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Jang, Lee, Kim, Yim, Kim, Kim, and Yang: A clinical study on the dental emergency patients visiting an University Hospital emergency room
Original Article

J Korean Assoc Oral Maxillofac Surg 2011;37(6):439-447.

Published online: 10 January 2011

DOI: https://doi.org/10.5125/jkaoms.2011.37.6.439

A clinical study on the dental emergency patients visiting an University Hospital emergency room

Chang-Su Jang1, Chang-Yeon Lee1, Ju-Won Kim1, Jin-Hyuk Yim1, Jwa-Young Kim1, Young-Hee Kim2, Byoung-Eun Yang1

1Department of Oral and Maxillofacial Surgery, Hallym University College of Medicine, Anyang, Korea

2Department of Oral and Maxillofacial Radiology, Hallym University College of Medicine, Anyang, Korea

Byoung-Eun Yang Department of Oral and Maxillofacial Surgery, Hallym University College of Medicine, Pyeongan-dong, Dongan-gu, Anyang 431-070, Korea TEL: +82-31-380-3875 FAX: +82-31-380-3872 E-mail: omsyang@gmail.com

Received 20 July 2011       Revised 3 September 2011       Accepted 12 October 2011

Copyright © 2011 Korean Association of Oral and Maxillofacial Surgeons

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction

In today's society, the rapid and appropriate care of the dental emergency patients is much more important. So, a retrospective study on the characteristics of emergency dental injuries and diseases will be very meaningful.

Materials and Methods

This retrospective clinical study was carried by reviewing the radiographic films and emergency chart of 11,493 patients who had visited the emergency room of Hallym Sacred heart Hospital and were treated in the Department of Oral and Maxillofacial Surgery from January 2006 to December 2010.

Results

The male to female ratio was 1.9:1. The highest monthly incidence was observed in May (10.4%) and June (8.9%) and the peak age distribution was the first decade (56.0%), followed by the second decade (16.0%). Trauma was the most common cause in dental emergency patients, followed in order by toothache, odontogenic infection, temporomandibular joint (TMJ) disorder and oral hemorrhage. Soft tissue injury was most prevalent in the trauma group, followed by tooth injury and facial bone fractures. In the tooth injury group, tooth fracture (56.7%) showed the highest incidence followed in order by tooth subluxation (18.2%), tooth concussion (16.9%), tooth avulsion (11.5%) and alveolar bone fractures (3.7%). In the facial bone fracture group, mandibular fractures (81.8%) showed the highest incidence followed in order by maxilla fractures (15.7%), nasal bone fractures (9.0%), zygomaticomaxillary complex fractures (5.4%), orbital bone fractures (2.5%). In mandibular bone fractures, the most common location was the symphysis (70.1%), followed in order by the mandibular angle (33.0%), mandibular condyle (22.8%) and mandibular body (13.6%). In the infection group, a submandibular space abscess (46.2%) was most common followed in order by a buccal space abscess (17.4%), canine space abscess (16.9%) and submental space abscess (12.3%). TMJ dislocation (89.3%) showed the highest incidence in the TMJ disorder group, followed by TMJ derangement (10.7%). In the other group, a range of specific symptoms due to post operation complications, trigeminal neuralgia, chemical burns and foreign body aspiration were reported.

Conclusion

For the rapid and appropriate care of the dental emergency patients, well-organized system should be presented in oral and maxillofacial surgery. And it is possible under analysis of pattern and the variation of the dental emergency patients.

Keywords: Maxillofacial Surgery, Mandibular Fractures, Tooth injuries

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Fig. 1.
Yearly distribution of total patients. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f1.tif
Fig. 2.
Monthly distribution of total patients. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f2.tif
Fig. 3.
Daily distribution of total patients. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f3.tif
Fig. 4.
Distribution according to gender. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f4.tif
Fig. 5.
Distribution according to age. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f5.tif
Fig. 6.
Distribution according to visiting time. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f6.tif
Fig. 7.
Casual distribution of traumatic injury. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f7.tif
Fig. 8.
Distribution according to traumatic injury site. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f8.tif
Fig. 9.
Distribution according to the type of soft tissue injury. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f9.tif
Fig. 10.
Distribution of tooth injured type. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f10.tif
Fig. 11.
Distribution of facial bone fracture site. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f11.tif
Fig. 12.
Distribution of mandibular fracture. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f12.tif
Fig. 13.
Distribution of infection site. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f13.tif
Fig. 14.
Distribution of admission cause. Chang-Su Jang et al: A clinical study on the dental emergency patients visiting an University Hospital emergency room. J Korean Assoc Oral Maxillofac Surg 2011
jkaoms-37-439f14.tif
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