Ana Vukovic1, Rade Vukovic2, Dejan Markovic3, Ivan Soldatovic4, Zoran Mandinic3, Milos Beloica3, George Stojan5. 1. Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia ana.vukovic@stomf.bg.ac.rs. 2. Mother and Child Health Care Institute of Serbia "Dr Vukan Cupic," Belgrade, Serbia. 3. Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia. 4. Institute for Medical Statistics and Informatics, School of Medicine, University of Belgrade, Serbia. 5. Beth Israel Deaconess Hospital, Harvard Medical School, Boston, MA, USA.
Abstract
AIM: The aim of this study was to analyze the outcomes and factors associated with after-hours dental trauma. METHODS: Study sample consisted of 1762 permanent teeth injuries in children, gender and age matched with office-hours injuries. Epidemiological and clinical data were collected from 4 university dental trauma centers. RESULTS: During median follow-up time of 4.3 years, complications have occurred in 14.5% of injured teeth. Age, type, and degree of tissue injury and after-hours time of injury were significantly associated with complications. Unfavorable outcomes were 34% more likely in the after-hours group compared with office-hours. Urgent treatment was significantly delayed in after-hours group with a delay of more than 3 hours in 90.5% versus 38.9% in the office-hours group. Multivariate regression model showed that after-hours time of injury was significant predictor of complications. CONCLUSION: Delayed urgent treatment was one of the main factors associated with unfavorable outcome of after-hours injuries.
AIM: The aim of this study was to analyze the outcomes and factors associated with after-hours dental trauma. METHODS: Study sample consisted of 1762 permanent teeth injuries in children, gender and age matched with office-hours injuries. Epidemiological and clinical data were collected from 4 university dental trauma centers. RESULTS: During median follow-up time of 4.3 years, complications have occurred in 14.5% of injured teeth. Age, type, and degree of tissue injury and after-hours time of injury were significantly associated with complications. Unfavorable outcomes were 34% more likely in the after-hours group compared with office-hours. Urgent treatment was significantly delayed in after-hours group with a delay of more than 3 hours in 90.5% versus 38.9% in the office-hours group. Multivariate regression model showed that after-hours time of injury was significant predictor of complications. CONCLUSION: Delayed urgent treatment was one of the main factors associated with unfavorable outcome of after-hours injuries.