The impact of the COVID-19 pandemic on dental trauma attendance: a systematic review and meta-analysis

Abstract

The impact of the COVID-19 pandemic on dental trauma attendance: a systematic review and meta-analysis This systematic review and meta-analysis aimed to analyze the impact of the COVID-19 pandemic on dental trauma patient attendance. The study was registered in the PROSPERO system, using the CRD42021288398 protocol.Searching was performed in PubMed, Scopus, Web of Science, Embase, Lilacs, and OpenGrey databases, using the following keywords: "Tooth injuries," "Dental trauma," "Traumatic Dental injury," and "COVID-19". We included observational studies evaluating dental trauma in the context of the COVID-19 pandemic. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. Metaanalysis was performed in RevMan 5.4 software with Odds Ratios as a pooled measure of effect, with a 95% confidence interval, and using random-effects modeling. After applying the eligibility criteria, 32 studies were included for qualitative analysis, in which 10 were used to assess the frequency of dental trauma diagnoses in dental emergencies. Despite the decrease of visits during COVID-19, the analysis revealed no difference between the pandemic and pre-pandemic periods. Regarding the type of dental trauma, two of the studies revealed no differences for the periods before and during the pandemic. This study revealed that the COVID-19 pandemic has not impacted the frequency or type of dental trauma compared to previous periods.

Knowledge of Brazilian Dentists about Dentoalveolar Trauma Care and their Experiences during the COVID-19 Pandemic

“…Each correct answer was assigned 1 point, with a maximum possible score of 12 points. These scores were categorized as either low (0-3), acceptable (4-6), good (7)(8)(9) or very good (10)(11)(12) [20].…”

“…Due to the Coronavirus disease 2019 (COVID- 19), caused by SARS-CoV-2, it was necessary to adopt social distancing measures, which caused the population to remain at home most of their days to prevent the spread of the disease, causing substantial impacts to health care [8,9]. Changes in the lifestyle and requirements of modern society can lead to the emergence of new DT patterns [6].…”

“…A systematic review showed evidence of fewer traumatic events in dental emergencies during the COVID-19 pandemic. This drop may be due to social isolation, reduced risk factors for trauma, reduction of violence, less practice of sports with physical contact, and reduction in outdoor activities [9]. On the other hand, the increase in domestic violence rates in the country, mainly victimizing women, children, and adolescents, may increase the frequency of physical assaults in the etiologic panorama of DT [10].…”

Como a pandemia pela COVID-19 impactou nos atendimentos urgentes de traumas odontológicos em um hospital público de referência: Um estudo retrospectivo

“…Nesse cenário, a literatura ainda não elucidou totalmente como a pandemia pode ter impactado a dinâmica dos atendimentos urgentes relacionados ao traumatismo dentário. Informações divergentes podem ser encontradas, seja em estudos que indicam diferença do número de atendimentos de urgência antes e durante a pandemia (Campos et al, 2023), ou naqueles em que se relata queda no número de atendimento de urgência no período pandêmico (Cunha et al, 2021).…”