title: Paediatric dental general anaesthesia rates and dental caries regionally and in districts in the former north western region.
abstract: OBJECTIVE
  To chart paediatric dental general anaesthesia activity following implementation of the Poswillo Report recommendations and to characterise the relationship between dmft/DMFT and rates of paediatric dental general anaesthesia.
  
  
  METHODS
  An ecological study, using results of the NHS dental epidemiological surveys and routine NHS activity data.
  
  
  METHODS
  The general, community and hospital dental services.
  
  
  METHODS
  Former regional and district health authorities' residents.
  
  
  METHODS
  Correlations between the regional and district rates of dental general anaesthesia and dmft/DMFT from the NHS dental epidemiology surveys.
  
  
  RESULTS
  About half of all paediatric dental general anaesthetics are carried out in the General Dental Service. There were significant correlations between regional mean dmft/DMFT and under 18 combined dental general anaesthesia rates in 1991/2 and 1992/3. In the North West Region there were significant correlations between 0-4-year-old district dental general anaesthesia rates and dmft of 5-year-old children in 1989/90 (r = 0.45, P < 0.05) and 0-17-year-old district dental general anaesthesia rates and 12-year-old DMFT (r = 0.49, P < 0.05) in 1992/3.
  
  
  CONCLUSIONS
  The number of paediatric dental general anaesthetics provided since the Poswillo Report was implemented (1991) has increased in the last two years (1993/4 and 1994/5). District rates of dental general anaesthesia bore little relation to dental need as measured by dmft/DMFT, except in 1989/90 for 5-year-old children and in 1992/3 for 12-year-old children. This suggests dental general anaesthesia is not provided in response to dental needs at a district health authority level.
authors.affiliation: Department of Public Health, Wigan and Bolton Health Authority, UK.
authors.forename: C
authors.initials: C
authors.lastname: Jones
authors.forename: G
authors.initials: G
authors.lastname: Taylor
authors.forename: A
authors.initials: A
authors.lastname: Morrant
authors.forename: G
authors.initials: G
authors.lastname: Cook
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000766:Anesthesia, Dental / Q000706:statistics & numerical data*; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003149:Community Dentistry / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D003796:Dental Service, Hospital / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D005792:General Practice, Dental / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D017410:Practice Guidelines as Topic; D012044:Regression Analysis