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Title: The long term implications for the future of dental anaesthetic practice following the General Dental Council's guidelines of November 1998
Author: Middlemass, Iain M.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2008
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The subject of this thesis is based on the continuing requirements of patients for dental anaesthesia. The factors to be considered in particular are issues which directly apply to referral patients for a dental general anaesthetic (DGA) namely – social class, gender, ethnicity, occupation, background, education, attitude towards dental treatment and pre-operative medical history. In addition to considering the issues involved in assessing the suitability of patients for a general anaesthetic (GA), attention will be paid to the General Dental Practitioners (GDP) rationale for referring a patient for GA and whether the choice of such treatment was in any way influenced by the mindset of the patient. In order to assess the implications and effects of the GDC guidelines on GA services, a study of the attitudes and opinions of both referring and treating dentists was undertaken. The methodology used was both qualitative and quantitative in nature involving the use of questionnaires; two questionnaires were sent to the referring and clinical dentist. The purpose of the questionnaire to the clinical dentists was to determine referral patterns post guidelines and to monitor compliance with same, whilst the questionnaire to treating dentist was designed to monitor attitudes regarding referrals for treatment. Likewise patients were given two questionnaires to determine whether patients referred for GA, sedation or LA were satisfied with the treatment plan and subsequent outcome. Since the Poswillo Report of 1990 there has been general recommendations to move from the position of GA towards sedation. Correspondingly part of the referring dentists questionnaires contained a section on this aspect of patient care. The results of the study are considered in detail and inferences drawn relating to the present and future provision of both GA and sedation in the UK.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.D.S.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available