Department of Paediatric Dentistry

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Browsing by Author "Barrie, Robert"

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    Caries status and treatment needs of 6- and 12-year-old Western Cape learners in the public sector.
    (University of the Western Cape, 2022) Simpson, Karen Rene; Barrie, Robert
    There is a need for good oral health data in the Western Cape as effective health care requires good information. The most recent survey was carried out in 2002 (van Wyk and van Wyk, 2004) and therefore there is no current information on the oral disease burden, nor the oral health treatment needs of children in the Western Cape. The Provincial Government of the Western Cape had requested data to be collected to evaluate the roll out of the fissure sealant programme in the Western Cape as part of the Primary Preventive Primary School Oral Health Programme. This data collected from 2011 included the caries status and treatment need of each primary and permanent tooth, in a sample of 6- and 12-year-old children, at selected provincial schools in this province. The programme was rolled out, but suddenly terminated in 2019 which limited the ability to conduct a complete analysis.
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    Dental treatment of pre-school paediatric patients under general anaesthesia in the Western Cape
    (2009) Peerbhay, Fathima Bibi Mahomed; Barrie, Robert; Mohamed, Nadia
    AIM:The aim of this study was to review the data available from the Department of Health(DOH), on pre-school paediatric patients treated under Dental General Anaesthesia(DGA), at public health facilities in the Western Cape (WC) in order to ascertain the type and nature of treatment provided.METHODOLOGY:This retrospective descriptive study reviewed the records on the Department of Health(DoH) Database of 16 732 pre-school patients treated under dental general anaesthesia in the period 1 January 2005 until 31 December 2007. A questionnaire was also completed telephonically with 22 dentists from the district dental health clinics.Summary descriptive statistics were calculated from data collected and comparisons were drawn between services available at the health districts and academic hospitals.RESULTS:Of the 58 255 procedures recorded for pre-school patients in the district health clinics in the Western Cape, 99.94% were for extractions provided and 0.5% for restorations.The average number of teeth extracted was 10.4 (SD ±3.9).The average rate of DGA per 1000 of the population was 1.06. Only 9% (2) of dentists at district clinics reported that pre-DGA prevention was provided and 5% (1) reported including post-DGA prevention. The Academic Hospital at Tygerberg Oral Health Centre was the only facility in the Western Cape that provided comprehensive dental treatment for pre-school patients which included restorations, extractions, pre and post DGA prevention. Red Cross Children’s Hospital provided treatment for pre-school patients under DGA that included extractions, pre- and post DGA, but no restorative treatment. CONCLUSION:The demand for DGA in pre-school patients in the WC was high. The lack of prevention associated with DGA in the public health service is the most likely reason the retreatment rate under DGA was reported by dentists as being 77%. There was an absence of protocol regarding DGA for pre-school patients in the public health service.RECOMMENDATIONS:Guidelines formulated were recommended for use in the public service for pre-school patients being treated under DGA and includes the provision of preventive interventions such as regular topical fluoride applications, oral hygiene instruction and dietary advice.