Dental papers published by the dental and maxillofacial department at Surrey and Sussex Healthcare NHS Trust.
Patrick and Kandiah (2019) Patient reported outcome and experience measures for paediatric patients undergoing general anaesthesia
FDJ October 2019
- Presented at Patient experience network national awards – Birmingham March 2019
- Presented at European Association Paediatric Dentistry Congress – Lugano July 2018
Changes were made to the processes involved for children undergoing general anaesthesia for treatment. Overall, it improved both their treatment outcomes resulting in an improved oral health related quality of life, and the patient experience for both children and parents. There is now 100% positive responses for both of these areas.
Patrick and Kandiah (2018) Resistance to change: how much longer will our antibiotics work?
FDJ Volume: 9 Issue: 3, July 2018, pp. 103-111 doi.org/10.1308/rcsfdj.2018.104
- Presented at International Association Paediatric Dentistry Congress – Glasgow 2015
Antimicrobial resistance is a global threat covered heavily within the media. A review of the antibiotic prescribing practices allowed for stringent changes to be made putting steps to minimise antimicrobial resistance for our own patients. This has also led to our team leading the surgical aspect of the antimicrobial guideline development group for the Royal College of Surgeons.
Marshall S, T Kandiah. Specialist led delivery of comprehensive dental care demonstrating low repeat dental paediatric daycase general anaesthetic (PDGA) rates
FDJ Volume 9 Issue: 3, July 2018, pp. 112-115
This project demonstrated the low repeat general anaesthetic (GA) rate for dental extractions at East Surrey Hospital, this was 0.8%. This was similar to the repeat GA rate at Sheffield but much lower than the more commonly reported 10% repeat GA rate nationally. This article was published in a nationally read peer reviewed journal and was used to promote the delivery of specialist-led care. This type of care has shown to lead to lower repeat GA rates for dental treatment in children and this article used the excellent results at East Surrey Hospital as an example.
Marshall S, T Kandiah. Developmental Defects of Enamel in Primary Molars: A Review
Dental Update 2018; 45:961-972
This was one of the first articles on this subject. Both authors (a specialist and consultant in paediatric dentistry working at East Surrey Hospital) felt there was a lack of published information on the subject. Cases from East Surrey Hospital were used as examples in this review of the literature and guidance document. This was aimed at general dental practitioners nationally to guide them in the management of enamel defects in children. This was published in order to improve the knowledge of the readers and improve the care of children in primary care.
Patrick A and Kandiah T (2017) Effectiveness of Safeguarding Children Training
IJPD Oral Sessions Vol 27 p11-35
- Currently awaiting publication
- Presented at International Association Paediatric Dentistry Congress – Santiago Sept 2017
Safeguarding is a vital part of any child’s care and it is essential that anybody involved knows when to raise concerns, and follow current practices. We have changed the format of training and found the most efficient and effective method in order to secure robust measures for our colleagues.
Patrick A and Kandiah T (2017) Knowledge of Emergency Department Staff regarding Dental Trauma
- Presented at European Association Paediatric Dentistry Congress – Turin April 2017
- Presented at South East Coast Emergency Medicine Conference – Surrey 2017
Dental trauma is often managed poorly resulting in a significant burden of care. We have been a welcome addition to emergency department teams by creating a ‘roadshow’ for dental trauma. This initiative is being rolled out internationally.
Marshall S, Kandiah T. An audit evaluating analgesic prescription for paediatric dental extractions under general anaesthetic
International Journal of Paediatric Dentistry 2017 27 (Suppl. 1): 2–11 DOI: 10.1111/ipd.2_1231
This was a three cycle audit which demonstrated a multidisciplinary collaborative approach to overcome barriers for prescription of painkillers for children provided with extractions under general anaesthetic. This audit led to full compliance with national standards at East Surrey Hospital.
Kandiah T, Marshall S. Evaluation of repeat general anaesthetic rate in a consultant-led paediatric dentistry service
International Journal of Paediatric Dentistry 2017 27 (Suppl. 1): 12–41 DOI: 10.1111/ipd.12320
This project was presented at the national conference for the British Society of Paediatric Dentistry. It was later published in the Faculty Dental Journal for the Royal College of Surgeons of England (see reference below)
Marshall S, Kandiah T. Sequelae due to an unusual splint in the management of an avulsion
International Journal of Paediatric Dentistry 2016. 26, S1; 12-36 DOI: 10.1111/ipd.12247
This demonstrated the management of a complicated trauma in a young child and the gold standard care provided at East Surrey Hospital, with discussion over the need for lateral thinking when patients’ have been seen and treated abroad and return for follow up care to their local NHS Hospital.