Treatment of preventable dental cavities in preschoolers

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Nov 4th 2013

Nov 4th 2013

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  • 1. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery under General Anesthesia CIHI Released: October 17, 2013
  • 2. In Canada during 2010-11 and 2011-12: • 19,000 day surgery operations to treat dental caries for children aged 1-5 (under 6). • 31% of all day surgery is for dental treatment. • Leading cause of day surgery for ages 1-5.
  • 3. In Canada during 2010-11 and 2011-12: • Represents 1 per 100 children for ages 1 to younger than 5. • 99% done under general anesthesia.
  • 4. Day Surgery Rates • 8.6 times higher among neighborhoods with higher aboriginal populations, versus lower. • 3.9 times higher for children from least affluent versus most affluent neighborhoods. • 3.1 times as high for children from rural versus urban neighborhoods.
  • 5. Day Surgery Rates • 82 minutes was the average length of time children were in the operating room. • 79 minutes was the average length of time children were in the operating room in Saskatchewan (3rd lowest).
  • 6. Public Cost • $21.2 Million per year, for children age 1-5. • Cost does not include caregiver costs, travel, dental treatment, or anesthesiologists. • Average cost per surgery ranged from $1,271 in New Brunswick to $1,963 in Alberta. • Saskatchewan was the 4th highest, with an average cost of $1,699.
  • 7. Public Cost (continued) • In the four western provinces, the average anesthesiologist cost per surgery ranged from $240 in Manitoba to $361 in Saskatchewan. • One in five families (or 22%) travelled 2 or more hours for ECC day surgery visits. • In Saskatchewan, 38% of children travelled 120 minutes one-way (4th highest in Canada).
  • 8. Public Cost (continued) • Day surgery rate is 35 per 1,000 children in Saskatchewan (3rd highest rate in Canada). • In Saskatchewan, SHR had the highest volume of procedures. • Volume by facility in Saskatchewan is 280 (7%) private practice, versus 3,606 (93%) hospital.