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Predictors of dental pain and general anaesthetic receipt for hospital dental procedures among New Zealand children

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Authors:
Summary:

Data from the National Child Nutrition Survey (2002) were used to predict dental pain and receipt of hospital dental general anaesthetic amongst 3,275 New Zealand children. The ethnicity of those surveyed was 37.4% Mäori, 32.3% Pacific and 30.3% New Zealand European or Other (NZEO). Following adjustment for age, sex, length of time lived in New Zealand, household socio-economic status and physical factors, rates of dental pain were similar amongst Pacific and NZEO children. However Mäori children were more likely to experience dental pain than NZEO children. Similar rates of receipt of a dental general anaesthetic were found amongst all three ethnic groups after adjustment for demographic, lifestyle, dietary, food security and dental factors. However overall, Pacific children were less likely to have received a dental general anaesthetic than NZEO children. These results may reflect the consequences of issues such as access to ser-vices and cultural sensitivity of services, as apposed to demand for care.

Comment:
Evidence from a number of national and international studies suggests that ethnic disparities exist when it comes to pain and its management. Dental pain has wide reaching consequences for children including malnutrition (not being able to chew hard food such as fruit or vegetables, preferring soft food), reduced concentration at school and chronic inflammation. Well child/Tamariki ora checks must include screening for dental health and appropriate management of dental problems including pain.
Reference: Journal of Public Health Dentistry. 2006; 66(3):192-8
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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