• Guidance - paediatric dental
  Link:www.apagbi.org.uk/sites/default/files/images/Main%20Dental%20Guidelines%5B1%5D_0.pdf
  
• Main themes
• Anaesthetic opinion should be available prior to the treatment appointment if required
• Carer should be allowed to accompany the child to the anaesthetic room
• Parents should be informed of the potential adverse effects of GA and advise given about return to school.
• Patients should be managed by staff with appropriate training
• Extractions done under GA only when the most clinically appropriate method
• Should have a local referral proforma
• Dental patients should have the same standard of assessment as patients for any other procedure
• Options for extraction (LA, GA, sedation) should be explained to the carer and allow each option to be considered
• The referring dentist should have competency in paediatric dentistry or carry out comprehensive planning for children who require GA
• Children requiring GA should be cared for in a family friendly hospital setting with staff able to provide resuscitation should the need arise
• IV access should be considered for every patient. Topical anaesthesia should be applied
• Staff should be trained in child protection and safeguarding children
• At the assessment meeting, the parent should be given details
• Pre-op fasting
• Proposed plan and alternatives
• Risks and benefits
• Appropriate escorts for the child
• Post-op arrangements
• Post-op care and analgesia