title: Analysis of paediatric dental care provided under general anaesthesia and levels of dental disease in two hospitals.
abstract: OBJECTIVE
  To compare the level of dental disease and the pattern of dental treatment under controlled airway general anaesthesia for ASA I and II children and ASA III and IV children in two hospitals.
  
  
  METHODS
  Prospective analysis.
  
  
  METHODS
  Hospital and postgraduate dental teaching institution, UK 1996 - 2000.
  
  
  METHODS
  During a four-year period (1996-2000), data were collected on children aged 1 to 16 years who were admitted for treatment of dental caries under general anaesthesia. Outcome measures Levels of dental disease (dmft/DMFT), treatment provided.
  
  
  RESULTS
  A total of 515 ASA I and II and 430 ASA III and IV children were treated. The dmft and DMFT values of the ASA I and II children were significantly higher than those of the ASA III and IV children (p = 0.03). A significantly greater number of restorations and fissure sealants were carried out for permanent teeth in ASA III and IV children (p < 0.001). The number of extractions for both primary and permanent teeth was significantly greater in the ASA I and II group (p < 0.05).
  
  
  CONCLUSIONS
  The ASA III and IV children had significantly lower levels of dental caries than the ASA I and II children and received a higher level of preventive and restorative care.
authors.affiliation: Department of Paediatric Dentistry, The Eastman Dental Institute, University College London, 256 Gray's Inn Road, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Camilleri
authors.forename: G
authors.initials: G
authors.lastname: Roberts
authors.forename: P
authors.initials: P
authors.lastname: Ashley
authors.forename: B
authors.initials: B
authors.lastname: Scheer
mesh_terms: D000293:Adolescent; D000766:Anesthesia, Dental / Q000706:statistics & numerical data*; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000453:epidemiology*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D003796:Dental Service, Hospital / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D008131:London / Q000453:epidemiology; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D014081:Tooth Extraction / Q000706:statistics & numerical data; D014094:Tooth, Deciduous / Q000473:pathology
chemical_list: D010895:Pit and Fissure Sealants