Introduction: The coronavirus disease 2019 (COVID-19) pandemic has created a new scenario for dental practice, and teledentistry (TD) is a field of relevance for dentists. Objective: To evaluate the impact of the COVID-19 pandemic on the knowledge, practices, and expectations of dentists toward TD and its association with sociodemographic variables. Methods: A cross-sectional survey was administered to dentists in Colombia as part of global research on the impact of COVID-19 on dentistry. The core questionnaire included 5 additional questions on TD that were added by the Colombian research team in 5 domains about TD: Q1, knowledge; Q2, practices; Q3, expectations; Q4, usefulness; and Q5, reimbursement. Sociodemographic variables were also measured. The questionnaire was validated in a pilot test and administered via digital media. Descriptive and bivariate analysis for sociodemographic and TD variables were done. For the evaluation of the chances of a determined answer, an ordinal multinomial logistic regression (Q1 and Q2) and binomial logistic regression (Q3 and Q5) analyses were made. Results: In total, 5,370 dentists answered the survey (women: 3,878; mean age: 45 y). The response rate of the survey was 16.84%. Knowledge and practice of TD before the COVID-19 pandemic were both low (25.75% and 12.42%, respectively); however, since the beginning of the current pandemic, knowledge increased by 62.72% and practice by 42.53%. Some 93.1% of respondents considered that TD could be useful in their clinical practice, and 59.55% would consider practicing it after the pandemic. A high number of dentists (88.58%) did not charge for these services. Logistic regressions showed significant differences according to sociodemographic variables. Conclusions: The COVID-19 pandemic has had a great impact on TD, increasing knowledge and practice significantly. Dentists expect to continue practicing TD in the future. However, some geographical, technological, and attitudinal barriers need to be broken down to increase daily use of TD. Knowledge Transfer Statement: This article provides an overview about the impact of COVID-19 pandemic in the knowledge and attitudes about teledentistry (TD) in general dentists and both clinical and nonclinical specialists. Although some barriers to the use of TD continue, this pandemic brought with it a new scenario for dental practice, which must be implemented through training for professionals to increase its use.

Objectives A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE). Methods A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) working conditions and PPE adopted after the outbreak. Countries’ data were grouped by the country positive rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. Results A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n=27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR=1.80 95% CI=1.60/2.82 and OR=5.20 95% CI=1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR=1.09 95% CI=0.97/1.60). The same significant associations were observed in the multivariate analysis . Conclusions Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events.

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Introducción: este estudio tuvo como objetivo evaluar la modificación de la práctica, uso de elementos de protección personal, protocolos de bioseguridad, afectación en los planes de carrera, prevalencia de contagio y percepción de riesgo de los odontólogos durante la pandemia de COVID-19 en Colombia. Métodos: tras obtener la aprobación ética, se aplicó una encuesta digital anónima a los odontólogos de Colombia. Las preguntas incluyeron cuatro dominios: 1) sociodemográficos, 2) laborales y afectación en los planes de carrera, 3) Seguimiento a protocolos y bioseguridad y 4) Conocimientos, riesgo y percepción de riesgo de contagio. Se presenta un análisis descriptivo de los datos. Resultados: 5370 odontólogos generales y especialistas participaron del estudio (mujeres: 3878; mediana de edad: 45 años). El 41,94% fueron odontólogos generales. La adherencia a protocolos de seguridad y el uso de elementos de protección personal (EPP) fue mayor al 99%. La mayoría de odontólogos (91,29%) suspendió sus actividades clínicasdurante la cuarentena y ha pensado en disminuir sus horas de trabajo (77,96%). La percepción de riesgo de contagio de la COVID-19 fue alta (95,91% refirió que es muy probable/probable el contagio), aunque el auto-reporte de contagio por COVID-19 fue bajo (0,61%). Conclusión: la pandemia de la COVID-19 ha impactado fuertemente la práctica de la odontología en Colombia, generando cambios en las actividades clínicas y en las perspectivas de carrera. El seguimiento de protocolos de bioseguridad y de uso de EPP fue alto. Aunque la percepción de riesgo de contagio fue alta, el contagio auto-reportado fue muy bajo.

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