{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T13:05:28Z","timestamp":1776258328046,"version":"3.50.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Paediatr Dent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the unique vulnerability patterns of very young children (0\u20133 years) in dental emergencies before, during, and after the COVID-19 lockdown period, compared to older paediatric patients. The study aimed to identify age-specific risk factors and treatment needs that demonstrate increased susceptibility to severe dental emergencies during healthcare crises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of 6,024 emergency dental visits of children under 12 years was conducted, comparing three periods: pre-COVID (March\u2013May 2019), during the first lockdown (March\u2013May 2020), and post-lockdown (March\u2013May 2021). Data from a major Israeli healthcare provider's dental clinics were analysed for age-specific patterns in emergency presentations, treatment requirements, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children aged 0\u20133 years showed distinct emergency patterns during lockdown, with significantly higher rates of pulpal pain (51.2% vs. 42.1% pre-COVID) and dental abscess (24.8% vs. 19.5% pre-COVID). This age group experienced the highest proportion of invasive treatments (24.8% requiring extraction) compared to other age groups. The mean age of emergency presentations decreased significantly during lockdown (6.2 years vs. 7.1 years pre-COVID,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with the 0\u20133 age group showing the most marked increase in severity of presentations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Very young children (0\u20133 years) demonstrated specific vulnerabilities during the healthcare crisis, characterized by increased susceptibility to severe dental emergencies, higher rates of invasive interventions (44.5% vs. 30.6% pre-COVID), and disproportionate representation in emergency presentations. These findings demonstrate age-specific vulnerabilities that require targeted emergency protocols and preventive strategies during future healthcare crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40368-025-01088-5","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T13:53:11Z","timestamp":1753797191000},"page":"463-473","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Age-specific vulnerabilities in paediatric dental emergencies before, during, and after COVID-19 lockdown: a retrospective comparative analysis with emphasis on early childhood (0\u20133 years)"],"prefix":"10.1007","volume":"27","author":[{"given":"D.","family":"Atia Joachim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Haim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Shapiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Asbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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