Emergency care provided in a Greek dental school and analysis of the patients’ demographic characteristics: a prospective study

Farmakis, Eleftherios-Terry R.; Palamidakis, Fotios D.; Skondra, Foteini G.; Nikoloudaki, Georgia; Pantazis, Nikos

doi:10.1111/idj.12245

Cited by 21 publications

(30 citation statements)

References 27 publications

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“…Compared with previous publications addressing DE care, the population of the present study showed consistency regarding the gender ratio (1:1) and the most represented age class (18-29 years) [17][18][19]27,30 . Whereas previous studies provided a general description of subjects who attended the DE department 12,[17][18][19]21,27,30,31 , this study aimed to highlight profiles of patients by linking sociodemographic characteristics to care-seeking behaviours. Indeed, in the present study, the proportion of patients covered by CMU was almost two and a half times higher than the rate reported for this region in France 32 .…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional analysis of patient care pathways and profiles in a dental emergency department

Guivarc’h

Saliba-Serre

Coz

et al. 2020

International Dental Journal

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Introduction Hospital dental emergency (DE) departments are assumed to improve access to emergency care. Patients use these facilities at night and during weekends, mainly because private care is not available at these times. However, motivation for using hospital care during office hours remain unclear. This study aimed to investigate the characteristics and care pathways of patients consulting a DE department during office hours and to identify the profiles of DE department users. Methods A descriptive cross‐sectional study was performed in the DE department of La Timone Hospital (Marseille, France). Structured interviews were conducted with 150 patients. The interview guide explored sociodemographic data, dental care behaviour, characteristics of the emergency visit, care pathway and follow‐up. Descriptive statistics and a multiple correspondence analysis were used for statistical analysis of the data collected. Results The main motivation for seeking care was pain (76%), and 59.3% of the patients attended the DE department as a first intention. The main reasons for coming to the hospital were trust in hospital practitioners (42%) and convenience of care accessibility (40.1%). Two contrasting profiles of patients were identified: young patients with a low income (regular users of DE departments, seeking acute pain relief); and elderly patients (infrequent users of DE departments, seeking follow‐up care). Conclusion This study highlighted that hospitals can be a primary pathway to DE care even though private care may be available. However, serious limitations regarding the continuity of care in the hospital exist, regardless of patient profile.

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Section: Discussionmentioning

confidence: 99%

A cross-sectional analysis of patient care pathways and profiles in a dental emergency department

Guivarc’h

Saliba-Serre

Coz

et al. 2020

International Dental Journal

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“…However, there is evidence that the lack of routine dental care leads to more emergency visits. Studies of patients who sought urgent care for acute dental problems in hospital emergency rooms and dental schools have revealed that these patients were generally uninsured or had low income . This same population has been highly correlated with a lesser likelihood of seeking regular dental care .…”

Section: Discussionmentioning

confidence: 52%

“…Studies of patients who sought urgent care for acute dental problems in hospital emergency rooms and dental schools have revealed that these patients were generally uninsured or had low income. [13][14][15] This same population has been highly correlated with a lesser likelihood of seeking regular dental care. 16 In medicine, however, there is much stronger evidence that correlates lower primary care provider continuity and increased rates of emergency department use in senior citizens, less compliance with physician recommendations, and more duplication of tests, examinations, and procedures.…”

Section: Discussionmentioning

confidence: 99%

Effect of length of dental resident clinical rotations on patient behavior

Lau

2018

Special Care in Dentistry

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Aim The purpose of this retrospective chart review study was to determine if the length of residents’ comprehensive dental care rotations in a general practice residency affected late cancellations, broken appointments, completion of treatment, timeliness of recall visits, emergency visits, and the need for redo of restorations and prostheses. Methods Patients who presented for comprehensive care from 2010 to 2013, during which residents had 3‐ to 4‐month dental clinic rotations, comprised Group 1, and patients who presented for comprehensive care from 2013 to 2016, during which residents had 11‐month dental clinic rotations, comprised Group 2. Subjects were excluded if they only presented for emergency care, they had only one visit, or their care was delivered in both time periods. There were 105 patients in Group 1 and 55 patients in Group 2. Results The statistically significant results were that Group 1 patients had more late cancellations and broken appointments and failed to reach recall status more often than Group 2 patients, and that Group 1 patients had fewer emergency visits. Conclusion Within the limitations of this retrospective study, the results suggest that short block rotations have an adverse effect on resident experience and outcomes of patient care in a hospital outpatient setting.

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“…1 The definition of "dental emergency" provided by the American Dental Association includes acute dental pain, and in the vast majority of cases the origin DENTAL MEDICINE // EMERGENCY MEDICINE of the pain is endodontic. 2 Dental emergencies include reversible and irreversible pulpitis, interappointment endodontic emergencies, dental trauma, periapical and periodontal abscess, cellulitis, pericoronitis and cracked tooth syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…2 Dental emergencies include reversible and irreversible pulpitis, interappointment endodontic emergencies, dental trauma, periapical and periodontal abscess, cellulitis, pericoronitis and cracked tooth syndrome. 1 The dense nerve network of the head and neck region is primarily responsible for the severity and intensity of the pain, which causes stress for both the patient and the clinician, and requires an immediate diagnosis and accurate treatment. 2 When establishing the therapeutic choice in the dental practice, the dentist will have to take two main aspects into account: the magnitude of the dental intervention and the potentially associated systemic pathology and its compensation level, which can allow or prevent safe dental therapy.…”

Section: Introductionmentioning

confidence: 99%

Original Research. A Two-year Retrospective Study of Emergency Dental Treatments at Mureș County Emergency Hospital

Kis

Markovics

et al. 2017

Journal of Interdisciplinary Medicine

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Background: Emergency dental care is provided at the Mureș County Emergency Hospital in Tîrgu Mureș since February 2012, however, there is little information available regarding its activity. Therefore, the aim of the study was to evaluate the prevalence and diagnosis of dental emergency cases treated in this dental office over the first two years. Material and methods: This two-year retrospective study was based on the analysis of patients' dental records who were treated at the Dental Office of the Mureș County Emergency Hospital in Tîrgu Mureș. Results: In the first year 5567 patients were treated, whereas in the second year their number was significantly higher, 7213 patients. Pulp infections presented the highest prevalence in both years: 32.38% and 34.74%, respectively. Compared to the first year (n = 1,803) significantly more cases (p = 0.001) were treated with this diagnosis in the second year (n = 2,506). Periodontal infections were significantly more frequent (p <0.001) in the second year compared to the first -951 cases (13.18%) vs. 681 (12.23%) cases. Conclusions: The main reasons of emergency dental treatments were dental and periodontal infections. The results suggest that dental care is unaffordable to socially disadvantaged persons, and this fosters radical treatment of pain in this free of charge 24 h dental emergency office.

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Emergency care provided in a Greek dental school and analysis of the patients’ demographic characteristics: a prospective study

Cited by 21 publications

References 27 publications

A cross-sectional analysis of patient care pathways and profiles in a dental emergency department

A cross-sectional analysis of patient care pathways and profiles in a dental emergency department

Effect of length of dental resident clinical rotations on patient behavior

Original Research. A Two-year Retrospective Study of Emergency Dental Treatments at Mureș County Emergency Hospital

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