RESUMEN
Dental treatment provided under general anaesthesia (DGA) is an expectation for many children and young adults (CYA) diagnosed with Autistic Spectrum Disorder (ASD). Planning and delivery of DGA requires consideration of morbidity and mortality risks and implications for families and healthcare services. One hundred patient records of CYA with special healthcare needs were analysed to examine characteristics and experience of DGA revealing that 79% of CYA had a diagnosis of ASD. Forty-seven percent of CYA diagnosed with ASD had at least one previous hospital admission for DGA. For 24% of this repeat DGA group, the previous DGA was within a two-year period. Results highlight a high rate of DGA and need to investigate more effective primary dental care strategies.
Asunto(s)
Trastorno del Espectro Autista , Trastornos Generalizados del Desarrollo Infantil , Anestesia General , Trastorno del Espectro Autista/diagnóstico , Niño , Atención Odontológica , Humanos , Extracción Dental , Adulto JovenRESUMEN
INTRODUCTION: Children and young people (CYP) with autism spectrum conditions (ASCs) and their parents/carers find dental appointments stressful. Consultation with parents of CYP with ASC identified time spent in dental waiting areas as contributing to dental anxiety. Parents proposed waiting outside the dental practice until the clinician was ready could help mitigate anxiety. AIMS: To evaluate a real-time text messaging service (RTMS) to improve dental attendance experience for CYP with ASC. METHODS: An RTMS was developed for use in the dental clinic. Parents/carers of 17 CYP with ASC (4 to 20 years) attending a Special Care Dental service were invited to share their dental experience and the impact of using the RTMS. RESULTS: Parent experience suggests that time in waiting areas can increase anxiety in CYP with ASC. All parents viewed the RTMS as having a positive impact on CYP dental attendance experience. The majority believed that it reduced anxiety and enabled CYP to be more accepting of dental treatment. DISCUSSION: Many CYP with ASC have dental anxiety exacerbated by the use of waiting areas. Findings demonstrate the importance of considering and developing a range of approaches that respond to the needs of CYP with ASC and their families to improve dental attendance experience.