Abstract
Orthodontic emergencies occasionally arise and although they can cause discomfort to the patient, they can usually be stabilized by a general dentist and then followed up by the orthodontist.
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Orthodontic first aid for general dental practitioners
From Volume 43, Issue 5, June 2016 | Pages 461-471
Article
Patients undergoing all types of orthodontic therapy can sometimes be faced with acute problems related to their treatment. These are rarely true emergencies but they often require prompt treatment, resulting in unscheduled visits, as they can cause discomfort to the patient and distress to the parents. The Royal College of Surgeons has produced audit methodology to enable orthodontists to audit the cause and incidence of unscheduled appointments as they take up valuable clinical time. The suggested audit standard is ‘less than 5% of visits by patients under treatment should be unscheduled’;1 however, the actual figures can be higher than this.
An audit of unscheduled appointments was conducted in the Orthodontic Department of a District General Hospital over a period of three months from July to September 2011. The aim of this audit was to identify the nature of frequently occurring emergencies related to orthodontic therapy in order to reduce their occurrence. It utilized a questionnaire that was completed by the clinician when patients attended with an acute orthodontic problem: either a scheduled appointment or an unscheduled appointment. The results showed that more than 50% of these appointments were unscheduled visits (Figure 1).
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