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Children choosing between general anaesthesia or inhalation sedation for dental extractions: the effect on dental anxiety |
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| Authors: | Arch L M Humphris G M Lee G T |
| Institution: | Chester and Halton Community NHS Trust, Moston Lodge, Countess of Chester Health Park, Liverpool Road, Chester CH2 1UL, UK;Department of Clinical Psychology, School of Health Sciences, Whelan Building, The University of Liverpool, Liverpool L69 3GB, UK;Department of Clinical Dental Sciences, School of Dentistry, The University of Liverpool, Liverpool L69 3BX, UK |
| Abstract: | Summary. Aim. To compare the levels of dental anxiety experienced by children having dental extractions using general anaesthesia (GA) with those having extractions using local anaesthesia and inhalation sedation (IHS) when offered a programmed choice between the two techniques prior to treatment. Design . Structured interview with child at pre-treatment and at one week (approximately) follow up. Setting . Community: primary health care centre. Subjects . Children aged 9–15 years referred to a local NHS Trust dental clinic ( n = 88). Intervention . Child and parent provided with information about IHS and its benefits over GA for the assistance in tolerating extraction of teeth and provided with a choice of procedure. Main outcome measure . An eight question modified child dental anxiety scale. Results . Full information was received from 76 children giving an 86% response rate. Post-operative dental anxiety was lower in children who had chosen (with their parent) IHS in comparison to those who had chosen general anaesthesia ( P < 0·05). Dental anxiety remained unchanged in the group who chose to have their extractions under GA. Conclusion . Children and their parents who select IHS as opposed to GA to assist in extractions demonstrate less psychological distress. |
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