Abstract
Objective: Investigate dental emergencies among adults over 18 seeking unscheduled care at Dental Emergency Internship Clinics of the Federal University of Juiz de Fora (FO-UFJF), examining demographic and socioeconomic factors and outlining care profiles, resolutions, and demand characteristics. Methods: Interviews were conducted with 250 patients over six months. Participants completed a structured questionnaire post-emergency consultation, covering demographic, socioeconomic, and dental history details, as well as care specifics like consultation reasons and follow-up needs. Descriptive analysis and statistical tests (Pearson's chi-square, Fisher's exact, and linear trend) assessed associations between patient demographics/socioeconomics, consultation reasons, and outcomes (resolution, medication, radiography, referral). The study was approved by the Research Ethics Committee. Results: Patients aged18-84 years (58% female) and were from low socioeconomic backgrounds (less than a minimum wage). Primary reasons for seeking care included restorative, prosthetic, or endodontic needs, often for first-time visitors (60.8%). Prosthetic requests were notably higher among those over 56 years (p=0.05), while restorative cases saw higher resolution rates (p=0.013). Endodontic cases frequently required radiographic examination (p=0.017). Conclusion: Users were mostly women with an average age of 50 years and low socioeconomic status. Most sought the service for the first time, with complaints resolved in most cases, and were referred for continued dental treatment.
References
ASSOCIAÇÃO BRASILEIRA DE EMPRESAS DE PESQUISA – ABEP. Critério de Classificação Econômica Brasil 2018. Disponível em: https://www.abep.org. Acesso em: 07 jul. 2024.
ALBUQUERQUE YE, et al. Treatment profile at dental urgent care clinic for children and teenagers from Faculdade de Odontologia de Araraquara (FOAr)–UNESP. Revista de Odontologia da UNESP, 2016; 45: 115-120.
BAE JH, et al. Clinical characteristics of dental emergencies and prevalence of dental trauma at a university hospital emergency center in Korea. Dental Traumatology, 2011; 27(5): 374-378.
BALENOVIĆ A, et al. Sociodemographic Determinants and Common Reasons for Visiting the Emergency Dental Service in the City of Zagreb. ActaStomatologicaCroatica, 2019; 53(3): 247-254.
CURRIE CC, et al. Promoting regular dental attendance in problem-orientated dental attenders: A systematic review of potential interventions. Journal of Oral Rehabilitation, 2021; 48(10): 1183-1191.
CURRIE C, et al. Urgent dental care use in the North East and Cumbria: predicting repeat attendance. British Dental Journal, 2022; 232(3): 164-171.
FARMAKIS ET, et al. Emergency care provided in a Greek dental school and analysis of the patients' demographic characteristics: a prospective study. International Dental Journal, 2016; 66(5): 280-286.
FERRAZ DOS SANTOS B, DABBAGH B. A 10-year retrospective study of paediatric emergency department visits for dental conditions in Montreal, Canada. InternationalJournalofPaediatricDentistry, 2020; 30(6): 741-748.
FLUMIGNAN JDP, DE SAMPAIO NETO LF. Atendimento odontológico em unidades de emergência: caracterização da demanda. Revista Brasileira de Odontologia, 2015; 71(2): 124.
FRICHEMBRUDER K, et al. Dental emergency: Scoping review. PLoS One, 2020; 15(2): e0222248.
GALVÃO MHR, et al. Inequalities in the profile of using dental services in Brazil. Ciência&SaúdeColetiva, 2022; 27(6): 2437-2448.
GHANBARZADEGAN A, et al. The effect of education on dental service utilization patterns in different sectors: A multiple mediation analysis. Community Dentistry and Oral Epidemiology, 2023; 51(6): 1093-1099.
GUIVARC'H M, et al. A cross-sectional analysis of patient care pathways and profiles in a dental emergency department. International Dental Journal, 2020; 70(1): 21-28.
HAWSAWI HS, et al. Socioeconomic Determinants of Willingness to Pay for Emergency Public Dental Services in Saudi Arabia: A Contingent Valuation Approach. International Journal of Environmental Research and Public Health,2022; 19(22): 15205.
HUANG CL, et al. Analysis of adult dental emergencies at a medical center in southern Taiwan. Journal of Dental Sciences, 2022; 17(3): 1314-1320.
MATSUMOTO MS, et al. Determinants of Demand in the Public Dental Emergency Service. Journal of Contemporary Dental Practice, 2017; 18(2): 156-161.
MEYER B, et al. Determining the rate of follow-up after hospital emergency department visits for dental conditions. Clinical, Cosmetic and Investigational Dentistry, 2016; 8: 51-56.
OBADAN-UDOH E, et al.Testing dental quality measures: Emergency department visits for nontraumatic dental conditions and subsequent follow-up dental visits. Journal of the American Dental Association, 2023; 154(6): 507-518.
PEREIRA FAO, et al. Urgency and discontinuity of oral health care in children and adolescents. Ciência&SaúdeColetiva, 2020; 25(9): 3677-3684.
REBELO VIEIRA JM, et al.Contextual and individual determinants of non-utilization of dental services among Brazilian adults. Journal of Public Health Dentistry, 2019; 79(1): 60-70.
SPANEMBERG JC, et al. Quality of life related to oral health and its impact in adults. Journal of Stomatology, Oral and Maxillofacial Surgery, 2019; 120(3): 234-239.
TRAMINI P, et al. Factors associated with the use of emergency dental care facilities in a French public hospital. Special Care in Dentistry, 2010;30(2):66-71.
UNIVERSIDADE FEDERAL DE JUIZ DE FORA. Disponível em: https://www2.ufjf.br/odontologia/apresentacao/. Acesso em: 07 jul. 2024.
WORSLEY DJ, et al. Access to urgent dental care: a scoping review. Community Dental Health, 2017;34(1): 19-26.
