Treatment profile at dental urgent care clinic for children and teenagers from Faculdade de Odontologia de Araraquara (FOAr) – UNESP

Abstract Introduction: Urgency care is a common practice in pediatric dentistry but little is known about the profile of these visits. Objective: To evaluate the profile of patients aged between 0 and 13 years assisted at the Urgency Unit offered by FOAr, from 1997 to 2012, in order to quantify patients and procedures performed and identify the most frequently treatments performed. Material and method: In this observational transversal study, the reports of urgency service provided by the Integrated Clinical System were analyzed for the number of patients, treatments and type of procedures performed. The procedures were classified into seven categories: Diagnosis, Preventive, Anesthesia, Endodontic, Restorative, Surgical and Others. The data were organized and analyzed descriptively. Results: From 1997 to 2012, a total of 13,849 patients were treated in 25,786 visits and 86,279 procedures were conducted. A decrease in the number of patients assisted was observed. However, the number of appointments and the number of procedures did not decrease at the same ratio. Diagnosis procedures were the most frequent procedure performed, followed by preventive procedures. Restorative and endodontic treatments were the most frequent operative procedure performed. Dental surgeries were done less frequently. Conclusion: A profile change in the dental urgent treatment was observed throughout the years. Despite a reduction in the number of patients assisted, the number of visits and the amount of procedures performed remained stable. The procedures performed are in agreement with the profile of a dental urgent care clinic.

摘要：急诊诊疗是儿童牙科的常规服务项目之一，但目前针对此类就诊的患者特征仍鲜有研究。研究目的：分析1997年至2012年间，由FOAr开设的急诊诊室接诊的0~13岁儿童患者的就诊特征，量化就诊患者与实施操作的数量，并明确最常开展的诊疗项目。材料与方法：本研究为观察性横断面研究，对集成临床系统（Integrated Clinical System）记录的急诊服务报告进行分析，统计就诊患者数量、诊疗项目及操作类型。将操作分为7大类：诊断类、预防类、麻醉类、牙髓治疗类、修复类、外科类及其他类。对数据进行整理与描述性分析。研究结果：1997年至2012年间，该诊室累计接诊13849名患者，完成25786次就诊，实施操作共计86279例。观察到接诊患者数量呈下降趋势，但就诊次数与操作数量并未以相同比例减少。诊断类操作为最常见的诊疗项目，其次为预防类操作；修复与牙髓治疗是最常开展的有创诊疗项目，牙科外科手术的开展频率相对较低。研究结论：多年来儿童牙科急诊诊疗的患者特征已发生变化。尽管接诊患者数量有所减少，但就诊次数与实施操作总量仍保持稳定。本次研究中开展的诊疗项目符合牙科急诊诊室的典型特征。