December 2015

Volume 32, Issue 4

Time trends and determinants of acute odontogenic maxillofacial infections in Lithuania: a retrospective national 2009-2013 treatment data audit

Authors: A. Pūrienė J. Aleksejūnienė R. Rastenienė
doi: 10.1922/CDH_3561Resteniene07


Objectives: To examine the distribution of treatment facilities accepting patients with acute odontogenic maxillofacial infections (AOMIs), time trends in incidence and relate these infections with a number of determinants. Methods: A national Lithuanian retrospective study gathered data on all patients treated in outpatient/inpatient treatment facilities. Adjusted Incidence Ratios (AIRs) of AOMIs were calculated separately for each type of infection and for each year. Administrative districts (ADs) were grouped into low, medium, and high thirds based on the regional determinants: socio-economic index (R-SEI), access to basic (R-BDCI) or specialized dental care (R-SDCI) and index of systemic diseases (R-ISD). Results: There were no statistically significant geographical differences in the distribution of TFs providing care for patients with AOMIs. Numbers of treatment facilities consistently increased from 2009 to 2013, but there was no consistent increase/ decrease in the incidence of AOMIs (~1%). Regions with the highest R-SEI tended to have a higher incidence of AOMIs as compared to regions with medium or low R-SEI. When controlled for other determinants, lower R-BDCI∕R-SDCI scores were associated with a higher incidence of AOMIs. Conclusions: High annual incidences (~1% of a total population) were diagnosed and treated for AOMIs, but there was no consistent time trend for these infections. Key words: dental, acute, odontogenic infections, health care disparities, Lithuania


Other articles in this issue

Article Pages Access
Editorial - Local Dental Networks: Trendy or Transformational? 194-195 Download
The feasibility of using an alcohol screening tool in a UK dental setting to identify patients’ alcohol consumption 196-198 Download
Long term evaluation of the clinical effectiveness of community milk fluoridation in Bulgaria 199-203 Download
Is the value of oral health related to culture and environment, or function and aesthetics? 204-208 Download
Time trends and determinants of acute odontogenic maxillofacial infections in Lithuania: a retrospective national 2009-2013 treatment data audit 209-215 Download
Patient safety in domiciliary dental care for elderly nursing home residents in Sweden 216-220 Download
Dental anxiety and oral health in 15-year-olds: a repeated cross-sectional study over 30 years 221-225 Download
Development and evaluation of a Dental Patient Feedback on Consultation skills (DPFC) measure to enhance communication 226-230 Download
Listening to older adults: community consultation on a new dental service 231-236 Download
A retrospective audit of population service access trends for cleft lip and cleft palate patients 237-240 Download
Perceived mental stress in relation to oral health over time in middle-aged Swedish women 241-246 Download
Dental utilization disparities in a Jewish context: reasons and potential solutions 247-251 Download
Caregiver financial distress, depressive symptoms and limited social capital as barriers to children’s dental care in a midwestern county in the United States 252-256 Download


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