Objectives: Pediatric and adolescent oral and maxillofacial trauma and infections differ significantly from adults in anatomy, development, and immunity, making diagnosis and treatment challenging. This study retrospectively evaluated the etiology, clinical features, and management of oral and maxillofacial trauma and infections among patients aged 3 to 15 years. Materials and Methods: A retrospective review was conducted of 824 pediatric and adolescent patients who presented to the emergency department of Pusan National University Yangsan Hospital from January 2022 to December 2024. Patients were categorized based on chief complaints into trauma, infection, or other conditions. Primary analyses focused on trauma and infections, and secondary analyses included etiology, diagnosis, treatment, and outcomes. Results: Trauma accounted for 742 cases (90.0%) and infections for 44 cases (5.3%). Boys (65.7%) outnumbered girls (34.3%), and school-aged children (6-11 years) were most frequently affected (56.5%). Lacerations (49.2%) and abrasions (34.1%) were the most common traumas, followed by dental trauma (31.0%) and facial fractures (5.0%). Among fractures, the mandibular condyle (35.1%) was most commonly involved. Most fractures were managed non-surgically (54.0%), while 30.0% required surgery. Infections were mainly odontogenic abscesses (44.7%), cellulitis (36.4%), and sialadenitis (15.9%). Abscesses were treated with incision and drainage (57.1%) or antibiotics (19.1%), with 23.8% requiring hospitalization. Conclusion Trauma was the most frequent emergency cause in pediatric and adolescent patients, particularly among school-aged boys. Most cases were successfully managed with appropriate treatment. Early diagnosis and timely intervention are essential for favorable outcomes in pediatric maxillofacial emergencies.

Objectives: This study is a retrospective analysis of patients who visited the emergency room (ER) following dental treatment over a period of 3 years, with the aim to enhance the understanding of emergency situations that may arise after dental procedures and to develop appropriate postoperative management and emergency care methods. Patients and Methods: A total of 796 emergency patients whose visits were attributed to dental procedures, of 4,241 patients who visited the ER at Pusan National University Yangsan Hospital from January 2021 to January 2024, was included in the study. Patients were categorized based on the reason for visit into bleeding, inflammation, and other categories. Analysis was conducted on variables such as types of dental treatment, underlying conditions, and emergency treatment methods using ER records. Results: Among the 796 patients, 68.4% (539 patients) were in the bleeding group, 27.7% (219 patients) in the inflammation group, and 4.8% (38 patients) in the other complications group. Among the bleeding group, there were no associations between postoperative bleeding and systemic diseases, antithrombotic medications, or dental treatments. In 36.2% of cases, compression hemostasis alone was sufficient to resolve the bleeding. In the inflammation group, 29% of the cases required extraoral incision and drainage as emergency treatment, while 53% of the cases required subsequent hospitalization. Factors associated with hospitalization included underlying diseases (especially diabetes mellitus), procedures on mandibular teeth (especially third molars), and age older than 30 years. Conclusion Ensuring adequate hemostasis after dental procedures is essential regardless of the patient’s underlying medical conditions. Dentists must also educate patients on pressure hemostasis techniques. Patients with underlying medical conditions, such as diabetes, have a higher possibility of requiring hospitalization if inflammation occurs. Therefore, preventive measures against inflammation should be implemented in these patients.

Objectives: This study is a retrospective analysis of patients who visited the emergency room (ER) following dental treatment over a period of 3 years, with the aim to enhance the understanding of emergency situations that may arise after dental procedures and to develop appropriate postoperative management and emergency care methods. Patients and Methods: A total of 796 emergency patients whose visits were attributed to dental procedures, of 4,241 patients who visited the ER at Pusan National University Yangsan Hospital from January 2021 to January 2024, was included in the study. Patients were categorized based on the reason for visit into bleeding, inflammation, and other categories. Analysis was conducted on variables such as types of dental treatment, underlying conditions, and emergency treatment methods using ER records. Results: Among the 796 patients, 68.4% (539 patients) were in the bleeding group, 27.7% (219 patients) in the inflammation group, and 4.8% (38 patients) in the other complications group. Among the bleeding group, there were no associations between postoperative bleeding and systemic diseases, antithrombotic medications, or dental treatments. In 36.2% of cases, compression hemostasis alone was sufficient to resolve the bleeding. In the inflammation group, 29% of the cases required extraoral incision and drainage as emergency treatment, while 53% of the cases required subsequent hospitalization. Factors associated with hospitalization included underlying diseases (especially diabetes mellitus), procedures on mandibular teeth (especially third molars), and age older than 30 years. Conclusion Ensuring adequate hemostasis after dental procedures is essential regardless of the patient’s underlying medical conditions. Dentists must also educate patients on pressure hemostasis techniques. Patients with underlying medical conditions, such as diabetes, have a higher possibility of requiring hospitalization if inflammation occurs. Therefore, preventive measures against inflammation should be implemented in these patients.

Objectives: This study is a retrospective analysis of patients who visited the emergency room (ER) following dental treatment over a period of 3 years, with the aim to enhance the understanding of emergency situations that may arise after dental procedures and to develop appropriate postoperative management and emergency care methods. Patients and Methods: A total of 796 emergency patients whose visits were attributed to dental procedures, of 4,241 patients who visited the ER at Pusan National University Yangsan Hospital from January 2021 to January 2024, was included in the study. Patients were categorized based on the reason for visit into bleeding, inflammation, and other categories. Analysis was conducted on variables such as types of dental treatment, underlying conditions, and emergency treatment methods using ER records. Results: Among the 796 patients, 68.4% (539 patients) were in the bleeding group, 27.7% (219 patients) in the inflammation group, and 4.8% (38 patients) in the other complications group. Among the bleeding group, there were no associations between postoperative bleeding and systemic diseases, antithrombotic medications, or dental treatments. In 36.2% of cases, compression hemostasis alone was sufficient to resolve the bleeding. In the inflammation group, 29% of the cases required extraoral incision and drainage as emergency treatment, while 53% of the cases required subsequent hospitalization. Factors associated with hospitalization included underlying diseases (especially diabetes mellitus), procedures on mandibular teeth (especially third molars), and age older than 30 years. Conclusion Ensuring adequate hemostasis after dental procedures is essential regardless of the patient’s underlying medical conditions. Dentists must also educate patients on pressure hemostasis techniques. Patients with underlying medical conditions, such as diabetes, have a higher possibility of requiring hospitalization if inflammation occurs. Therefore, preventive measures against inflammation should be implemented in these patients.