Gender differences in patients with severe dental infections presenting to hospital

Samuel Kent (Lead / Corresponding author), Alisdair Regan, Christopher McDonald, Alastair Henry, Basim Dawoud, Anusha Hennedige, Raghav Kulkarni, Greg Logan, Rebecca Exley, Kayleigh Gilbert, Panos Kyzas, Roderick Morrison, James McCaul,

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Gender differences have been documented in prevalence and morbidity of caries, gingivitis and oral health, but not previously in cervicofacial infection. Identification and minimisation of gender inequalities is a World Health Organisation priority, and there are physiological, behavioural and cultural reasons to suspect that sex and gender differences may be present.Methods Analysis was carried out of the MTReC National Snapshot audit of cervicofacial infections. This database was created by oral and maxillofacial surgery trainees in 2017 and records over 400 variables in 1,002 individual patients admitted to hospital with severe odontogenic infection.Results Records were available for 1,002 patients with cervicofacial infection (456 females and 546 males). There were significant differences between recorded gender in those presenting with airway compromise (male 7% vs female 2%, p = 0.001), severe inflammatory response syndrome (male 60% vs female 39%, p = 0.007) and requirement for awake fibre-optic intubation on admission (male 4% vs female 1%, p = 0.014).Discussion These results suggest that male patients access healthcare later in their disease than female patients, and with more severe systemic compromise. This may be due to prevalent cultural and behavioural norms. As equality of access is the responsibility of the administrator, we discuss methods which might improve timely presentation in males with cervicofacial infections.

Original languageEnglish
Number of pages4
JournalBritish Dental Journal
Early online date24 Feb 2021
DOIs
Publication statusE-pub ahead of print - 24 Feb 2021

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