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The use of general anaesthesia in special care dentistry: A clinical guideline from the British Society for Disability and Oral Health

Lookup NU author(s): Andrew Geddis-ReganORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


© 2022 British Society for Disability and Oral Health. Special Care in Dentistry published by Special Care Dentistry Association and Wiley Periodicals LLCBackground: General anaesthesia (GA) may be required to support the care of those seen in Special Care Dentistry (SCD) services for various reasons, such as enabling extensive dental care for people with severe learning disabilities or severe dental phobia. Guidance is needed for teams delivering SCD using GA due to the potential risks, implications, and costs of using GA to deliver dental care. Aim: To present evidence-based recommendations, where possible, for teams involved in providing GA for dental care for adults within SCD services. Methods: A multidisciplinary working group, supported by a formal literature search and stakeholder involvement, iteratively produced and refined the recommendations presented. Results: There was little evidence to inform the guidelines. Recommendations are therefore based mainly on the working group's expert consensus opinion. Clinical guidelines are presented as a set of overarching principles followed by six key sections reflecting patients' pathways from referral to dental services through to their care during and after GA. Conclusion: Guidelines are presented to support those providing GA to provide SCD. The need for comprehensive and person-centered assessment and planning is emphasized.

Publication metadata

Author(s): Geddis-Regan AR, Gray D, Buckingham S, Misra U, Boyle C

Publication type: Article

Publication status: Published

Journal: Special Care in Dentistry

Year: 2022

Volume: 42

Pages: 3-32

Print publication date: 21/01/2022

Online publication date: 21/01/2022

Acceptance date: 24/08/2021

Date deposited: 29/06/2023

ISSN (print): 0275-1879

ISSN (electronic): 1754-4505

Publisher: John Wiley and Sons Inc


DOI: 10.1111/scd.12652

PubMed id: 35061301


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