Traumatic and non‐traumatic dental presentations to the paediatric emergency departments of two UK children's hospitals: A multi‐centre evaluation

Heggie, Claudia; Gallichan, Nathalie; Gartshore, Laura; Hartshorn, Stuart; Messahel, Shrouk; Clark, Victoria; Albadri, Sondos

doi:10.1111/ipd.12796

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…La muestra estuvo conformada en su mayoría por pacientes del sexo masculino (60,5%) y se encontró que la mediana de la edad fue de 7 (6)(7)(8)(9). Las urgencias odontológicas en pacientes atendidos en el INSN en el periodo de Julio 2016 a Julio 2018 más frecuentes fueron las enfermedades pulpares (48,2%), seguidas de traumatismos dentoalveolares (24,8%) y en menor grado se presentó la enfermedad periodontal (5,6%) (figura 1).…”

Section: Resultsunclassified

“…En estas situaciones, en pacientes pediátricos, la atención debe ser oportuna y brindarse de forma rápida para evitar complicaciones secundarias [1][2][3][4][5][6][7] . A nivel mundial, la prevalencia de urgencias dentales en pacientes pediátricos ha ido en aumento; principalmente por traumatismos dentoalveolares 8,9 . En niños y adolescentes, las caries y los traumas dentales constituyen un problema de salud pública; para el primero por su alta prevalencia y en el segundo, por las consecuencias que dejan sobre la pieza dentaria, los tejidos blandos y duros de la boca; esto afecta en múltiples dimensiones la salud del paciente y a sus padres o apoderados [7][8][9][10] .…”

Section: Introductionunclassified

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Prevalencia de urgencias odontológicas en pacientes pediátricos atendidos en un establecimiento de salud público peruano

Tolentino Carlos,

Pacheco Valenzuela,

Passano Del Carpio

2023

rpe

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Introducción: Las urgencias odontológicas son situaciones que se presenta de forma repentina o inesperada ocasionando daño al órgano dentario y la estructura dentaria adyacente comprometiendo la salud bucal del paciente requiriendo una atención inmediata y eficiente. Objetivo: Determinar la Prevalencia de Urgencias Odontológicas en Pacientes de 6 a 12 años atendidos en el Instituto Nacional de Salud del Niño de Breña en el periodo Julio 2016 -Julio 2018. Material y métodos: Se realizó un estudio tipo básica descriptivo retrospectivo y transversal, en una población de 427 historias clínicas de niños de 6 a 12 años ingresados por urgencia al Instituto Nacional Salud del Niño de Breña, para la obtención de datos se usó de una ficha de recolección de datos, tomando en cuenta los datos del paciente y el origen de las urgencias odontológicas que forman parte de la investigación. Resultados: Del tamaño de la muestra conformado por 427 historias clínicas de niños de 6 a 12 años con prevalencia de las urgencias Odontológicas en el periodo de dos años, presentándose en el estudio realizado el traumatismo dentoalveolar prevalece en segundo lugar (24.8%), representando la lesión en el tejido periodontal y en el sexo masculino en un 6,6% entre las edades de 6 años en un 3,5%. La enfermedad periodontal es menos prevalente en las urgencias odontológicas en un 5.6% siendo el más frecuente la gingivitis predominando en el sexo masculino en un 3% entre las edades 11 a 12 años 1.9%. Las enfermedades pulpares es una de las urgencias odontológicas con mayor prevalencia representando en un 48.2% predominando los abscesos alveolares y en el sexo masculino en un 11.7% entre los 7 a 8 años en un 6,3%. La celulitis facial odontogénica representa en 22.5% de las urgencias Odontológicas predominando en el sexo masculino en un 14.8% entre las edades 7 a 8 años en un 8%. Conclusiones: Las urgencias odontológicas en niños son ocasionadas por las enfermedades pulpares, siendo el más frecuente los abscesos alveolares y en el sexo masculino y entre las edades de 7 a 8 años.

