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What happens after referral for sedation?
C A Boyle1, T Newton, L J Heaton
1Department of Sedation and Special Care Dentistry, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, Floor 26, Tower Wing, London, SE1 9RT, UK. carole.boyle@kcl.ac.uk
British Dental Journal
|June 1, 2010
Summary
A study of 100 dental referrals found high attendance for initial treatment planning and sedation, but only 33% completed care. Dental anxiety impacts initial attendance but not treatment completion.
Area of Science:
- Dental Sedation and Anesthesia
- Patient Treatment Pathways
- Oral Health Services Research
Background:
- Referral to specialized dental sedation clinics is common for patients with dental anxiety.
- Understanding patient journey and treatment completion is crucial for optimizing care delivery.
Purpose of the Study:
- To track 100 new referrals to a dental sedation clinic.
- To examine patient demographics, dental anxiety levels, and treatment progression.
- To assess treatment completion rates and factors influencing them.
Main Methods:
- A descriptive, cross-sectional survey and case note review of 100 new patients.
- Data collected included patient background, dental anxiety scores (Dental Fear Survey - DFS), and treatment attendance.
- Statistical analysis of merged datasets.
Main Results:
- 72% of referred patients attended treatment planning, and 66% received initial dental treatment.
- 50% of those receiving initial treatment (33% of all referrals) completed their dental care.
- Higher Dental Fear Survey scores correlated with initial treatment attendance, but not overall completion.
Conclusions:
- Attendance for initial phases of dental treatment in sedation clinics is high.
- Patient fear and mental health significantly influence initial attendance.
- The overall treatment completion rate from referral remains a concern at 33%.
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