FREQUENCY AND STRUCTURE OF EMERGENCIES IN OUTPATIENT SURGICAL DENTAL ADMINISTRATION

The frequency and structure of emergency conditions that occurred during outpatient admission at the Department of Propaedeutics of Surgical Dentistry during 2022-2024 were analyzed. The features of the clinical picture and the course of some complications that caused difficulties in differential diagnosis were described. Complications can be local in nature and develop both during injection anesthesia and during or after surgical interventions, in particular tooth extraction, as well as be of a general nature, which at outpatient admission make up the lion's part of all emergency conditions that pose a threat to the health and even the life of the patient. Materials and methods of the study. 3426 outpatient charts and records in operating journals were analyzed. The nature of the complication, the primary purpose of the visit, the established diagnosis, and the manipulations performed that could affect both the physical and emotional state of the patient and, accordingly, cause complications were noted. Emergency conditions of a general and local nature were characterized separately. Results. According to outpatient charts and records in the operating journal, general complications were diagnosed in 17% (582) of patients, which occurred at the stages of providing surgical dental care with the use of local anesthesia, against the background of negative associations or emotional stress. It should be noted that in most cases 419 (72%) complications occurred at the stage of local anesthesia and only in 163 (28%) of cases during or after tooth extraction or surgical intervention. The frequency of complications was distributed as follows: fainting (syncope) – 58% (338 cases), collapse – 19% (110 cases), hypertensive crisis – 16% (93 cases), anesthetic intoxication – 7% (41 cases). Complications such as fainting and collapse occurred more often in men than in women (62% (210 men) to 38% (128 women) for fainting and 65% (72 men) to 35% (38 women) for collapse, respectively), while other complications occurred with almost the same frequency in patients of both sexes. Among the local emergencies, we identified bleeding, which was noted in 31 patients, which accounted for 0.9% of the total number of analyzed charts. Other local complications were not taken into account, since they do not pose a threat to the patient's life. Conclusions. The most common general emergencies that occurred in outpatient clinics were fainting, collapse, and hypertensive crisis. Complications usually occurred after anesthesia and less often during or after tooth extraction or surgery. However, there were cases when fainting occurred in patients during the examination. Among local emergencies, bleeding should be noted, which can be caused by both general and local factors.