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Section: Resultsunclassified

Section: Introductionunclassified

Prevalencia de urgencias odontológicas en pacientes pediátricos atendidos en un establecimiento de salud público peruano

Tolentino Carlos,

Pacheco Valenzuela,

Passano Del Carpio

2023

rpe

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“…Paediatric emergency departments (PEDs) are increasingly being used as providers of dental care within the UK. 1 2 Dental presentations predominantly include those attending with dental caries or traumatic dental injuries (TDIs). It is estimated that 40% of children experience a TDI to their primary teeth and up to one-third of children sustain trauma to their permanent teeth.…”

Section: Introductionmentioning

confidence: 99%

“…Paediatric emergency departments (PEDs) are increasingly being used as providers of dental care within the UK 1 2. Dental presentations predominantly include those attending with dental caries or traumatic dental injuries (TDIs).…”

Section: Introductionmentioning

confidence: 99%

Management of traumatic dental injuries: a survey of paediatric emergency department health professionals

Gallichan

Albadri

Watkins

et al. 2023

bmjpo

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ObjectiveTo assess paediatric emergency department (PED) health professionals’ confidence, experience and awareness in managing traumatic dental injuries (TDIs).DesignA cross-sectional online survey.SettingPED at Alder Hey Children’s Hospital and Birmingham Children’s Hospital.Results94 ED health professionals responded. One-third of responders (n=26) encounter children with dental trauma daily or weekly. TDI teaching during undergraduate training was received by 13% (n=12) of responders, and 32% (n=30) had never received training. Responders thought they would benefit from online resources and regular teaching on paediatric TDIs, in addition to an easy-to-use decision-making tool to signpost families.ED health professionals’ confidence in giving advice to families following a TDI, and in recognising types of TDIs, was notably low; −79 and −76 Net Promotor Score, respectively.Responders’ awareness of how to recognise and manage TDIs was varied. Majority were aware of the need to attempt to reimplant an avulsed permanent tooth, and the need to refer a child presenting with a complex permanent tooth injury to the oncall dentist. However, very few responders commented on the importance of follow-up. Responders also raised concerns about the lack of dental services to treat TDIs in children.ConclusionsThere is a need to enhance dental trauma teaching for all ED health professionals who encounter TDIs to increase their confidence and enable them to triage and advise patients appropriately. Additionally, increased signposting for families to the appropriate service could in turn improve outcomes and experience for children who experience a TDI.

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“…Non-traumatic dental condition (NTDC)-related emergency department (ED) visits are a growing dental public health concern [1][2][3][4][5]. According to a report by American Dental Association, in the year 2017 there were 2.1 million NTDC-related ED visits in the United States costing around $2.7 billion [1,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Variations in temporal trends in non‐traumatic dental condition related emergencies

Nagarajan

Panny

Berg

et al. 2022

J Public Health Dent

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Objective The objective of the study was to investigate temporal trends in non‐traumatic dental condition (NTDC) related emergency visits at Emergency Department (ED), urgent care (UC), and at a Federally Qualified Health Center (FQHC) that providing dental services to a mid‐sized rural community. Methods Temporal trends over a 9‐year period (2008–2016) in NTDC rates at ED, UC, FQHC and in a region around the FQHC were determined. Statistically significant changes (α = 0.05) in the proportion of NTDC visits between FQHC and UC across each of the time points were investigated. Results Proportion of NTDC ED visits was relatively stable over the study period; whereas those at FQHC exceeded those at UC site beginning 2012 and were significantly (α = 0.05) higher than that of UC subsequently (2015–2016). Conclusions NTDCs are preventable dental conditions and the care provided in treating NTDCs in emergency settings is palliative and does not address the underlying conditions resulting in poor outcomes. The results presented elucidate the critical role of FQHCs in significantly reducing NTDC visits. These might be precursors to a potential shift in NTDC care seeking behavior and expected to favorably impact oral health outcomes.

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Traumatic and non‐traumatic dental presentations to the paediatric emergency departments of two UK children's hospitals: A multi‐centre evaluation

Cited by 5 publications

References 12 publications

Prevalencia de urgencias odontológicas en pacientes pediátricos atendidos en un establecimiento de salud público peruano

Prevalencia de urgencias odontológicas en pacientes pediátricos atendidos en un establecimiento de salud público peruano

Management of traumatic dental injuries: a survey of paediatric emergency department health professionals

Variations in temporal trends in non‐traumatic dental condition related emergencies

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