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Nontraumatic Dental Emergencies in a Pediatric Emergency Department

Department of Pediatric Dentistry and the Postgraduate Pediatric Dentistry Program and Research, Ohio State University School of Dentistry, Department of Pediatric Dentistry, Columbus Children's Hospital

Gary A. Smith

Department of Pediatrics, Ohio State University College of Medicine, Columbus, Ohio

James Preisch

Department of Pediatric Dentistry and the Postgraduate Pediatric Dentistry Program and Research, Ohio State University School of Dentistry, Department of Pediatric Dentistry, Columbus Children's Hospital

Paul S. Casamassimo

Department of Pediatric Dentistry and the Postgraduate Pediatric Dentistry Program and Research, Ohio State University School of Dentistry, Department of Pediatric Dentistry, Columbus Children's Hospital

The objectives of this study were to describe nontraumatic dental emergencies among children treated in a pediatric emergency department. The children studied received emergency treatment for a nontraumatic dental problem from December 1992 through November 1993. Among the 1,459 children treated for dental emergencies, 949 had a nontraumatic emergency (65%) and were enrolled in this study. Patients ranged in age from 1 month to 19 years, with a mean age of 6.9 years. Fifty-two percent of patients were male. The teeth were involved in 99% of cases. An abscess was present in 33% of patients; and among these patients, 26% also had a fistula. Pericoroni tis was seen in 4% of patients, primary viral stomatitis in 1%, and an eruption hematoma in 0.5%. Caries is the etiology of the problem prompting the emergency department visit in 73% of patients, and baby bottle caries accounted for 18% of all cases of caries. Other etiologies included the late effects of trauma (8%), iatrogenic (7%), idiopathic (3%), and periodontal processes (2%). Tooth ex traction was performed in 45% of patients. Findings of this large consecutive series provide a better understanding of this type of visit to the pediatric emergency department.

Clinical Pediatrics, Vol. 36, No. 6, 333-337 (1997)
DOI: 10.1177/000992289703600604


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