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Survey of treatment policies under conscious sedation at centres dealing with people with high levels of dental anxiety across the United Kingdom

Key Points

  • Highlights the range of dental care with conscious sedation offered to people with dental anxiety/phobia.

  • Suggests that dentists who provide conscious sedation services for this group provide mainly simple dental treatment.

  • Notes that participants mentioned lack of funding and restriction for provision of complex care (such as molar endodontics and implants) with conscious sedation.

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References

  1. Heidari E, Banerjee A, Newton J T . Oral health status of non-phobic and dentally phobic individuals: a secondary analysis of the 2009 Adult Dental Health Survey. Br Dent J 2015; 219: E9.

    Article  Google Scholar 

  2. Cohen M E . Dental anxiety and DMFS status: association within a US naval population versus differences between groups. Community Dent Oral Epidemiol 1985; 13: 75–78.

    Article  Google Scholar 

  3. Mehrstedt M, Tonnies S, Eisentraut I . Dental fears, health status and quality of life. Anesth Prog 2004; 51: 90–94.

    PubMed  PubMed Central  Google Scholar 

  4. Hagglin C, Berggren U, Hakeberg M, Ahlqvist M . Dental anxiety among middle-aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors. Gerodontology 1996; 13: 25–34.

    Article  Google Scholar 

  5. Schuller A A, Willumsen T, Holst D . Are there differences in oral health and oral health behaviour between individuals with high and low dental fear? Community Dent Oral Epidemiol 2003; 31: 116–121.

    Article  Google Scholar 

  6. Wisloff T F, Vassebd O, Asmyhr O . Dental anxiety, utilisation of dental services, and DMFS status on Norwegian military recruits. Community Dent Health 1995; 12: 100–103.

    PubMed  Google Scholar 

  7. Society for Advancement of Anaesthesia in Dentistry (SAAD). Guidance for Commissioning NHS England Dental Conscious Sedation Services, a framework tool. 2013. Available at http://saad.org.uk/Documents/SAAD_Guidance_Commissioning_Sedation.pdf (accessed September 2017).

  8. Wanyonyi K L, White S, Gallagher J E . Conscious sedation: is this provision equitable? Analysis of sedation services provided within primary dental care in England, 2012–2014. BDJ Open 2016; 2: 16002.

    Article  Google Scholar 

  9. Edwards P, Roberts I, Clarke M et al. Increasing response rate to postal questionnaires: systematic review. BMJ 2002; 324.18: 1–9.

    Google Scholar 

  10. Adams A S, Soumerai S B, Lomas J, Ross-Degnan D. Evidence of self-report bias in assessing adherence to guidelines. Int J Qual Health Care 1999; 11: 187–192.

    Article  Google Scholar 

  11. Sjostrom O, Holst D, Lind S O . Validity of a questionnaire survey: the role of non-response and incorrect answers. Acta Odontol Scand 1999; 57: 5, 242–246.

    Google Scholar 

  12. Hajjar I, Miller K, Hirth V . Age related bias in the management of hypertension: a national survey of Physicians' opinions on hypertension in Elderly Adults. J Gerontol A Biol Sci Med Sci 2002; 57: M487–M491.

    Article  Google Scholar 

  13. Zitzmann N U, Scherrer S S, Weiger R, Lang N P, Walter C . Preferences of dental care providers in maintaining compromised teeth in relation to their professional status: implants instead of periodontally involved maxillary molars? Clin Oral Implants Res 2011; 22: 143–150.

    Article  Google Scholar 

  14. Hershman D L, Buono D, McBride R B et al. Surgeon characteristics and receipt of adjuvant radiotherapy in women with breast cancer. J Natl Cancer Inst 2008; 100: 199–206.

    Article  Google Scholar 

  15. Agdal M L, Raadal M, Skaret E, Kvale G . Oral health and its influence on cognitive behavioural therapy in patients the Diagnostic and Statistical Manual Disorders-IV criteria for intra-oral injection phobia. Acta Odontol Scand 2010; 68: 98–105.

    Article  Google Scholar 

  16. Hakeberg M, Bergren U, Grondahl H G . A radiographic study of dental health in adult patients with dental anxiety. Community Dent Oral Epidemiol 1993; 21: 27–30.

    Article  Google Scholar 

  17. Hill K B, Chadwick B, Freeman R, O'Sullivan I, Murray J J . Adult Dental Health Survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Br Dent J 2013; 214: 25–32.

    Article  Google Scholar 

  18. Chanpong B, Haas D A, Locker D . Need and demand for sedation or general anaesthesia in dentistry: a national survey of the Canadian population. Anesth Prog 2005; 52: 3–11.

    Article  Google Scholar 

  19. Department of Health. Commissioning Conscious Sedation Services in Primary Dental Care. 2007. Gateway Approval Reference Number: 8338.

  20. Yuan S, Carson S J, Rooksby M, McKerrow J, Lush C, Freeman R . 'Assessing sedation need and managing referred dentally anxious patients: is there a role for the Index of Sedation Need? Br Dent J 2015; 219: 571–576.

    Article  Google Scholar 

  21. McGoldrick P, Levitt J, De Jongh A, Mason A, Evans D . Referrals to a secondary care dental clinic for anxious adult patients: Implications for treatment. Br Dent J 2001; 191: 686–688.

    Article  Google Scholar 

  22. Milgrom P, Newton J T, Boyle C, Heaton L J, Donaldson N . The effects of dental anxiety and irregular attendance on referral for dental treatment under sedation within the National Health Service in London. Community Dent Oral Epidemiol 2010; 38: 453–459.

    Article  Google Scholar 

  23. Heidari E, Andiappan M, Banerjee A, Newton J T . Do dentally phobic individuals have poorer oral health? A multivariate analysis of the Adult Dental Health Survey, 2009. Br Dent J 2017; 222: 595–604.

    Article  Google Scholar 

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Correspondence to E. Heidari.

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A copy of the questionnaire. (PDF 187 kb)

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Heidari, E., Banerjee, A. & Newton, T. Survey of treatment policies under conscious sedation at centres dealing with people with high levels of dental anxiety across the United Kingdom. Br Dent J 224, 627–632 (2018). https://doi.org/10.1038/sj.bdj.2018.265

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