Day surgery visits for dental problems
Carlos Quiñonez
Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
Search for more papers by this authorDebbie Gibson
Health Analytics Branch, Ministry of Health and Long-Term Care, Government of Ontario, Toronto, ON, Canada
Search for more papers by this authorAleksandra Jokovic
Health Analytics Branch, Ministry of Health and Long-Term Care, Government of Ontario, Toronto, ON, Canada
Search for more papers by this authorDavid Locker
Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
Search for more papers by this authorCarlos Quiñonez
Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
Search for more papers by this authorDebbie Gibson
Health Analytics Branch, Ministry of Health and Long-Term Care, Government of Ontario, Toronto, ON, Canada
Search for more papers by this authorAleksandra Jokovic
Health Analytics Branch, Ministry of Health and Long-Term Care, Government of Ontario, Toronto, ON, Canada
Search for more papers by this authorDavid Locker
Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
Search for more papers by this authorAbstract
Abstract – Objectives: To fill an information gap for dental care policy stakeholders in Canada, this pilot study explored the nature of day surgery (DS) visits for dental problems in Ontario, the country’s largest province.
Methods: The Canadian Institute for Health Information’s National Ambulatory Care Reporting System was used, which contains demographic, diagnostic, procedural and administrative information for ambulatory care settings across Ontario. Fiscal years 2003/2004 to 2005/2006 data were included for DS visits that had a main problem coded with an International Classification of Diseases code in the range K00-K14, representing diseases of the oral cavity, salivary glands and jaws.
Results: During this period, approximately 75 791 persons made 79 133 DS visits for dental problems in Ontario. Proportionally, children under 5 years of age with dental caries represent the majority of DS visits. Restorations and extractions were the most frequently performed DS care procedure.
Conclusions: This is the first study of its kind in Canada, and confirms many of the assumptions held about DS care for dental problems. The study also acts as a baseline for ongoing quality improvement and planning within the province of Ontario.
References
- 1 Alberta Health and Wellness. Report to Albertans: rationale of minister’s approval of oral surgery contracts. Edmonton: Government of Alberta; 2000.
- 2 Saskatchewan Health. Public health/population health services in Saskatchewan. Saskatoon: Government of Saskatchewan; 2001.
- 3 Provincial Health Officer. Report on the health of British Columbians: the health and well-being of Aboriginal people in British Columbia. Vancouver: Ministry of Health Planning, Office of the Provincial Health Officer; 2004.
- 4 Manitoba Health. Health minister announces new initiatives to reduce tooth decay, lower paediatric dental wait times. News release, November 10. Winnipeg: Manitoba Health; 2005.
- 5 Ministry of Health and Long-Term Care. Improving care for Ontario’s youngest patients: McGuinty government improving access to care and reducing wait times for kids. News release, September 19. Toronto: Government of Ontario; 2008.
- 6 Schroth J, Morey B. Providing timely dental treatment for young children under general anesthesia is a government priority. J Can Dent Assoc 2007; 73: 241–3.
- 7 Park M, Sigal M. The role of hospital-based dentistry in providing treatment for persons with developmental delay. J Can Dent Assoc 2008; 74: 353–7.
- 8 Koneru A, Sigal M. Access to dental care for persons with developmental disabilities in Ontario. J Can Dent Assoc 2009; 75: 121.
- 9 North S, Davidson L, Blinkhorn A, Mackie I. The effects of a long wait for children’s dental general anaesthesia. Int J Paediatr Dent 2007; 17: 105–9.
- 10 Savanheimo N, Vehkalahti M. Preventive aspects in children’s caries treatments preceding dental care under general anaesthesia. Int J Paediatr Dent 2008; 18: 117–23.
- 11 Canadian Institute for Health Information. Database background documentation: National Ambulatory Care Reporting System (NACRS) FY 2003/2004. Toronto, ON: Canadian Institute for Health Information; 2005.
- 12 Canadian Institute for Health Information. Database background and general data limitations documentation: National Ambulatory Care Reporting System (NACRS) FY 2004–2005. Toronto, ON: Canadian Institute for Health Information; 2005.
- 13 Canadian Institute for Health Information. Executive summary: database background and general data limitations documentation, National Ambulatory Care Reporting System (NACRS) FY 2005–2006. Toronto, ON: Canadian Institute for Health Information; 2006.
- 14 Ministry of Health and Long-Term Care, Government of Ontario. Health services in your community: who is responsible for hospitals? 2009 available at: http://www.health.gov.on.ca/english/public/contact/hosp/hospfaq_dt.html [last accessed 17 June 2009].
