title: Factors associated with no dental treatment in preschoolers with toothache: a cross-sectional study in outpatient public emergency services.
abstract: Many parents rely on emergency services to deal with their children's dental problems, mostly pain and infection associated with dental caries. This cross-sectional study analyzed the factors associated with not doing an oral procedure in preschoolers with toothache attending public dental emergency services. Data were obtained from the clinical files of preschoolers treated at all nine dental emergency centers in Goiania, Brazil, in 2011. Data were children's age and sex, involved teeth, oral procedures, radiography request, medications prescribed and referrals. A total of 531 files of children under 6 years old with toothache out of 1,108 examined were selected. Children's mean age was 4.1 (SD 1.0) years (range 1-5 years) and 51.6% were girls. No oral procedures were performed in 49.2% of cases; in the other 50.8%, most of the oral procedures reported were endodontic intervention and temporary restorations. Primary molars were involved in 48.4% of cases. With the exception of "sex", the independent variables tested in the regression analysis significantly associated with non-performance of oral procedures: age (OR 0.7; 95% CI 0.5-0.8), radiography request (OR 3.8; 95% CI 1.7-8.2), medication prescribed (OR 7.5; 95% CI 4.9-11.5) and patient referred to another service (OR 5.7; 3.0-10.9). Many children with toothache received no oral procedure for pain relief.
authors.affiliation: Division of Pediatric Dentistry, Faculdade de Odontologia, Federal University of Goias, 1 av., Setor Universitario, 74605-220 Goiania-Goias, Brazil. geovannacm@yahoo.com.br.
authors.forename: Geovanna C M
authors.initials: GC
authors.lastname: Machado
authors.affiliation: Health Sciences Graduate Program, Federal University of Goias, 74605-020 Goiania-Goias, Brazil. anelisedaher@terra.com.br.
authors.forename: Anelise
authors.initials: A
authors.lastname: Daher
authors.affiliation: Division of Pediatric Dentistry, Faculdade de Odontologia, Federal University of Goias, 1 av., Setor Universitario, 74605-220 Goiania-Goias, Brazil. lsucasas@ufg.br.
authors.forename: Luciane R
authors.initials: LR
authors.lastname: Costa
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data; D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019140:Dental Care for Children / Q000706:statistics & numerical data; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014098:Toothache / Q000453:epidemiology* / Q000209:etiology
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Nov;90(5):636-40
references.pmid: 11077389
references.citation: Int J Paediatr Dent. 2003 May;13(3):165-71
references.pmid: 12752915
references.citation: Acta Odontol Scand. 2013 May-Jul;71(3-4):518-24
references.pmid: 22816380
references.citation: Braz Oral Res. 2012 Jan-Feb;26(1):50-6
references.pmid: 22344338
references.citation: Br Dent J. 1999 Jul 10;187(1):38-41
references.pmid: 10452189
references.citation: J Public Health Dent. 1996 Spring;56(2):67-8
references.pmid: 8863288
references.citation: Br Dent J. 2008 Nov 22;205(10):537-8
references.pmid: 19023306
references.citation: Aust Dent J. 2014 Jun;59(2):201-7
references.pmid: 24861395
references.citation: J Public Health Dent. 2007 Winter;67(1):28-35
references.pmid: 17436976
references.citation: Br Dent J. 2002 Feb 23;192(4):219-23
references.pmid: 11931484
references.citation: Br Dent J. 2001 Sep 8;191(5):253-5
references.pmid: 11575760
references.citation: Int J Paediatr Dent. 2011 May;21(3):200-9
references.pmid: 21281366
references.citation: Dent Clin North Am. 2009 Jul;53(3):451-68
references.pmid: 19482122
references.citation: Arch Pediatr Adolesc Med. 2010 Nov;164(11):1059-63
references.pmid: 21041599
references.citation: Policy Brief UCLA Cent Health Policy Res. 2009 Nov;(PB2009-10):1-6
references.pmid: 19960616
references.citation: Pediatr Dent. 2012 Jul-Aug;34(4):289-94
references.pmid: 23014085
references.citation: Br Dent J. 2002 Jul 27;193(2):99-103
references.pmid: 12199130
references.citation: Br Dent J. 1997 Apr 12;182(7):242-4
references.pmid: 9134807
references.citation: J Public Health Dent. 2010 Summer;70(3):205-10
references.pmid: 20337900
references.citation: Cochrane Database Syst Rev. 2013 Dec 19;(12):CD004969
references.pmid: 24353116
references.citation: Community Dent Oral Epidemiol. 2008 Oct;36(5):434-40
references.pmid: 18430042
references.citation: N C Med J. 2012 Sep-Oct;73(5):346-51
references.pmid: 23189415
references.citation: Aust Dent J. 2012 Jun;57(2):132-7
references.pmid: 22624751
references.citation: Int J Paediatr Dent. 2007 Nov;17(6):469-77
references.pmid: 17935600
references.citation: Br Dent J. 2006 Nov 25;201(10):625-6
references.pmid: 17128231
references.citation: Med Care. 2012 Jun;50(6):508-12
references.pmid: 22584886
references.citation: Int J Paediatr Dent. 2007 Jul;17(4):289-96
references.pmid: 17559457
references.citation: Br Dent J. 2002 Mar 9;192(5):280-4
references.pmid: 11924955
references.citation: Br Dent J. 2008 Dec 20;205(12):659-64; discussion 648
references.pmid: 19057559
references.citation: Cien Saude Colet. 2007 Sep-Oct;12(5):1237-46
references.pmid: 18813458
references.citation: ASDC J Dent Child. 2001 Sep-Dec;68(5-6):316-21, 300-1
references.pmid: 11985190
references.citation: Qual Life Res. 2004 May;13(4):813-8
references.pmid: 15129891
references.citation: Oral Surg Oral Med Oral Pathol. 1992 Apr;73(4):479-83
references.pmid: 1574311
references.citation: Br Dent J. 2006 Jan 14;200(1):45-7; discussion 29
references.pmid: 16415836
references.citation: BMC Public Health. 2012 Aug 29;12:706
references.pmid: 22928903
references.citation: J Appl Oral Sci. 2005 Dec;13(4):340-4
references.pmid: 20865216
references.citation: Oral Health Prev Dent. 2008;6(4):295-301
references.pmid: 19178094
references.citation: Br Dent J. 2001 Oct 13;191(7):391-3
references.pmid: 11697600