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Open AccessArticle

Factors Associated with No Dental Treatment in Preschoolers with Toothache: A Cross-Sectional Study in Outpatient Public Emergency Services

Division of Pediatric Dentistry, Faculdade de Odontologia, Federal University of Goias, 1 av., Setor Universitario, 74605-220 Goiania-Goias, Brazil
Health Sciences Graduate Program, Federal University of Goias, 74605-020 Goiania-Goias, Brazil
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2014, 11(8), 8058-8068;
Received: 3 June 2014 / Revised: 28 July 2014 / Accepted: 29 July 2014 / Published: 8 August 2014
(This article belongs to the Special Issue Social and Environmental Determinants of Oral Health)
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. View Full-Text
Keywords: dental pain; children; dental health services dental pain; children; dental health services
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Machado, G.C.M.; Daher, A.; Costa, L.R. Factors Associated with No Dental Treatment in Preschoolers with Toothache: A Cross-Sectional Study in Outpatient Public Emergency Services. Int. J. Environ. Res. Public Health 2014, 11, 8058-8068.

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