Treatment Planning for Paediatric Exodontia under General Anaesthesia: A Re-Audit

Iffah Zaman

Treatment Planning for Paediatric Exodontia under General Anaesthesia: A Re-Audit

42^nd World Dental Science and Oral Health Congress
March 08-09, 2021 | Webinar

Iffah Zaman

Bridgewater NHS Foundation Trust, United Kingdom

Posters & Accepted Abstracts: J Orthod Endod

Abstract

Background: The prevalence of dental decay amongst children is high in the North West of England. The Community Dental Services under Pennine Care NHS Foundation Trust receive a high number of referrals for Paediatric exodontia each year. Aims: This re-audit retrospectively evaluated the pre-operative planning process for Paediatric exodontia under General Anaesthesia (GA) and the post-operative outcomes against local guidelines. Objectives: • current practice for treatment planning paediatric patients for exodontia under GA. • Determine whether treatment carried out under GA followed the pre-operative treatment plan. • Identify improvements made since the previous audit and areas for change. Method: This re-audit of Paediatric exodontia under GA assessed seventy one patients’ records across three boroughs in the directorate - Bury, Oldham and Rochdale between 02/01/2020 to 17/03/2020. It assessed compliance with Pennine Care local guidelines, for example: • The justification for GA • Attendance at a dedicated POA • Was appropriate consideration given to balancing/compensating extractions? • Record keeping standards • Were patients appropriately discharged/reviewed? Results: • There was good compliance with some parts of the guidelines such as 98.6% of patients having dedicated pre-assessment in this re-audit. • The percentage of patients with a dedicated oral health appointment showed a 24.1% improvement. • The percentage of patients with documented justification for a lack of radiographs improved by 17.4%. • There were improvements in the numbers of patients having appropriate balancing extractions for unilaterally carious deciduous canines: 17.9%. • 92.3% of patients in the re-audit who had planned extraction of first permanent molars had pre-operative x-rays. • There were improvements in the number of patients with documented orthodontic considerations. Discussion: Greater consistency is needed regarding record keeping as well as the post-operative review/ discharge process. A greater awareness of the guidelines is needed.