253 - Emergency Department Incidence of Traumatic Dental Injuries and Abscesses

Abstract:

Purpose: The purpose of this study is to analyze and compare the two most common pediatric dental emergencies seen in emergency departments: traumatic dental injuries (TDIs) and dental abscesses.

Methods: 
A retrospective chart review was conducted using the on-call dental service log at Children’s Hospital of Michigan for patients evaluated between January 1, 2022, and December 31, 2025. The study included children aged 0–18 years who presented with either TDIs or dental abscesses. Data collected included demographic characteristics (age, sex), temporal factors (day of the week, month, year), and clinical details such as type of trauma, treatments provided, and need for sedation. Descriptive statistics including means and standard deviations for continuous variables and rates for categorical variables will be calculated. Comparisons of children with trauma vs. abscess on demographic characteristics, clinical details and temporal factors will be made with independent t-tests for continuous variables and chi-square analysis for categorical variables.

Results: 
Results are pending. Anticipated findings include temporal trends in the incidence of TDIs and dental abscesses. TDIs are expected to be more prevalent among males and within specific age groups. Additionally, the most commonly utilized sedation modalities in the ED setting will be identified.

Conclusion: 
Results of this study may identify patterns in pediatric dental emergencies that can inform opportunities to improve emergency department care through clearer clinical protocols and more consistent management of children presenting with dental trauma and infections.

Identify Supporting Agency and Grant Number: Research supported by Detroit Medical Center and Wayne State University.