An email triage model for personalising paediatric permanent tooth extractions under general anaesthesia.

Abstract:

:It is important that dental extractions under general anaesthesia (GA) are planned appropriately to avoid a repeat GA in the future. Current guidelines recommend the input of an orthodontist when the treatment plan involves a permanent tooth extraction but the number of children undergoing GA extractions makes this challenging. A model has been developed where the records of children planned for GA extraction of permanent teeth are triaged, via secure email, by an orthodontist. The orthodontist identifies patients where modification of the extraction pattern could be beneficial to longer-term oral health. For some patients this is possible from review of the records alone, but the triage also identifies those patients with more complex occlusal problems who require a face to face orthodontic assessment. This service review found that 22% of the patients triaged had their treatment plan modified by the orthodontist. For 76% of the patients, a review of their records was sufficient before finalising the plan and only 24% needed a further face to face orthodontic assessment. This model has been successful in reducing the burden of an additional orthodontic assessment for most patients while providing personalised care.

journal_name

Br Dent J

journal_title

British dental journal

authors

Tahir MH,Ellis PE,Hollingsworth L

doi

10.1038/s41415-019-0408-2

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

979-984

issue

12

eissn

0007-0610

issn

1476-5373

pii

10.1038/s41415-019-0408-2

journal_volume

226

pub_type

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