{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T02:00:09Z","timestamp":1785290409785,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This paper describes treatments completed under dental general anesthesia (DGA) for a cohort of adults with disabilities. This patient cohort was followed up a number of years later to determine outcomes and identify factors that predict further use of DGA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective patient record review and cross\u2010sectional survey was carried out on a convenience sample of 64 patients who had previously received dental treatment under general anesthesia. Patient record review extracted data on patient demographics and treatment provided under DGA. Cross\u2010sectional survey a number of years post\u2010DGA collected data on oral care habits and current oral health based on a standardized clinical examination. Statistical analysis was carried out to identify predictors of repeat DGA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants received extensive treatment under DGA including preventive care, restorations, extractions, and root canal treatment. At follow\u2010up 89.1% of participants had gingival disease and 56.3% had active dental caries. The mean number of teeth present was 21.2 (SD 6.9, range 6\u201332). Only caries risk status was found to be a significant predictor (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03) with those with a high caries risk status 6.9 times (95%CI 1.2\u201339.3) more likely to receive a second DGA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dentists extract teeth for people with disabilities under DGA in the mistaken belief that this will avoid the need for further DGA. This study found that extraction of teeth does not prevent the need for repeated episodes of DGA. Therefore, dentists should stop extracting teeth for this reason. Rather, if dentists want to avoid further DGA, they should do the basics well: consistent, evidence\u2010based caries risk assessment and risk reduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.12925","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T09:34:23Z","timestamp":1695375263000},"page":"845-851","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Dental extractions do not predict further use of dental general anesthesia in people with disabilities: A longitudinal analysis"],"prefix":"10.1111","volume":"44","author":[{"given":"Danielle","family":"McGeown","sequence":"first","affiliation":[{"name":"Department of Child and Public Dental Health School of Dental Science Trinity College Dublin and Dublin Dental University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caoimhin","family":"Mac Giolla Phadraig","sequence":"additional","affiliation":[{"name":"Department of Child and Public Dental Health School of Dental Science Trinity College Dublin and Dublin Dental University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Van Harten","sequence":"additional","affiliation":[{"name":"Department of Child and Public Dental Health School of Dental Science Trinity College Dublin and Dublin Dental University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Department of Child and Public Dental Health School of Dental Science Trinity College Dublin and Dublin Dental University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Nunn","sequence":"additional","affiliation":[{"name":"School of Dental Science Trinity College Dublin and Dublin Dental University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2010.00152.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03564-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0288"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.17245\/jdapm.2017.17.2.91"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12738"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.17245\/jdapm.2021.21.2.87"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12631"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1995.tb00489.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2019.e02671"},{"issue":"1","key":"e_1_2_10_11_1","first-page":"e20","article-title":"Complications associated with anesthesia administered for dental treatment","volume":"58","author":"Boynes SG","year":"2010","journal-title":"Gen Dent"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17197336"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-013-1090-4"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2020.08.003"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4628-42.2.13"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052509"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12458"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2019.10.002"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2018.10.020"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12285"},{"key":"e_1_2_10_21_1","first-page":"1","volume-title":"HSE National Consent Policy","author":"Executive HS","year":"2022"},{"key":"e_1_2_10_22_1","unstructured":"BASCD T.B.A.f.t.s.o.C.D. 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