{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T10:01:19Z","timestamp":1790330479303,"version":"4.1.0"},"reference-count":23,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOS"],"abstract":"<jats:p>Objective: To find out the occurrence of emergency visits and compare the co-existence of emergency visits and dental no-shows among children and adolescents in public oral health services in Helsinki, Finland.\nMethods: This was a register-based retrospective follow-up study. The data were collected from electronic health information register systems, Effica and Lifecare, of under-18-year-olds who attended public oral health care provided by the City of Helsinki during 2006\u20132020. The information collected for this study was patients\u2019 age, sex, actualised, missing and emergency dental visits, as well as all actualised visits\u2019 oral examination details and preventive, restorative and orthodontic treatment procedures (n = 200,790). Regression models were used to assess odds ratios (OR) and Rate ratios (RR). \nResults: The overall occurrence of emergency dental visits was 29.2%. It was 21.9% among individuals who had no dental no-shows and 43.7% among those who had at least one or more no-shows. No-shows were linked to 24% higher odds of emergency visits in the fully adjusted model (OR = 1.24, 95% confidence interval [CI]: 1.21\u20131.27, p &lt; 0.001). The finding remained significant, with nearly a fivefold increase in odds among individuals receiving both orthodontic and restorative treatment (G4) (OR = 4.79, 95% CI: 4.62\u20134.96, p &lt; 0.001) than among those receiving check-ups and preventive visits (G1) in the fully adjusted model. Temporal analysis showed that 44.5% of individuals had a no-show preceding their first emergency visit, while 55.5% had an emergency visit prior to their first no-show. \nConclusions: Dental no-shows and emergency dental visits were linked, and their temporal pattern was bidirectional.<\/jats:p>","DOI":"10.2340\/aos.v85.46926","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:15:01Z","timestamp":1790327701000},"page":"669-677","source":"Crossref","is-referenced-by-count":0,"title":["Emergency dental visits and no-shows among children and adolescents in public oral health service in Finland: a retrospective evaluation"],"prefix":"10.2340","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0706-7809","authenticated-orcid":false,"given":"Shweta","family":"Goswami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9080-6272","authenticated-orcid":false,"given":"Jussi","family":"Furuholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9645-4925","authenticated-orcid":false,"given":"Minna","family":"Kaila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1749-6001","authenticated-orcid":false,"given":"Battsetseg","family":"Tseveenjav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"169378","doi-asserted-by":"crossref","unstructured":"Lygidakis NA, Marinou D, Katsaris N. Analysis of dental emergencies presenting to a community paediatric dentistry centre. Int J Paediatr Dent. 1998;8:181\u201390.","DOI":"10.1046\/j.1365-263X.1998.00079.x"},{"key":"169379","doi-asserted-by":"crossref","unstructured":"Allareddy V, Rampa S, Lee MK, Allareddy V, Nalliah RP. Hospital-based emergency department visits involving dental conditions: profile and predictors of poor outcomes and resource utilization. J Am Dent Assoc. 2014;145:331\u20137.","DOI":"10.14219\/jada.2014.7"},{"key":"169380","doi-asserted-by":"crossref","unstructured":"Huang SM, Huang JY, Yu HC, Su NY, Chang YC. Trends, demographics, and conditions of emergency dental visits in Taiwan 1997\u20132013: a nationwide population-based retrospective study. J Formos Med Assoc. 2019;118:582\u20137.","DOI":"10.1016\/j.jfma.2018.11.012"},{"key":"169381","doi-asserted-by":"crossref","unstructured":"Casamassimo PS, Thikkurissy S, Edelstein BL, Maiorini E. Beyond the DMFT: the human and economic cost of early childhood caries. J Am Dent Assoc. 2009;140:650\u20137.","DOI":"10.14219\/jada.archive.2009.0250"},{"key":"169382","doi-asserted-by":"crossref","unstructured":"Wall TP, Vujicic M, Nasseh K. Recent trends in the utilization of dental care in the United States. J Dent Educ. 2012;76:1020\u20137.","DOI":"10.1002\/j.0022-0337.2012.76.8.tb05354.x"},{"key":"169383","doi-asserted-by":"crossref","unstructured":"Suominen-Taipale AL, Widstr\u00f6m E, Sund R. Association of examination rates with Children\u2019s National Caries Indices in Finland. Open Dent J. 2009;3:59\u201367.","DOI":"10.2174\/1874210600903010059"},{"key":"169384","unstructured":"City of Helsinki. Health and social services. Emergency Dental Care; 2025 [cited 2025 Sep 08]. Available from: https:\/\/www.hel.fi\/en\/health-and-social-services\/health-care\/dental-care\/emergency-dental-care"},{"key":"169385","unstructured":"Valtioneuvosto. Valtakunnallinen suunnitelma sosiaalija terveydenhuollon jarjestamisesta vuosina 1987\u20131991. Helsinki: Valtioneuvosto; 1986. Finnish."