{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:54:43Z","timestamp":1764330883665,"version":"3.38.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T00:00:00Z","timestamp":1430438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Dent J"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p> Dental treatment is the commonest reason for a child to be in hospital in the UK. This is a shocking statistic for a preventable disease. How can we reduce the high numbers of dental general anaesthetics? It is essential that dental treatment under general anaesthesia (GA) is fully justifiable, ensuring that the right patients receive the right treatment. Guidance for general dental practitioners on when to refer a child for a dental GA is discussed. Treatment planning for this dentally high-risk group of children requires a holistic approach. It is complex and requires an experienced and competent clinical team, including dental care professionals with additional postgraduate qualifications. Often, alternative treatments are successful and a GA can be avoided. An audit of 85 patients referred for GA with Oldham Community Dental Service demonstrated 35% of patients accepted treatment with local anaesthesia only, 25% required inhalation sedation and only 25% were actually referred on for GA. Treatment for this group of patients must include the availability and provision of appropriate alternative treatment modalities, with the right staff and facilities, including those for dental general anaesthetic sessions. Ongoing follow-up within the general dental services is essential for this group of patients. <\/jats:p>","DOI":"10.1308\/205016815814954894","type":"journal-article","created":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T00:05:33Z","timestamp":1430438733000},"page":"29-34","source":"Crossref","is-referenced-by-count":5,"title":["A Care Pathway for Children Unable to Accept Dental Care within the General Dental Services Involving the Use of Inhalation Sedation and General Anaesthesia"],"prefix":"10.1177","volume":"4","author":[{"given":"Allyson R","family":"Shepherd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halimah","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,1]]},"reference":[{"journal-title":"Guidelines for the Management of Children Referred for Dental Extractions Under General Anaesthesia.","year":"2011","author":"Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI).","key":"bibr1-205016815814954894"},{"journal-title":"Children in Hospital Episode Statistics\u2014July 2012 to June 2013.","author":"Health and Social Care Information Centre (HSCIC).","key":"bibr2-205016815814954894"},{"journal-title":"The Telegraph.","year":"2014","author":"Prynne M.","key":"bibr3-205016815814954894"},{"key":"bibr4-205016815814954894","first-page":"321","volume":"33","author":"Costa LR","year":"2011","journal-title":"Pediatr Dent."},{"key":"bibr5-205016815814954894","first-page":"E17","volume":"216","author":"Rodd H","year":"2014","journal-title":"Child-reported impacts associated with a dental general anaesthetic. Br Dent J."},{"key":"bibr6-205016815814954894","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-263x.2001.00238.x"},{"key":"bibr7-205016815814954894","first-page":"302","volume":"22","author":"Almeida AG","year":"2000","journal-title":"Pediatr Dent."},{"journal-title":"Publication 138: Dental Interventions to Prevent Caries in Children.","year":"2014","author":"Scottish Intercollegiate Guidelines Network (SIGN).","key":"bibr8-205016815814954894"},{"key":"bibr9-205016815814954894","first-page":"E13","volume":"210","author":"Olley RC","year":"2011","journal-title":"A service evaluation of the views of parents of a high caries risk group of children. Br Dent J."},{"journal-title":"UK National Clinical Guidelines in Paediatric Dentistry: Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry.","year":"2008","author":"Davies C","key":"bibr10-205016815814954894"},{"journal-title":"Baby Teeth DO Matter. Good Practice Guidelines for Quality Management of 3 and 4 year old Children in Greater Manchester.","year":"2013","author":"Greater Manchester Local Professional Dental Network.","key":"bibr11-205016815814954894"},{"journal-title":"Delivering Better Oral Health: An Evidence-Based Toolkit for Prevention.","year":"2014","author":"Public Health England (PHE).","key":"bibr12-205016815814954894"},{"key":"bibr13-205016815814954894","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2006.00747.x"},{"journal-title":"Dental Health Profile. Oldham. 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