{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:34:04Z","timestamp":1790735644934,"version":"4.1.0"},"reference-count":67,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Endodontic J"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to: (i) calculate personal financial costs associated with urgent dental attendance; and (ii) investigate the pain\u2010related disability and quality of life impact of dental conditions which result in urgent dental attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      Data were collected from those presenting with urgent dental conditions to an out\u2010of\u2010hours dental service, a dental emergency clinic (DEC) and five primary care general dental practices across North\u2010East England. A pre\u2010operative questionnaire explored the impact of urgent dental conditions on oral health\u2010related quality of life (OHRQoL) using Oral Health Impact Profile\u201014 (OHIP\u201014) and a modified Graded Chronic Pain Scale (GCPS). OHIP\u201014 yields a maximum score of 56, with a higher score indicating a lower OHRQoL. Personal financial costs were summed to provide a total. These included travel, appointment fees, childcare costs, medication use and time away from work. Data were analysed using one\u2010way\n                      <jats:sc>anova<\/jats:sc>\n                      and multivariable modelling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 714 participants were recruited. The mean OHIP\u201014 score was 25.73; 95% CI [24.67, 26.79], GCPS CPI was 71.69; 95% CI [70.09, 73.28] and GCPS interference was 49.56; 95% CI [47.24, 51.87]. Symptomatic irreversible pulpitis was the most frequently managed dental emergency and was associated with the highest mean OHIP\u201014 score (31.67; 95% CI [30.20, 33.15]). The mean personal financial cost of urgent dental care (UDC) was \u00a385.81; 95% CI [73.29, 98.33]. Differences in travel time (\n                      <jats:italic>F<\/jats:italic>\n                      [2, 691]\u2009=\u200910.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), transport costs (\n                      <jats:italic>F<\/jats:italic>\n                      [2, 698]\u2009=\u20094.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.004), and appointment time (\n                      <jats:italic>F<\/jats:italic>\n                      [2, 74]\u2009=\u20099.40,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) were significant between patients attending an out\u2010of\u2010hours dental service, DEC and dental practices for emergency care, with a DEC being associated with the highest costs and dental practices the lowest.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Diseases of the pulp and associated periapical disease were the most common reason for patients to present for UDC and were the most impactful in terms of OHRQoL and pain in the present sample. Personal financial costs are significant from urgent dental conditions, with centralized services increasing the burden to patients of attending appointments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iej.13917","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T10:04:15Z","timestamp":1679997855000},"page":"697-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["The financial and quality of life impact of urgent dental presentations: A cross\u2010sectional study"],"prefix":"10.1111","volume":"56","author":[{"given":"David","family":"Edwards","sequence":"first","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Rasaiah","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed","family":"Hamzah\u00a0Ahmed","sequence":"additional","affiliation":[{"name":"Newcastle Dental Hospital Newcastle Hospitals NHS Foundation Trust  Richardson Road Newcastle upon Tyne NE2 4AZ UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Breckons","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Baddiley\u2010Clark Building Newcastle upon Tyne NE2 4AX UK"},{"name":"NIHR Applied Research Collaboration North East and Cumbria  Newcastle upon Tyne NE3 3XT UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon J.","family":"Stone","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte C.","family":"Currie","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Durham","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Whitworth","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Framlington Place Newcastle upon Tyne NE2 4BW UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2017.270"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12331"},{"key":"e_1_2_11_4_1","unstructured":"American Association of Endodontists. 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