Characteristics of children undergoing dental extractions under general anaesthesia in Wolverhampton: 2007-2012.
BACKGROUND
Studying characteristics of children requiring extractions under dental general anaesthesia (DGA) can help identify trends, which can be used to facilitate future planning of healthcare services.


OBJECTIVE
To report on the profile of children who underwent extractions under DGA between 2007 and 2012 at the New Cross Hospital in Wolverhampton, England.Methods Retrospective analyses of hospital records.


RESULTS
Of the 2692 patients seen between 2007 and 2012, 49.6% were boys and 50.4% were girls. The mean age was 7.1 and 7 to 12 years was the largest age group (43%). The majority of the sample was White British (67%). Of the 8,286 teeth extracted, 85% were primary teeth and 15% permanent. More teeth were extracted in boys than girls (P = 0.002) and 'Other' ethnicities had a higher mean number of extractions compared to White British (P <0.001) and South Asians (P = 0.046). The mean age of the patients has decreased over the years (P = 0.001) and the mean number of primary teeth extracted has increased (P = 0.001).


CONCLUSIONS
A clear dental public health issue has been reinforced through the relatively high level of DGA activity reported. Though rigorous caries prevention remains the ultimate goal, a better assessment and discharge process may help reduce the need for first time DGAs as well as repeats.
School of Dentistry, University of Birmingham, 5 Mill Pool, Edgbaston, Birmingham, B5 7EG;
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A
Raja
School of Dentistry, University of Birmingham, 5 Mill Pool, Edgbaston, Birmingham, B5 7EG;
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A
Daly
Wolverhampton Special Care Dental Service, Dental Management Office, Penfields Health Centre, Wolverhampton, WV3 OJH.
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R
Harper
Wolverhampton Special Care Dental Service, Dental Management Office, Penfields Health Centre, Wolverhampton, WV3 OJH.
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N
Senghore
School of Dentistry, University of Birmingham, 5 Mill Pool, Edgbaston, Birmingham, B5 7EG;
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D
White
School of Dentistry, University of Birmingham, 5 Mill Pool, Edgbaston, Birmingham, B5 7EG;
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V
Ravaghi
D000293:Adolescent; D000367:Age Factors; D000766:Anesthesia, Dental / Q000706:statistics & numerical data*; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012737:Sex Factors; D014081:Tooth Extraction / Q000706:statistics & numerical data*