Causes of visiting mixed dentition children dental clinic (a retrospective study).


  • Heran Ibrahim Department of POP, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Rwa Al‐Qazzaz Department of POP, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Mahmoud Kanan Department of POP, College of Dentistry, Hawler Medical University, Erbil, Iraq.



Chief Complain, Treatment, Prevention


Background and objective: Pediatric dentistry provides primary and comprehensive therapeutic and preventive oral health care for infants, children through adolescence including special health care and encompasses skills for treating conditions and diseases specific to growing individuals apply to the altering stages of dental, physical and psychological development. The patient’s initial comments to the dentists and/or other oral health care staff members help in establishing a differential diagnosis. Recording and identification of chief complaints are also considered the cornerstone for formulating a logical treatment plan. The objective of this study to explore the common chief complaints of mixed dentition patients seeking treatment in the pediatric teaching polyclinic in college of dentistry in Hawler Medical University.
Materials and method: Two hundred and sixty five records were considered, four domains: age, sex, chief complaint and the treatment delivered were noted. The sample was divided into two age groups (6‐8 and 9‐11 respectively). The reasons for their visit were divided into the following five groups: general checkup, esthetic reasons, pain, missing/multiple teeth and emergency visit. While the type of the treatment delivered was divided into: Preventive treatment, conservative treatment, pulp therapy and surgical treatment. The statitical analysis was drawn by using statistical software SPSS (Statistical package for the social science) version 23 program was used to perform the statistical analysis.
Results: Relating the chief complaint to the sex, the P value is less than 0.05 so there is a significant association between them and there was statistically significant association exist between the chief complaint and the age of the patients. Beside that a Significant result proven (P value<0.05), that shows that there is association between the chief complaint and the type of treatment delivered.
Conclusion: Mixed dentition patient mostly seek dental treatment only when acute disturbing symptoms is evident.


Skeie MS, Klock KS . dental caries prevention strategies among children and adolescence with immigrant‐ or low socioeconomic backgrounds‐ do they work? A systematic review. BMC Oral Health. 2018;18(1):20.

American Academy of Pediatric Dentistry. Reference manual. 2015;38: 31‐33

Gomez F, Rodrigues D, Law C, Pizzitola R, John B, Crall J. Creating a New Generation of Pediatric Dentists: A Paradigm Shift in Training. Journal of Dental Education. 2014 Dec; 78 (12) 1593‐1603.

Christophe B., Jean Mark B., Alessa L., Lucie R., Laurence B., Witnisse M. Perception of Dental illness among Persons receiving Public assistant in Montreal.Am J Public Health . 2005 ; 95(80); 1340‐44.

Meera R, Muthu MS, Phanibabu M, Rathnaprabhu V. First dental visit of a child. 2008; 26(6):68‐71.

Greenberg MS, Glick M. Burket’s Oral Medicine: Diagnosis and Treatment. 10th edn. BC Decker INC. 2003.

Draid YA, Olmamat AF, Hyasat A, Othman EF. The most common chief complaint among Jordanian children at first dental visit. Pakistan Oral & Dental Journal. 2014; 34: 549‐64.

Tulip DE, Palmer NO. a retrospective investigation of the clinical management of patients at‐

tending an out of hours dental clinic in Merseyside under the new NHS dental contract. Br dentJ. 2008 Dec; 205 (12):659‐64; discussion 648.

Lygidakis NA, Marinou D, Katsaris N. Analysis of dental emergencies presenting to a community paediatric dentistry centre. Int J Paediatr Dent. 1998 Sep ; 8(3): 181‐90

Quinonez C, Gibson D, Jokovic A, Locker D. Emergency department visits for dental care of nontraumatic origin. Community Dent Oral Epidemiol. 2009 Aug; 37(4):366‐71

Agostini FG, Flaitz CM, Hicks MJ. Dental emergencies in a university‐based pediatric dentistry postgraduate outpatient clinic; a retrospective study. ASDC J Dent Child. 2001 Sep‐Dec; 68 (5‐6): 316‐21, 300‐11.

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(6):650‐7.

Fayle SA, Welbury RR, Roberts JF. British society of paediatric dentistry: a policy document on management of caries in the primary dentition. Int J Paediatr Dent. 2001; 11: 153– 157.

Kassawara AB, Tagliaferro EP, Cortelazzi KL, Ambrosano GM, Assaf AV, Meneghim Mde C, et al. Epidemiological assessment of predictors of caries increment in 7‐10‐ years old: a 2‐year cohort study. J Appl Oral Sci. 2010; 18(2):116‐120.

Marinella MA. Residents and medical students noting the chief complaint during verbal presentations. Acad Med. 2000;75(3):289.

Huber M, Knottnerus JA, Green, L., van der Horst H, Jadad AR, Kromhout D. How should we define health? BMJ. 2011; 343:d4163.

Dahl KE, Wang NJ, Holst D, Orhan K, oral health related quality of life among adults 68‐77 years old in Nord‐Trondelag. Norway Int J dent Hyg 2011;9(1):87‐92

American Dental Education Association. Competencies for Entry into the Profession of Dental Hygiene. Journal of Dental Education. 2005; 69: 803‐809.

Lewis C, Lynch H, Johnston B, Dental complaints in emergency departments: a national perspective. Annals of Emergency Medicine. 2003; 42: 93‐99.

Ali WM. Chief complaint, treatment need and factors affect late attendance to dental clinic in a sample collected from Iraqi patients. Marietta Daily Journal. 2009; 6: 65‐68.

Masiga MA. Presenting chief complaints and clinical characteristics among patients attending the Department of Paediatric Dentistry Clinic at the University of Nairobi Dental Hospital. East Afr Med J. 2005;82.

Shqair Aq, Gomes Gb, Oliveira A, Goettems Ml, Romano Ar, Schardozim Lr, et al. Dental emergencies in a university pediatric dentistry clinic: a retrospective study. Braz Oral Res. 2012;26:50‐56.

Shahbaz, H, Abdulrahman S, Deema A, Ohood Y, Rawan A, Dina A. Prevalence of Chief Compliants Among Dental Patients in Saudi Population; Study Done in Riyadh College of Dentistry and Farmacy, Saudi Arabia. PRJDS Journal of Dental science. 2016; 4(4) .

Maheswaran T, Ramesh V, Krishnan A, Joseph J. Common chief complaints of patients seeking treatment in the government dental institution of Puducherry, India. Dent Spec Res. 2015; 2(2):55‐8.

Al‐Johani Kh, Lamfon H, Abed H, Beyari M. Common Chief Complaints of Dental Patients at Umm Al‐Qura University, Makkah City, Saudi Arabia OHDM, 2017; 16(3).

Razak IA, Jaafar N. Dental needs, demands and patterns of service utilization in a selected Malaysian urban population. Community Dent Oral Epidemiol 1987;15:188‐91.

Freeman R . Barriersto accessing dental care: patient factors. Br Dent J 1999;187:141‐4.

Abdullah BA and Al‐Tuhafi AH. Chief complaints of patients attending college of dentistry at Mosul University. Al‐Rafidain Dental Journal. 2013;6:201‐05.

Naidu RS1, Boodoo D, Percival T, Newton JT. Dental emergencies presenting to a university‐based paediatric dentistry clinic in the West Indies. Int J Paediatr Dent. 2005;15(3):177‐84




How to Cite

Ibrahim H, Al‐Qazzaz R, Kanan M. Causes of visiting mixed dentition children dental clinic (a retrospective study). EDJ [Internet]. 2022 Feb. 11 [cited 2022 May 29];4(2):127-34. Available from:



Original Articles