Moca Abel Emanuel, Cherecheș Jessica Olivia, Șipoș Lucian Roman, Moca Rahela Tabita, Slăvescu Dan, Iurcov Raluca
Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania.
Dent J (Basel). 2024 Dec 9;12(12):401. doi: 10.3390/dj12120401.
: Dental emergencies significantly impact public oral health, particularly in the post-COVID-19 context. This study aimed to analyze the patterns of dental emergencies presenting to the Emergency Dental Service in Bihor, Romania, during the years 2022 and 2023, focusing on demographic characteristics and the frequency of diagnoses. : A retrospective analysis of medical records from the Emergency Dental Service at Oradea County Emergency Clinical Hospital was conducted. Inclusion criteria encompassed patients presenting with dental emergencies during the specified period. Data regarding demographics, diagnoses, and living environments were collected and statistically analyzed. : A total of 4769 patients were analyzed, with acute pulpitis (39.2%, = 1869) and acute apical periodontitis (37.5%, = 1788) identified as the most common diagnoses. The study population included 52.3% males and 47.7% females, with a larger proportion residing in urban areas (58.0%) compared with rural areas (42.0%). Significant age-related patterns were evident: pulpitis was more common among patients aged 10-39 years, trauma was associated with patients aged 0-9 years, and gingival infections were prevalent in the 70-79 age group. Diagnoses also varied by dentition type, with abscesses, caries, trauma, and rhizolysis occurring more frequently in deciduous teeth, while pulpitis and post-extraction alveolitis were predominant in permanent teeth. However, no statistically significant differences were found in diagnosis frequency between genders or between rural and urban patients, indicating equitable access to emergency services across environments. : The findings underscore the need for targeted interventions in pediatric populations to address early childhood caries, which remains a significant burden. Enhanced public health strategies and preventive education are essential to mitigate the prevalence of dental emergencies, particularly in the aftermath of the COVID-19 pandemic.
牙科急症对公众口腔健康有重大影响，尤其是在新冠疫情后的背景下。本研究旨在分析2022年和2023年期间罗马尼亚比霍尔地区急诊牙科服务中出现的牙科急症模式，重点关注人口统计学特征和诊断频率。：对奥拉迪亚县急诊临床医院急诊牙科服务的病历进行了回顾性分析。纳入标准包括在指定期间出现牙科急症的患者。收集了有关人口统计学、诊断和生活环境的数据并进行了统计分析。：共分析了4769名患者，其中急性牙髓炎（39.2%，n = 1869）和急性根尖周炎（37.5%，n = 1788）被确定为最常见的诊断。研究人群中男性占52.3%，女性占47.7%，居住在城市地区的比例（58.0%）高于农村地区（42.0%）。明显存在与年龄相关的显著模式：牙髓炎在10 - 39岁患者中更常见，创伤与0 - 9岁患者相关，牙龈感染在70 - 79岁年龄组中普遍存在。诊断也因牙列类型而异，脓肿、龋齿、创伤和牙根吸收在乳牙中更频繁发生，而牙髓炎和拔牙后牙槽炎在恒牙中占主导。然而，在性别之间或农村和城市患者之间的诊断频率未发现统计学上的显著差异，表明不同环境下获得急诊服务的机会均等。：研究结果强调了针对儿童群体采取针对性干预措施以解决幼儿龋齿问题的必要性，幼儿龋齿仍然是一个重大负担。加强公共卫生策略和预防教育对于减轻牙科急症的患病率至关重要，尤其是在新冠疫情之后。
