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Treatment of Preventable
Dental Cavities in Preschoolers:
A Focus on Day Surgery under General
Anesthesia*
Saskatchewan Oral Health Coalition
October 26, 2015
*CIHI Report Released: October 17, 2013
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.
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.
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.
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).
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.
• 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).
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.
Public Cost (continued)
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers
Treatment of Preventable  Dental Cavities in Preschoolers

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Treatment of Preventable Dental Cavities in Preschoolers

  • 1. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery under General Anesthesia* Saskatchewan Oral Health Coalition October 26, 2015 *CIHI Report 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. • 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). Public Cost (continued)
  • 8. • 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. Public Cost (continued)