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An investigation of transitional care pathways for young people following traumatic dental injuries

British Dental Journal (2021)Cite this article

Abstract

Introduction Traumatic dental injuries (TDIs) can cause severe and complex dento-alveolar problems. Management of TDIs frequently extends into adulthood; therefore, a clear transitional care pathway (TCP) is important. Failure of this can prevent engagement in adult dental services and negatively influence treatment outcomes.

Aims To assess the availability of TCPs from paediatric and adult specialist care for young people with TDIs.

Materials and methods An anonymous, postal survey was designed and administered to all UK specialists in paediatric dentistry registered with the General Dental Council. Quantitative and qualitative data were gathered.

Results The response rate was 58% (n = 130). Fifty-five percent (n = 72) stated that there was a dental trauma clinic for children within their locality, while only 22% (n = 29) stated that there was a dental trauma clinic for adults. Sixty-nine percent (n = 90) stated that there was no clear TCP within their locality and 41% (n = 37) of these highlighted a need for a TCP. Thematic analysis of opinions with regards to need for a TCP identified three main themes: pathway availability, access to resources and clinician experience. Following a course of treatment for a patient aged 12 years or above, 24% (n = 31) refer to specialist adult services, with 43% (n = 95) continuing to provide follow-up within paediatric dentistry.

Conclusion Follow-up arrangements for young people with TDIs differ across the UK, with inconsistent availability of TCPs. Informal pathways involving referral to multidisciplinary teams may be utilised for follow-up care. Development of a TCP may aid in developing a consistent approach to long-term management of TDIs.

Key points

  • Identifies UK paediatric specialists' opinions on the availability of transitional care pathways for young people who have experienced traumatic dental injuries.

  • Highlights the role of a clear transitional care pathway in preventing a gap in care for young people who have experienced traumatic dental injuries.

  • Identifies the role of the general dental practitioner in the management of young people who have experienced traumatic dental injuries.

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Acknowledgements

The authors would like to thank Dr R. A. Algahmi for her contribution to this study.

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Authors and Affiliations

  1. School of Dentistry, University of Liverpool, Pembroke Place, Liverpool, L3 5PS, UK

    Emma Morgan, Kathryn Fox, Fadi Jarad & Sondos Albadri

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  1. Emma Morgan
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  2. Kathryn Fox
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Correspondence to Emma Morgan.

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No funding was received for the completion of this research project. No conflicts of interest were identified.

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Morgan, E., Fox, K., Jarad, F. et al. An investigation of transitional care pathways for young people following traumatic dental injuries. Br Dent J (2021). https://doi.org/10.1038/s41415-021-3471-4

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