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Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists.

Publication ,  Journal Article
Brecher, EA; Keels, MA; Best, AM; Quiñonez, RB; Roberts, MW
Published in: Pediatr Dent
September 15, 2018

Purpose: Assess how pediatric dentists (PD) and general practitioners (GP) manage after-hours pediatric dental emergencies according to perceived urgency. Methods: A survey was e-mailed to PD and GP in North Carolina. Participants responded to management of 18 cases (primary and permanent dentition) according to perceived urgency. Repeated-measures logistic regression was used to analyze factors influencing perception of clinical scenarios. Results: Response rates for PD and GP were 45.5% and 36.3%, respectively. Perceived urgency varied by clinical scenarios, dentition (primary vs. permanent), and practitioner (PD vs. GP) (P<.001). Practitioners with fewer years in practice or seeing fewer pediatric patients managed more cases as urgent. Traumatic injuries in primary dentition (intrusion, pulp exposure, palatal displacement, avulsion) were managed as more urgent by GP than PD (P<.001). Emergencies related to infection and permanent dentition were perceived similarly by PD and GP. Conclusions: Clinical scenarios highlighted disagreement in the management of after-hours pediatric dental emergencies between GP and PD, especially trauma in primary dentition. General practitioners tended to refer to an ED or see urgently, and PD tended to defer care. By identifying needs for improved education in dental trauma management, we can increase utilization of the dental home, avoiding use of overburdened EDs.

Duke Scholars

Published In

Pediatr Dent

EISSN

1942-5473

Publication Date

September 15, 2018

Volume

40

Issue

5

Start / End Page

352 / 358

Location

United States

Related Subject Headings

  • Tooth Root
  • Tooth Injuries
  • Referral and Consultation
  • Practice Patterns, Dentists'
  • Periodontal Ligament
  • Palate
  • Male
  • Humans
  • General Practice, Dental
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Brecher, E. A., Keels, M. A., Best, A. M., Quiñonez, R. B., & Roberts, M. W. (2018). Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists. Pediatr Dent, 40(5), 352–358.
Brecher, Erica A., Martha Ann Keels, Al M. Best, Rocio B. Quiñonez, and Michael W. Roberts. “Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists.Pediatr Dent 40, no. 5 (September 15, 2018): 352–58.
Brecher EA, Keels MA, Best AM, Quiñonez RB, Roberts MW. Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists. Pediatr Dent. 2018 Sep 15;40(5):352–8.
Brecher, Erica A., et al. “Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists.Pediatr Dent, vol. 40, no. 5, Sept. 2018, pp. 352–58.
Brecher EA, Keels MA, Best AM, Quiñonez RB, Roberts MW. Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists. Pediatr Dent. 2018 Sep 15;40(5):352–358.

Published In

Pediatr Dent

EISSN

1942-5473

Publication Date

September 15, 2018

Volume

40

Issue

5

Start / End Page

352 / 358

Location

United States

Related Subject Headings

  • Tooth Root
  • Tooth Injuries
  • Referral and Consultation
  • Practice Patterns, Dentists'
  • Periodontal Ligament
  • Palate
  • Male
  • Humans
  • General Practice, Dental
  • Female