An analysis of dental emergency cases managed at BC Children's Hospital
department or school: Dentistry, Faculty of
data provider: DSpace
degree campus: UBCV
creator: Park, Jennifer Channa
issued: 2015-08-18T18:08:42Z
issued: 2015
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Objective: To explore factors contributing to a reported increase in emergencies presenting to the Department of Dentistry at BCCH over recent years by investigating the “who, what, when and why” of their hospital management. Methods: A two-phase study incorporated quantitative (retrospective chart review) and qualitative (personal interview) elements. Phase 1- Records of 300 emergencies from 2009 to 2013 were systematically selected and reviewed. Patient demographics; source of referral; time/day of visit; nature, scope and management of emergency; and follow-up care were analyzed (Pearson’s Chi-squared Tests and Odds Ratios). Phase 2 - Twenty-five interviews with parents of children who recently experienced dental emergencies were recorded and analyzed for common themes in reported factors/circumstances. Results: Emergencies included dentoalveolar trauma (56.7%), pain of dental origin (20%), swelling from advanced dental disease (13.3%), and ‘other’, unrelated to trauma or caries (10%). Common patient characteristics were: healthy, male, young age (<7 years old), proximity of residence to the hospital and low socioeconomic status. Primary source of referral was the emergency department; emergencies presented equally throughout the week. No immediate intervention was necessary for the majority of cases and follow-up with a community dentist was advised. Factors contributing to a parent’s decision to seek emergent dental care in a hospital setting included: perception of urgency; concern for their child’s well being; desire for reliable care by a reputable institution; limited understanding of dental disease and consequences of poor oral care; and financial and access to care barriers. Conclusion: Dentoalveolar trauma and untreated advanced dental caries compel families to seek hospital-based dental emergency services. More aggressive efforts to improve awareness of the importance of early dental visits; development of curricula emphasizing management of anxious chi…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/54501
note: AN ANALYSIS OF DENTAL EMERGENCY CASES MANAGED AT BC CHILDREN’S HOSPITAL by Jennifer Channa Park D.M.D., The University of Saskatchewan, 2008 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Craniofacial Science) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) August 2015 © Jennifer Channa Park, 2015 ii Abstract Objective: To explore factors contributing to a reported increase in emergencies presenting to the Department of Dentistry at BCCH over recent years by investigating the “who, what, when and why” of their hospital management. Methods: A two-phase study incorporated quantitative (retrospective chart review) and qualitative (personal interview) elements. Phase 1- Records of 300 emergencies from 2009 to 2013 were systematically selected and reviewed. Patient demographics; source of referral; time/day of visit; nature, scope and management of emergency; and follow-up care were analyzed (Pearson’s Chi-squared Tests and Odds Ratios). Phase 2 - Twenty-five interviews with parents of children who recently experienced dental emergencies were recorded and analyzed for common themes in reported factors/circumstances. Results: Emergencies included dentoalveolar trauma (56.7%), pain of dental origin (20%), swelling from advanced dental disease (13.3%), and ‘other’, unrelated to trauma or caries (10%). Common patient characteristics were: healthy, male, young age (<7 years old), proximity of residence to the hospital and low socioeconomic status. Primary source of referral was the emergency department; emergencies presented equally throughout the week. No immediate intervention was necessary for the majority of cases and follow-up with a community dentist was advised. Factors contributing to a parent’s decision to seek emergent dental care in a hospital setting included: perception of urgency; concern for their child’s well being; desire for reliable iii care by a reputable…
has type: Thesis/Dissertation
date issued: 2015-09
is shown at: 10.14288/1.0166566
language: eng
degree discipline: Craniofacial Science
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivs 2.5 Canada
rights URI: http://creativecommons.org/licenses/by-nc-nd/2.5/ca/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/54501