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Patient Management

338 - Pediatric Emergency Dental Care: A Six-Month Retrospective Study

Saturday, May 24, 2025
1:00 PM - 1:15 PM MDT
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    Presenting Author(s)

  • Ji-Hoon Min, DMD

    PGY2
    University of Illinois at Chicago, Chicago IL
    University of Illinois at Chicago
    Chicago, Illinois, United States

    • Research Mentor(s)

  • Evelina Kratunova, BDS, MDS, DChDent

    Clinical Assistant Professor
    UNIVERSITY OF ILLINOIS AT CHICAGO
    College of Dentistry, University of Illinois at Chicago
    Chicago, Illinois, United States

    • Program Director(s)

  • Brittaney J. Hill, DDS, MS, MPH

    Clinical Associate Professor and Residency Program Director
    University of Illinois Chicago, Chicago IL
    University of Illinois at Chicago
    Chicago, Illinois, United States

Abstract: Pediatric Emergency Dental Care: A Six-Month Retrospective Study
Min JH1, Desai BD1, Kratunova EH1, Alapati S2
1Department of Pediatric Dentistry, UIC College of Dentistry, Chicago, IL, 2Department of Endodontics, UIC College of Dentistry, Chicago, IL

Purpose: To assess the presenting complaints, diagnoses, and treatments at a university-based postgraduate pediatric emergency dental clinic. It also aimed to compare care provided to medically healthy children (American Society of Anesthesiologists [ASA] I) and those with medical conditions (ASA II and above).

Methods: Data from pediatric patients seen over six months were reviewed retrospectively. Information collected included demographics, ASA classification, presenting complaints, diagnoses, treatments, and follow-ups. Statistical analyses included descriptive statistics, chi-squared tests, and regression modeling to identify significant differences and trends.

Results: Of 343 patients (mean age: 6 years, SD: 3.1), 72% were medically healthy, while 28% had medical conditions. Children with medical conditions were older on average (6.6 vs. 5.8 years; p = 0.030). The cohort included 54.8% males and was racially diverse, with 60% identifying as White, 23.5% as Black, and 3.8% as Asian; 43.7% identified as Hispanic. The most common presenting complaint was odontogenic pain (61.5%), followed by trauma (11.7%) and facial swelling (10.8%). Chronic odontogenic infections accounted for 48.4% of diagnoses, while trauma-related conditions made up 11.7%. Primary teeth were involved in 68.2% of cases. Extractions were the most frequent treatment (51.6%), and no significant differences in treatment patterns were observed between ASA classifications (p > 0.8).

Conclusions: Odontogenic infections and extractions were the most frequently encountered diagnoses and treatments. Medically compromised children were older but received care comparable to their medically healthy peers. These findings show the importance of evidence-based protocols, and resources.

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