Analysis of an emergency dental service provided at a children's hospital

Abstract

An analysis was undertaken of the evening, weekend and public-holiday emergency dental service provided at the Royal Belfast Hospital for Sick Children during one calender year (1987). Dental emergencies accounted for 4% of all attendances during these periods at the Accident & Emergency Department. Toothache, with or without abscess, was the most frequent dental complaint (49%) and abscesses were most frequently associated with primary first molars. Acute trauma was the second most frequent dental complaint (39%) and traumatic injuries were most commonly caused by falls and bicycle accidents. Tooth displacement was was the most common dental injury of primary and permanent teeth. Complaints other than toothache, abscess or traumatic injury accounted for only 12% of dental emergencies.

Tooth loss and survival analysis after traumatic injuries in primary dentition

“…A trauma to primary teeth may result in severe permanent teeth complications, affecting their development and eruption. Consequences can be structural disturbances such as enamel hypoplasia, hypocalcification, as well as short root and dilaceration of permanent teeth, possibly leading to various malformations 3,15,19,20 .…”

“…Traumatic injuries in primary teeth provide challenge for the therapist, and the treatment is often limited to extraction of the affected tooth [13][14][15][16][17] . Treatment strat egy is 10.1515/bjdm-2017-0025 The cause of dental injury was precisely recorded for each patient, and classified into three groups: fall, accidental contact, and unknown reasons.…”

Predominant Causes and Types of Orofacial Injury in Children Attending Emergency Department

“…[1,[15][16][17][18][19][20][21] In fact, these occurred commonly as children became ambulatory but had not yet developed mature motor skills. [22] The findings of this study show a higher percentage of younger children, especially at the preschool age, with a history of orofacial trauma.…”

Dental Emergency Treatment for Children Diagnosed with Acute Lenfoblastic Leukemia

“…Uygulanan tedavi protokolünün sitotoksitesinin çok yüksek olması ve bağışıklık sistemi üzerindeki baskılayıcı etkisi, oral ve dental dokularda ciddi değişiklikler meydana getirmektedir 2 . Yapılan çalışmalarda çocuğun tanı aldığı anda kötü oral hijyene sahip olması ve çürük riskinin yüksek olmasına bağlı olarak bu etkilerin şiddetinde ve görülme sıklığında artış olduğu belirtilmiştir [2][3][4] . Oral kavitede görülen viral ve fungal enfeksiyonların, artmış çürük riskinin ve periodontal hastalıkların antineoplastik tedavi protokolünde aksaklıklara yol açtığı bilinmektedir 5 .…”