Method:
A retrospective analysis of 4210 case records of all patients who received treatment at the DES in 2012 was performed. Odontogenic infections were defined as pulpitis, apical periodontitis, marginal periodontitis, pericoronitis and all kinds of abscesses in the oral cavity. Demographic data, the origin of the infection and the treatment were analyzed.
Result:
Nearly half (48,7%) of the emergency cases were odontogenic infections. 926 patients suffered from an apical periodontitis (22,0%), 428 had an abscess (10,1%), 356 a marginal parodontitis (8,5%), 336 a pulpitis (8,0%), and 119 a pericoronitis (2,8%). Altogether 107 (2,5%) patients had a combination mostly patients with a periapical process suffered from a pulpitis (n=46) or had a concomitant marginal periodontal disease (n=22). The treatment distributes as follows:
NT LA TRP SC INC AB PK
Pulpitis 51 153 151 11 3 40 70
Apical Periodontitis 78 517 463 21 50 291 250
Marginal periodontitis 19 111 26 120 60 103 88
Pericoronitis 5 54 3 32 37 46 32
Abscesses 15 304 78 10 298 241 122
(NT=no treatment, LA=local anesthesia injection, TRP=trepanation, SC=subgingival curettage, IN=incision, AB=antibiotics, PK=painkillers)
Conclusion:
Odontogenic infections are the main reason for dental emergency treatment. Next to medical therapy most patients received a conservative or surgical treatment. Therefore the dental staff needs to be trained in conservative and surgical dentistry.