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The annual\/overall incidence of medical emergency events was calculated per 100,000 patients. The following characteristics of the patients\/events were evaluated: age, gender, operator, procedure, location, timing of treatment, administration of local anesthesia, past medical history, symptoms, diagnosis, outcome, and disposition. Multivariable logistic regression models were used to investigate the associations of these characteristics with two outcomes: syncope and transfer to the emergency room (ER).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of emergency events was 17.4 per 100,000 patients. Syncope and hypoglycemia were the most common emergencies. Most incidents recovered, with only 13% requiring transfer to the ER. Undergoing no procedure and American Society of Anesthesiologists (ASA) class 2,3 were associated with syncope. Undergoing a general dental procedure, ASA class 2,3, and a diagnosis other than hypoglycemia and syncope were associated with transfer to the ER.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of medical emergencies was low. Dental practitioners need to remain aware of the contributing factors, such as past medical history and anxiety, but medical emergencies can occur in healthy individuals as well. Preparation of the dental office, training of the personnel, and proper recording of the events are essential components of a well-established medical emergency protocol in dental institutions.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12873-024-00957-4","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T02:10:01Z","timestamp":1710295801000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Frequency and features of medical emergencies at a teaching dental hospital in Saudi Arabia: a 14-year retrospective observational study"],"prefix":"10.1186","volume":"24","author":[{"given":"Maisa O.","family":"Al-Sebaei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"957_CR1","doi-asserted-by":"publisher","first-page":"348","DOI":"10.6016\/ZdravVestn.2882","volume":"88","author":"\u017d \u0160ink","year":"2019","unstructured":"\u0160ink \u017d, Umek N, \u0160o\u0161tari\u010d M. 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All methods were carried out following relevant guidelines and regulations. Informed consent was obtained from all subjects and\/or their legal guardian(s). In subjects under 16, informed consent was obtained from a parent and\/or legal guardian. In subjects who were illiterate, informed consent was obtained from a legal representative.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"41"}}