- 15 Institute for Clinical Evaluative Science. Patterns of health care in Ontario: the ICES practice atlas, 2nd edn. Toronto, ON: Institute for Clinical Evaluative Science; 1996.
- 16 Letts M, Davidson D, Splinter W, Conway P. Analysis of the efficacy of pediatric day surgery. Can J Surg 2001; 44: 193–8.
- 17 Alcaino E, Kilpatrick N, Smith E. Utilization of day stay general anaesthesia for the provision of dental treatment to children in New South Wales, Australia. Int J Paediatr Dent 2000; 10: 206–12.
- 18 Wadhawan S, Kumar J, Badner V, Green E. Early childhood caries-related visits to hospitals for ambulatory surgery in New York State. J Public Health Dent 2003; 63: 47–51.
- 19 Schroth R, Smith W. A review of repeat general anesthesia for pediatric dental surgery in Alberta, Canada. Pediatr Dent 2007; 29: 480–7.
- 20 Statistics Canada. Census of Canada, 2001. Ottawa: Statistics Canada, Catalogue number 95F0300XCB2001006; 2002.
- 21 National Council on Welfare. Child poverty profile, 1998. Ottawa: Minister of Public Works and Government Services Canada, ISBN 0-662-30954-5; 2001.
- 22 Statistics Canada. Participation and activity limitation survey 2006: analytical report. Ottawa: Statistics Canada, Catalogue number 89-628-XIE; 2007.
- 23 Sheller B, Williams B, Hays K, Mancl L. Reasons for repeat dental treatment under general anesthesia for the healthy child. Pediatr Dent 2003; 25: 546–52.
- 24 Albadri S, Jarad F, Lee G, Mackie I. The frequency of repeat general anaesthesia for teeth extractions in children. Int J Paediatr Den 2006; 16: 45–8.
- 25 Kakaounaki E, Tahmassebi J, Fayle S. Further dental treatment needs of children receiving exodontia under general anaesthesia at a teaching hospital in the UK. Int J Paediatr Dent 2006; 16: 263–69.
- 26 Almeida A, Roseman M, Sheff M, Huntington N, Hughes C. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatr Dent 2000; 22: 302–6.
- 27 Lee J, Rozier R, Norton E, Kotch J, Vann W. The effects of the women, infants, and children’s supplemental food program on dentally related medicaid expenditures. J Public Health Dent 2004; 64: 76–81.
- 28 Beltrán-Aguilar E, Barker L, Canto M, Gooch B, Griffin S, Hyman J et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis – United States, 1988–1994 and 1999–2002. MMWR 2005; 54: 1–44.
- 29 Harris R, Nicoll A, Adair P, Pine C. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health 2004; 21: 71–85.
- 30 Sen A. Inequality reexamined. Cambridge: Harvard University Press; 1992.
- 31 White H, Lee J, Rozier R. The effects of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment. Pediatr Dent 2008; 30: 70–5.
- 32 Lewis C, Nowak A. Stretching the safety net too far waiting times for dental treatment. Pediatr Dent 2002; 24: 6–10.
- 33 Saskatchewan Surgical Care Network. Wait times information, by specialist; available at: http://www.sasksurgery.ca/index.htm [last accessed 30 June 2006 and 8 November 2008].
- 34 Bennett S. Recent changes and evolution in care patterns in the children in need of treatment (CINOT) dental program: 1990–1999. PHERO 2001; 12: 105–12.
- 35 Milnes A, Rubin C, Karpa M, Tate R. A retrospective analysis of the costs associated with the treatment of nursing caries in a remote Canadian aboriginal preschool population. Community Dent Oral Epidemiol 1993; 21: 253–60.
- 36 Griffin S, Gooch B, Beltrán E, Sutherland J, Barsley R. Dental services, costs, and factors associated with hospitalization for Medicaid-eligible children, Louisiana 1996–97. J Public Health Dent 2000; 60: 21–7.
- 37 Kanellis M, Damiano P, Momany E. Medicaid costs associated with the hospitalization of young children for restorative dental treatment under general anesthesia. J Public Health Dent 2000; 60: 28–32.
- 38 Alberta Health and Wellness. Health costing in Alberta: 2000 annual report. Edmonton: Health Resourcing Branch, Government of Alberta; 2000.
- 39 Alberta Health and Wellness. Health costing in Alberta: 2006 annual report. Edmonton: Health Resourcing Branch, Government of Alberta; 2006.
Citing Literature
