Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study

Pediatric dental emergencies can occur as a result of untreated dental caries, or can be caused by trauma or periodontal issues. The lockdown imposed during the COVID-19 pandemic reduced the number of centers authorized to deliver dental services in Romania, with only a small number of dentists deli...

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Main Authors: Abel Emanuel Moca, Raluca Iurcov, Gabriela Ciavoi, Rahela Tabita Moca, Lucian Roman Șipoș
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/5/807
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author Abel Emanuel Moca
Raluca Iurcov
Gabriela Ciavoi
Rahela Tabita Moca
Lucian Roman Șipoș
author_facet Abel Emanuel Moca
Raluca Iurcov
Gabriela Ciavoi
Rahela Tabita Moca
Lucian Roman Șipoș
author_sort Abel Emanuel Moca
collection DOAJ
description Pediatric dental emergencies can occur as a result of untreated dental caries, or can be caused by trauma or periodontal issues. The lockdown imposed during the COVID-19 pandemic reduced the number of centers authorized to deliver dental services in Romania, with only a small number of dentists delivering dental emergency treatments. The aim of this study was to investigate the demographic characteristics of children and adolescent patients who were treated in the dental emergency department of Oradea, Romania and to compare the patients who were treated in the dental emergency department in the pre-lockdown (2019), lockdown (2020) and post-lockdown year (2021). All patients who were treated in the dental emergency department were included in the study except for adults and medical files that did not contain all relevant information. Several variables were investigated (age, gender, living environment, location of affected teeth, type of emergency). In 2019, 257 children and adolescents were treated, in 2020, 198, and in 2021, 136. Most patients were aged 7–12 years in all investigated years (2019—47.9%; 2020—50.5%; 2021—43.4%), and the most affected teeth were located in the lower posterior arch (2019—53.3%; 2020—53%; 2021—48.5%). The most frequent emergencies were pulpitis (2019—40.5%; 2020—43.9%) and acute apical periodontitis (2021—42.6%). It was observed that in 2019, patients aged between 0 and 6 years were more frequently associated with trauma (<i>p</i> < 0.001), and in 2019 and 2020, patients aged between 7 and 12 years were more frequently associated with periodontal emergencies (<i>p</i> < 0.001). In 2020, patients from rural areas were more frequently associated with pulpitis (<i>p</i> = 0.025), and in 2021, patients from rural areas were more frequently associated with pulpitis or acute apical periodontitis, and patients from urban areas were associated more frequently with periodontal emergencies (<i>p</i> = 0.042). Pediatric patients with ages between 7 and 12 years old, who lived in an urban environment were most affected. Teeth located in the lower and upper posterior dental arches were most affected, and pulpitis or acute apical periodontitis were the most common pathologies.
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spelling doaj.art-bc218ce5d37c46378e326958be87ec722023-11-18T00:55:12ZengMDPI AGChildren2227-90672023-04-0110580710.3390/children10050807Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective StudyAbel Emanuel Moca0Raluca Iurcov1Gabriela Ciavoi2Rahela Tabita Moca3Lucian Roman Șipoș4Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, RomaniaDepartment of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, RomaniaDepartment of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 1 Universității Street, 410087 Oradea, RomaniaDepartment of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, RomaniaPediatric dental emergencies can occur as a result of untreated dental caries, or can be caused by trauma or periodontal issues. The lockdown imposed during the COVID-19 pandemic reduced the number of centers authorized to deliver dental services in Romania, with only a small number of dentists delivering dental emergency treatments. The aim of this study was to investigate the demographic characteristics of children and adolescent patients who were treated in the dental emergency department of Oradea, Romania and to compare the patients who were treated in the dental emergency department in the pre-lockdown (2019), lockdown (2020) and post-lockdown year (2021). All patients who were treated in the dental emergency department were included in the study except for adults and medical files that did not contain all relevant information. Several variables were investigated (age, gender, living environment, location of affected teeth, type of emergency). In 2019, 257 children and adolescents were treated, in 2020, 198, and in 2021, 136. Most patients were aged 7–12 years in all investigated years (2019—47.9%; 2020—50.5%; 2021—43.4%), and the most affected teeth were located in the lower posterior arch (2019—53.3%; 2020—53%; 2021—48.5%). The most frequent emergencies were pulpitis (2019—40.5%; 2020—43.9%) and acute apical periodontitis (2021—42.6%). It was observed that in 2019, patients aged between 0 and 6 years were more frequently associated with trauma (<i>p</i> < 0.001), and in 2019 and 2020, patients aged between 7 and 12 years were more frequently associated with periodontal emergencies (<i>p</i> < 0.001). In 2020, patients from rural areas were more frequently associated with pulpitis (<i>p</i> = 0.025), and in 2021, patients from rural areas were more frequently associated with pulpitis or acute apical periodontitis, and patients from urban areas were associated more frequently with periodontal emergencies (<i>p</i> = 0.042). Pediatric patients with ages between 7 and 12 years old, who lived in an urban environment were most affected. Teeth located in the lower and upper posterior dental arches were most affected, and pulpitis or acute apical periodontitis were the most common pathologies.https://www.mdpi.com/2227-9067/10/5/807pediatric dental emergenciesRomaniapandemicCOVID-19
spellingShingle Abel Emanuel Moca
Raluca Iurcov
Gabriela Ciavoi
Rahela Tabita Moca
Lucian Roman Șipoș
Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
Children
pediatric dental emergencies
Romania
pandemic
COVID-19
title Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
title_full Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
title_fullStr Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
title_full_unstemmed Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
title_short Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study
title_sort pediatric dental emergencies during the covid 19 pandemic in romania a retrospective study
topic pediatric dental emergencies
Romania
pandemic
COVID-19
url https://www.mdpi.com/2227-9067/10/5/807
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