},{"key":"169386","unstructured":"City of Helsinki. Health and social services. Dental Care; 2025 [cited 2025 Oct 12]. Available from: https:\/\/www.hel.fi\/en\/health-and-social-services\/health-care\/dental-care"},{"key":"169387","doi-asserted-by":"crossref","unstructured":"Widstr\u00f6m E, Pietil\u00e4 I, Piironen P, Nilsson B, Savola I. Analysis of patients utilizing emergency dental care in two Finnish cities. Acta Odontol Scand. 1988;46:105\u201312.","DOI":"10.3109\/00016358809004755"},{"key":"169388","doi-asserted-by":"crossref","unstructured":"Mikkola MK, G\u00e4stgifvars JJ, Helenius-Hietala JS, Uittamo JT, Furuholm JO, V\u00e4limaa H, et al. Triage and urgent dental care for COVID-19 patients in the Hospital District of Helsinki and Uusimaa. Acta Odontol Scand. 2022;80:433\u201340.","DOI":"10.1080\/00016357.2022.2032328"},{"key":"169389","doi-asserted-by":"crossref","unstructured":"Pietil\u00e4 I, Widstr\u00f6m E. Organization and problems in emergency dental care at Finnish health centres. Scand J Prim Health Care. 1991;9:173\u20137.","DOI":"10.3109\/02813439109018514"},{"key":"169390","doi-asserted-by":"crossref","unstructured":"Goswami S, Hiivala N, Mensonen I, Maisala T, Kaila M, Tseveenjav B. No-shows among children and adolescents in public oral health service: a retrospective register-based study from Finland. BMC Oral Health. 2025;25(1):1634.","DOI":"10.1186\/s12903-025-07045-4"},{"key":"169391","doi-asserted-by":"crossref","unstructured":"Luo H, Moss ME, Webb MD, Winterbauer NL, Tucker-McLaughlin M, Yockey RA et al. The most common types of nontraumatic dental conditions among emergency department visits in North Carolina before and during the COVID-19 pandemic. J Am Dent Assoc. 2024;155:149\u201357.","DOI":"10.1016\/j.adaj.2023.10.006"},{"key":"169392","doi-asserted-by":"crossref","unstructured":"Da Silva K, Kunzel C, Yoon RK. Utilization of emergency services for non-traumatic dental disease. J Clin Pediatr Dent. 2013;38:107\u201312.","DOI":"10.17796\/jcpd.38.2.9tu312x044451348"},{"key":"169393","doi-asserted-by":"crossref","unstructured":"Sun BC, Chi DL, Schwarz E, Milgrom P, Yagapen A, Malveau S et al. Emergency department visits for nontraumatic dental problems: a mixed-methods study. Am J Public Health. 2015;105:947\u201355.","DOI":"10.2105\/AJPH.2014.302398"},{"key":"169394","doi-asserted-by":"crossref","unstructured":"Mistry RD, Hoffmann RG, Yauck JS, Brousseau DC. Association between parental and childhood emergency department utilization. Pediatrics. 2005;115:e147\u201351.","DOI":"10.1542\/peds.2004-1798"},{"key":"169395","doi-asserted-by":"crossref","unstructured":"Musa AAR, Sethi S, Poirier BF, Oliver KJ, Jensen ED. Non-traumatic emergency department dental visits among patients 0\u201325 years of age: a systematic review and meta-analysis. Int J Paediatr Dent. 2023;33:457\u201367.","DOI":"10.1111\/ipd.13069"},{"key":"169396","doi-asserted-by":"crossref","unstructured":"Cheng FC, Chiang CP. Analysis of emergency dental visits of pediatric patients in the National Health Insurance of Taiwan in 2020. J Dent Sci. 2022;17:942\u201350.","DOI":"10.1016\/j.jds.2022.02.014"},{"key":"169397","doi-asserted-by":"crossref","unstructured":"Al Mulla AH, Kharsa SA, Kjellberg H, Birkhed D. Caries risk profiles in orthodontic patients at follow-up using Cariogram. Angle Orthod. 2009;79:323\u201330.","DOI":"10.2319\/012708-47.1"},{"key":"169398","doi-asserted-by":"crossref","unstructured":"Widom CS, Czaja SJ, Bentley T, Johnson MS. A prospective investigation of physical health outcomes in abused and neglected children: new findings from a 30-year follow-up. 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Available from: https:\/\/www.kaypahoito.fi\/hoi50127"}],"container-title":["Acta Odontologica Scandinavica"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/actaodontologica\/article\/download\/46926\/55628","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/actaodontologica\/article\/download\/46926\/55628","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:15:14Z","timestamp":1790327714000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/actaodontologica\/article\/view\/46926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":23,"URL":"https:\/\/doi.org\/10.2340\/aos.v85.46926","relation":{},"ISSN":["1502-3850","0001-6357"],"issn-type":[{"value":"1502-3850","type":"electronic"},{"value":"0001-6357","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,25]]}}}