Retrospective analysis of common diseases in pediatric oral emergency patients of Ningbo.

Abstract

Background: With the increase in the resident population and the number of children in Ningbo, as well as the growing demand for oral health care, the number of children's dental emergencies has been increasing year by year. This trend not only increases the pressure on medical resources, but also puts higher demands on the level of children's oral emergency care. In order to better guide the diagnosis and treatment of common and frequent diseases in paediatric oral emergency care, and to improve the efficiency of the use of medical resources. A retrospective report is needed to provide a valuable reference for improving the level of paediatric oral emergency care.

Objective: To study the morbidity characteristics of children's oral emergencies. Through the clinical data of children's oral emergency cases in our hospital during the period of 2015-2021, we analysed the types of oral emergency cases, gender, age, and time of injury visits, so as to better guide the diagnosis and treatment of common and frequent diseases in children's oral emergency.

Methods: A total of 4,946 cases of dental emergencies attended between January 1, 2015 and December 31, 2021 were collected and statistically analyzed in a retrospective cohort with respect to gender, age, time of visit and diagnosis of the patients. SPSS 19.0 software was applied to test and analyze the results.

Results: There were 3,096 males and 1,850 females in 4,946 children's oral emergency patients, with a male to female ratio of 1.67:1; The average age was 3.9 years old. The highest number of children's oral emergency visits was October, the lowest was January, and the highest time was 20:00-21:00; The first three diseases in emergency diagnosis were maxillofacial trauma (60.17%),dental trauma (17.19%) and acute periapical periodontitis (13.26%).

Conclusion: The number of pediatric dental emergencies has been increasing year by year, from 298 cases in 2015 to 1,827 cases in 2021, with a relatively high concentration of visits and a wide range of emergencies, including: maxillofacial trauma, dental trauma, acute periapical inflammation, acute endodontitis, and oral aphthous ulcers, but with a major focus on maxillofacial trauma (60.17%) and dental trauma (17.19%). Therefore, emergency management of maxillofacial trauma by pediatric emergency dentists is a clinical priority in pediatric emergency dentistry.