Sheller B, Williams B J, Lombardi S M
Department of Dental Medicine, Children's Hospital and Medical Center, Seattle, Washington, USA.
Pediatr Dent. 1997 Nov-Dec;19(8):470-5.
A comprehensive review of 362 caries-related emergency visits presenting to a children's hospital was completed to investigate aspects of care which have not been previously reported. Areas of interest included patient characteristics such as age and whether the emergency visit was the first contact with a dentist, association of the emergency visit with a nursing bottle habit, diagnoses, treatment provided, and behavior management techniques used at the emergency visit. The emergency appointment was the first contact with a dentist for 27% of all patients and for 52% of children 3.5 years and younger. Patient visits related to nursing caries totaled 19% and these patients had a disproportionately high share of all primary tooth diagnoses. Nursing caries patients accounted for 48% of patients requiring papoose restraint and were the majority of patients receiving multiple extractions. Papoose restraint was used most often for young patients needing extraction who presented during clinic hours and were treated by an attending dentist. Maxillary first and second primary molars were implicated in a high number of cellulitis patients (57%) yet represented only 23% of primary tooth diagnoses.
对一家儿童医院的362次龋齿相关急诊就诊情况进行了全面回顾，以调查此前未报告的护理方面。感兴趣的领域包括患者特征，如年龄以及急诊就诊是否是首次看牙医、急诊就诊与奶瓶喂养习惯的关联、诊断、所提供的治疗以及急诊就诊时使用的行为管理技术。急诊预约是27%的所有患者以及52%的3.5岁及以下儿童的首次看牙医经历。与奶瓶龋相关的患者就诊占总数的19%，这些患者在所有乳牙诊断中所占比例过高。奶瓶龋患者占需要使用束臂装置约束的患者的48%，并且是接受多次拔牙的患者中的大多数。束臂装置约束最常用于在门诊时间就诊且由主治牙医治疗的需要拔牙的年轻患者。上颌第一和第二乳磨牙在大量蜂窝织炎患者中受累（57%），但仅占乳牙诊断的23%。
