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At least 73 records · Page 4Linked to original sources
PubMed1996

Health gain in orthodontics: a comparison of the general dental services and the hospital service in England and Wales.

The aim of this paper was to assess the health gain in orthodontics achieved by practitioners in the General Dental Service (GDS) and Hospital Dental Service (HDS) and the relative probabilities in achieving health gain in relation to the presenting occlusal trait. In a sample of 1225 patients in the GDS in England and Wales and 1365 cases in the HDS different levels of health gain were found. Occlusal traits are most likely to be treated more successfully in the HDS. Seven out of every ten patients in the HDS were likely to achieve health gain as opposed to four out of every ten patients in the GDS.

Dental Service, Hospital↗
PubMed1990

Caries and the preschool child: treatment of the preschool child in the hospital service.

Dental treatment of the preschool child in hospital is usually carried out under a general anaesthetic, following referral from a dentist. The reasons for a general anaesthetic are that the child has either proved unable to accept treatment because of dental anxiety or extreme youth or has a severe medical problem which requires dental care to be carried out in a hospital environment. The costs of such treatment are necessarily high and account of these is taken in the description of the services offered and their organization. The need for prevention is also stressed.

Anesthesia, Dental↗
PubMed1991

A report on the feasibility of establishing a paediatric emergency dental service at Glasgow Dental Hospital.

A six-month pilot emergency service for children was established at Glasgow Dental Hospital to provide care for patients in pain, offer preventive advice and ensure ongoing dental care. The service was staffed by experienced community dental officers. In the main study period 2965 patients were seen. The majority (54 per cent) were referred from general dental practitioners; however, 27 per cent came directly to the hospital without seeking dental advice in their locality. The most common problems were toothache (55 per cent), occasional pain (28 per cent) and swelling (14 per cent). Eighty per cent of the patients were directed to oral surgery for extractions under general anaesthesia and six per cent for extractions under local anaesthesia. Dental caries still causes pain and distress to a large number of Glasgow school children. Clearly water fluoridation would greatly improve dental health and in so doing reduce the proportion of children requiring extractions under a general anaesthetic. The emergency service is currently being reorganised so as to place more emphasis on following up those patients who do not have a dentist, or who presented for care without a referral letter.

Adolescent↗
PubMed1999

The identification of agreed criteria for referral following the dental inspection of children in the school setting.

AIM: To clarify the function of the school based dental inspection. OBJECTIVE: For representatives of the Community Dental Service, General Dental Service and Hospital Dental Service to identify an agreed set of criteria for the referral of children following school dental inspection. DESIGN: Qualitative research methodology used to establish a consensus for the inclusion of referral criteria following dental screening. SETTING: Ellesmere Port, Cheshire, England. MATERIALS: A Delphi technique was used to establish a consensus amongst the study participants on the inclusion of nine possible criteria for referral following dental screening. All participants scored each criterion in the range 1-9, with a score of 1 indicating that referral of individuals with the condition should definitely not take place, and a score of 9 indicating referral should definitely take place. Referral criteria were accepted only if they achieved a group median score of 7 or more, with an interquartile range of three scale points, with the lower value being no less than 7. RESULTS: Four of the nine possible criteria met the agreed group standard for inclusion: 'Sepsis', 'Caries in the secondary dentition', 'Overjet > 10 mm', and 'Registered & caries in the permanent dentition'. CONCLUSION: It is possible to agree clear criteria for the referral of children following the school dental inspection.

Child↗