental records for children transferred from CDO to GDP. SETTING: Community dental clinic in an urban area of south Manchester with relatively little material deprivation. SUBJECTS AND METHODS: Between 1990 and 1995, a GDP worked up to 5 hours a week in the CDS clinic seeing routine child patients referred by the CDO. MAIN OUTCOME MEASURES: Numbers of children registered with a GDP after varying periods of time. Attendance records of children transferred from CDS to GDS and rates of failed appointments. RESULTS: After 4 1/2 years, 264 child patients had been registered with the GDP under capitation and a further 55 adults were registered under continuing care. The majority of children had retained registration for more than 2 1/2 years. The mean rate of failed appointments was 16%. CONCLUSION: Children can be transferred successfully from the CDS to the GDS if the GDP works at the community clinic and there are further benefits which accrue to the scheme.

Adolescent↗
PubMed1995

Changes in caries prevalence in Ashkelon, Israel, children 1980-1994.

During the 14 years from 1980 to 1994, a marked reduction in caries prevalence was noted in Ashkelon. In the 7-year-old age group, the percentage of caries free children increased from 21 per cent to 29 per cent and the dmft dropped from 3.5 to 2.7. In the 13-year-old group there was also a marked improvement. The percentage of caries free children increased by 16 per cent (from 30 per cent to 35 per cent) with a marked reduction in the DMFT, from 2.3 to 1.9. The DT component halved from 1.8 to 0.9, with a marked rise in the FT component from 0.4 to 1.1. There is less decay and much less untreated dental decay in Ashkelon today than in 1980.

Adolescent↗
PubMed1994

The future provision of specialist oral surgery and orthodontic services.

Many dentists express concern about the referral of patients within the NHS for specialist orthodontic and, to a lesser extent, oral surgery care. Most of these concerns relate to a lack of availability of such services. This article discusses possible reasons for these problems. It also explores some of the ways in which future changes in the organisation of the NHS may influence the availability of such specialist services. Strategies which could he used by FHSAs to address and overcome these problems are suggested.

Dental Health Services↗
PubMed1992

Dental attendance patterns among mothers and their children in an area of social deprivation.

Dental attendance behaviour was recorded for 358 children aged 5-6 and 10-11 years and their mothers living in a socially deprived area of south Manchester. Information obtained by questionnaire was verified by the local dentists concerned. Forty-four per cent of mothers and 61 per cent of children had attended a dentist in the previous 12 months. The mothers' attendance was a good predictor of children's attendance, although a substantial proportion of mothers who did not attend the dentist themselves did ensure the attendance of their children.

Adult↗
PubMed1990

The use of nitrous oxide-oxygen inhalation sedation with local anaesthesia as an alternative to general anaesthesia for dental extractions in children.

The aim of this study was to determine whether children who were assessed to require the extraction of teeth under general anaesthetic could be treated using an alternative technique of nitrous oxide-oxygen inhalation sedation with local anaesthetic. Consent was obtained for 61 children to enter the study. Fifty-three children were treated successfully using inhalation sedation and local anaesthetic. It was evident that general anaesthetic facilities would still be required for a small proportion of children who could not cooperate adequately for treatment to be performed under sedation and local anaesthetic.

Adolescent↗