General anaesthesia for paediatric dental patients
08:45 - 16:35
09:30 Welcome by Graham Smith, President, BDA CDS Group
09:40 Inhalation sedation and beyond, how does sedation support the green agenda?
Aim
This session covers the use of inhalation sedation for paediatric patients, alternative sedation options, factors influencing treatment selection and strategies to mitigate environmental exposure to N2O.
Learning objectives
- Update on inhalation sedation as a treatment modality
- Update of current legislation, and the Nitrous Oxide Project
- Use cases to reflect on patient and treatment selection
- Have knowledge of different standard paediatric sedation techniques other than IHS.
Learning content
The talk will cover techniques in inhalation sedation, including tips on how to utilise inhalation sedation in practice and available sedation alternatives. Exploring additional techniques will help to increase behaviour management tools in their armamentarium to manage paediatric patients.
Carly Dixon, Specialist in Paediatric Dentistry/Clinical Lecturer, University of Manchester
10:40 Refreshments and exhibition
11:10 Paediatric dental general anaesthetic: who, what, where and how
Aim
To provide an overview of when dental treatment under general anaesthetic may be undertaken and what to consider when treatment planning these cases.
Learning objectives
By the end of this activity, the participant should be able to:
- Outline the indications and contraindications for the use of general anaesthetic for completing dental treatment in children and young people
- Discuss medical conditions which require special considerations
- Review factors to consider when treatment planning cases for treatment under general anaesthetic
- Explore the differences in treatment that is being carried out under general anaesthetic depending on local service provision.
Learning content
Delegates will gain an insight into the differences between being a paediatric dentist in the community dental services versus a hospital setting and how the provision of dental treatment under general anaesthetic for children and young people may differ between the two settings.
Dhruvi Patel, Specialty Trainee Registrar in Paediatric Dentistry, Alder Hey Hospital, Liverpool
11:55 Trauma-informed practice in paediatric dentistry
Aim
To discuss causes of trauma in children and explore how adverse childhood experiences can affect a child and their behaviour in the dental setting. To discuss approaches to providing gentle dentistry for paediatric patients who may have experienced trauma in their life.
Learning objectives
By the end of this activity, the participant should be able to:
- Understand what Adverse Childhood Experiences (ACEs) are and how it may affect a child’s ability to cope with dental treatment
- Understand how to recognise common trauma responses in children
- Improve your ability to provide trauma informed care for paediatric dental patients and improve their experience of dental treatment.
Learning content
Outline what ACEs means and discuss how it can affect a child’s wellbeing. Explain how traumatic life experiences can heighten a child’s anxiety and how this may affect behaviour at the dental clinic. Discuss approaches to providing gentle dentistry for children who may have experienced trauma.
Sinead Enright, Specialist in Paediatric Dentistry, Community Dental Service, Bradford District Care Foundation Trust
12:40 Lunch and exhibition
13:40 Dental general anaesthesia and safeguarding considerations
Aim
To give an overview of safeguarding for vulnerable patients in the context of their dental general anesthetic and how to manage cases by utilising skills from other healthcare professionals and safeguarding teams.
Learning objectives
- Understand referral pathways to safeguarding teams in Community and Hospital Dental Services, as well as Was Not Brought pathways
- Support vulnerable groups including asylum seekers/refugees and looked after children and their families and caregivers to receive a dental general anaesthetic
- Be aware of the importance of dental nurses and administrative staff in relation to safeguarding.
Learning content
This session will outline the importance of safeguarding in the context of dental general anesthesia, how to act on concerns and how to support patients and their caregivers to receive a dental general anesthetic and look at a patient example.
14:25 General anaesthesia for paediatric dentists – The anaesthetic perspective
Aim
Using a case-based approach we will cover pre-operative assessment and planning, additional needs commonly associated with paediatric patients requiring general anaesthesia for dental procedures, the use of pre-medication, shared airway considerations and common anaesthetic complications.
Learning objectives
By the end of this activity, the participant should be able to:
- Identify and gather information for patients at increased anaesthetic risk
- Identify patients who may require pre-medication
- Understand the shared airway considerations and how to minimize risk of anaesthetic complication.
Learning content
This session examines the context of general anaesthesia in paediatric patients from the anaesthetic perspective. We will focus on potential difficulties that may be encountered and strategies to anticipate and mitigate for these issues to provide the best experience for patients and their families and to provide a smooth and efficient service.
Grace McClune, Consultant Anaesthetist, South Eastern H&SC Trust
15:10 Afternoon refreshments and exhibition
15:30 All systems go - managing children with complex medical conditions
Aim
This session will consider medical problems in a systematic way and discuss the management of children with complex medical conditions. Understand how this may impact on dental treatment and what additional preparation needs to be considered to ensure safe delivery of care under general anaesthetic.
- Learning objectives
Have a structured systematic approach to taking a medical history with key questions that will support treatment planning
- To understand the medical condition and be able to gather relevant information that will support safe delivery of care
- Understand the impact of medical history and how this may influence treatment choices
- Explore what preparation is required in managing a patient with a complex medical history, what questions need to be asked and who to contact.
Learning content
Providing an overview of managing children with complex medical conditions providing the clinician with the tools to be curious to ensure that children are managed safely in the right environment with the right team.
Sarah McKaig, Consultant in Paediatric Dentistry, Birmingham Children’s Hospital, Birmingham Dental Hospital
16:35 Close
