Analysis of care pathways of children who present with an avulsed permanent tooth

摘要: This thesis, examining care pathways of children who present with an avulsed permanent tooth, is divided into four parts. Chapter 1 presents a literature review, which looks specifically at the aetiology and treatment tooth avulsion injuries. There also short review on costs, both direct indirect, associated treating tooth injuries Chapter 2 investigates data sources for prevalence in Yorkshire region. Two major epidemiological child dental health are available UK, decennial annual surveys. Decennial surveys have been run England Wales since 1973 whole UK 1983 whilst annual NHS Dental Epidemiology Programme was started 1985 now by Local Authorities. It five-year-olds every other year, older intervening years. The 2003 Child Health Survey reported accidental damage to teeth but only unpublished traumatic available from 2008/2009 NHS 12-year-olds. obtained Observatory purpose this thesis. On neither survey able provide accurate information our population. lack potentially complicates local commissioning healthcare services, if be based data. Chapter 3 experience dentists’ relation management incisors. study designed as selfcompletion postal questionnaire random sample dentists working primary A response rate 59.7% achieved. Thirty nine per cent of respondents had replanted tooth. replantations took place most often services. Almost forty all respondents currently has sustained injury review. Many region limited treating avulsed permanent teeth. significant percentage currently under their care. Current guidance advises early specialist multi-disciplinary team consultation following injury. Chapter 4 parents’ experiences accessing emergency follow-up injury. used qualitative approach semi-structured interviews were undertaken explore how parents access Eight attending Leeds Institute were recruited using purposive sampling. framework analysis analyse data. core concepts knowledge inferred from analysis. Parents found it difficult child. parents, laypeople site accident professionals involved providing impact accessed. Accessing proved more straightforward in could expected cohort tertiary service. further concept emotion evident – distressed what happened to their frustrated disappointed difficulty care. The final chapter conclusions research, together some recommendations work.