---
title: Increase in extractions under GA among children
description: Child dental extractions under general anaesthetic rose slightly in Wales in 2023/24, with experts urging early prevention and good oral hygiene.
image: https://dentist-times.co.uk/hubfs/Dental%20Article%2012%20image.jpg
---

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# Increase in extractions under GA among children

![Dental Article 12 image-1](https://dentist-times.co.uk/hs-fs/hubfs/Dental%20Article%2012%20image-1.jpg?width=1920&height=1272&name=Dental%20Article%2012%20image-1.jpg)

Dental public health experts in Wales have reported a small increase in childhood dental extractions under general anesthesia from 2022/23 to 2023/24.

However, they warn the figure should be interpreted with caution as services may still be recovering from the impact of the COVID-19 pandemic.

[Latest figures](https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fphw.nhs.wales%2Fnews%2Fchildhood-dental-extraction-under-general-anaesthetic-remain-below-pre-pandemic-levels%2Freferrals-for-the-management-of-tooth-decay-in-children-from-primary-care%2F&wdOrigin=BROWSELINK) show that in 2013/14 8,901 children underwent extractions under general anesthetic. This fell to 3,362 in 2022/23 and was 3,572 in 2023/24.

The report also found that referrals for the management of tooth decay per 1,000 children were at a rate of 16.9 in 2022/23 and 17.1 in 2023/24.

Extractions under general anesthetic are not without risk and should only be undertaken as a last resort, says guidance.

> It remains a concern that many children still require this type of procedure

Recent studies have shown that the severity of tooth decay is improving at a population level in Wales, but still affects one third of all five-year-old children.

Paul Brocklehurst, consultant in dental health at Public Health Wales, said: "It remains a concern that many children still require this type of procedure.

"Establishing good dental hygiene habits early in a child’s life is essential and parents and guardians should be encouraged to ensure their children follow a low-sugar diet and brush their teeth twice a day with fluoride toothpaste.

"The Designed to Smile programme has made a substantial positive impact on dental health at a population level and played a crucial role in improving oral health across Wales."

calendar icon Jul 23, 2025 3:25:32 PM

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