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Nicot R, Barry F, Raoul G, Wiel E, Delfosse C, Ferri J, Nawrocki L, Lauwers L. The inception of a hospital-based dental emergency department in a precarious region decreases the incidence of severe cellulitis of odontogenic origin. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022; 123:e738-e742. [PMID: 35623580 DOI: 10.1016/j.jormas.2022.05.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 05/18/2022] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Although most localized odontogenic infections can be managed successfully without complications, some can cause extensive morbidity through the onset of cervicofacial cellulitis. The management of these more severe infections generally requires emergency treatment, including surgical treatment under general anesthesia, and prolonged length of hospital stay. MATERIAL & METHODS In this work, we assessed the impact of the provision of a hospital-based dental emergency department on the regional incidence of severe odontogenic cellulitis in a socioeconomically precarious region. Monthly case rates of odontogenic cellulitis treated between January 2010 and December 2019 at the hospital-based dental emergency department of Lille Medical University Hospital were collected. RESULTS The mean number of monthly severe odontogenic cellulitis cases treated under general anesthesia was significantly higher before than after the inception of the hospital-based dental emergency service [14.07 (5.83) vs 8.79 (4.42); p<0.0001]. Conversely, the monthly mean number of collected odontogenic cellulitis cases treated under local anesthesia was significantly lower before the emergency service was set up [22.42 (12.73) vs 43.32 (23.41); p<0.0001]. CONCLUSION The provision of a hospital-based dental emergency department resulted in a decrease in severe dental infections in a region with high indices of socioeconomic precarity, morbidity and mortality. Greater accessibility to dental care allows for the rationalization of care through more precocious and fewer burdensome procedures.
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Affiliation(s)
- Romain Nicot
- Univ. Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, INSERM U1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France.
| | - Florent Barry
- Univ. Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, F-59000 Lille, France
| | - Gwénaël Raoul
- Univ. Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, INSERM U1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Eric Wiel
- Univ. Lille, CHU Lille, Emergency Department, Roger Salengro Hospital, & ULR 2694 METRICS, F-59000 Lille, France
| | - Caroline Delfosse
- Univ. Lille, Department of Oral Surgery, Caumartin Hospital, CHU Lille, F-59037 Lille cedex, France
| | - Joël Ferri
- Univ. Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, INSERM U1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Laurent Nawrocki
- Univ. Lille, Department of Oral Surgery, Caumartin Hospital, CHU Lille, F-59037 Lille cedex, France
| | - Ludovic Lauwers
- Univ. Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, F-59000 Lille, France
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