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Dentists' Views and Practice of Sedation and General Anaesthesia in Ontario

This study investigated Ontario dentists' views and use of sedation and general anaesthesia (GA) (n=1076; 37.9% response rate). A mixed mode format offered mailed and web survey options. Study participants were 69.7% male, 83.0% general practitioners, practicing 0.5-42 years (mean 20.6 years), with 40.6% from cities >500,000. 60.2% of respondents provided sedation. Dentists' underestimated patient interest in sedation/GA (66.8% vs. 43.9% not interested; 19.8% vs. 42.8% possibly interested; 13.4% vs. 12.4% definitely interested). Patients' preference for sedation/GA by service was also underestimated (p<0.001) except for extractions. Barriers to care were cost (72.2%) for providers; lack of training (38.2%) and patient demand (25.3%) for non-providers. Dentists reported use of sedation highest for extractions (1.5% deep sedation/GA-5.7% nitrous). Dentists' also overestimated patients' level of fear (somewhat afraid 19.95 vs. 9.8%; very afraid 10.6% vs. 2.0%; terrified 6.0% vs. 3.5%). This study confirms differences between dentists' use and estimation of patient demand for sedation/GA.

Identiferoai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/43289
Date09 December 2013
CreatorsPatodia, Sangeeta
ContributorsDempster, Laura
Source SetsUniversity of Toronto
Languageen_ca
Detected LanguageEnglish
TypeThesis

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