Economic Impact of New Biosafety Recommendations for Dental Clinical Practice During COVID-19 Pandemic

Cavalcanti, Yuri Wanderley; Silva, Rênnis Oliveira da; Ferreira, Leonardo de Freitas; Lucena, Edson Hilan Gomes de; Souza, Andreza Maria Luzia Baldo de; Cavalcante, Denise de Fátima Barros; Meneghim, Marcelo de Castro; Pereira, Antônio Carlos

doi:10.1590/pboci.2020.143

Cited by 18 publications

(21 citation statements)

References 15 publications

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“…The introduction of these practices was reported by most of the periodontists who responded to the survey in both countries (Tables 2 and 3). It is supposed that such measures may have financial implications, as was previously reported by a recent Brazilian study (Cavalcanti et al, 2020). Furthermore, the difficulty in acquiring common personal protective equipment due to its scarcity and exorbitant cost on the market, as demonstrated recently (Chamorro‐Petronacci et al, 2020; Consolo et al, 2020) and reported by 66.1% of the periodontists in this study, is another negative factor to take into consideration in securing clinical practice after the pandemic.…”

Section: Discussionmentioning

confidence: 53%

Impact of the coronavirus disease 2019 pandemic on periodontal practice: A questionnaire survey

Rocha-Gomes

Flecha

Miranda

et al. 2021

J Clinic Periodontology

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Aim This cross‐sectional study sought to investigate the factors possibly related to the impact caused by the coronavirus disease 2019 pandemic in the practice of periodontists, in two countries. Materials and methods A total of 254 periodontists with active periodontics licensing in Brazil and the United States participated in the survey. Data were collected through an online questionnaire and the dependent variable was the perceived impact of the pandemic on periodontists' practice routines. Odds ratios were assessed by logistic regression analysis. Results Periodontists in private practice were 83% less likely to report a significant impact of the pandemic on their clinical routine as compared with professionals who work in the public sector or in academic institutions (CI 95%: 0.05–0.47). The financial impact of the pandemic was significantly associated with a perceived severe impact of the pandemic on their routines (OR: 1.36; CI 95%: 1.16–1.61). Professionals who have enhanced their hand‐washing routine were more likely to report a significant impact of the pandemic by 3.41 times (CI 95%: 1.28–9.04) relative to those who have not altered their hand‐washing protocols. Conclusion The pandemic is associated with a negative impact on the practice of periodontists, especially those working in public sectors and academic institutions.

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Section: Discussionmentioning

confidence: 53%

Impact of the coronavirus disease 2019 pandemic on periodontal practice: A questionnaire survey

Rocha-Gomes

Flecha

Miranda

et al. 2021

J Clinic Periodontology

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“…Although the data were collected before the onset of the COVID-19 pandemic, the situation of the lack of PPE for oral health professionals may have been worsened recently by the lack of new PPE [ 4 – 6 ]. One study has pointed out the high increase in costs and the difficulty in purchasing them [ 26 ]. Direct costs in biosafety before COVID-19 were R$0.84 per patient, R$6.69 per care shift, and R$3,413.94 per year [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…One study has pointed out the high increase in costs and the difficulty in purchasing them [ 26 ]. Direct costs in biosafety before COVID-19 were R$0.84 per patient, R$6.69 per care shift, and R$3,413.94 per year [ 26 ]. With the COVID-19 pandemic, the costs increased to R$16.01 per patient, R$128.07 per shift, and R$32,657.96 per year [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Direct costs in biosafety before COVID-19 were R$0.84 per patient, R$6.69 per care shift, and R$3,413.94 per year [ 26 ]. With the COVID-19 pandemic, the costs increased to R$16.01 per patient, R$128.07 per shift, and R$32,657.96 per year [ 26 ]. This scenario can have negative repercussions on the planning of public oral health actions, because financial health resources were directed towards the purchase of biosafety inputs, besides limiting the population's access to oral health services in PHC [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

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A Description of Infection Control Structure in Primary Dental Health Care, Brazil

Fonseca

Pereira

Palmier

et al. 2021

BioMed Research International

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Objective. This study is aimed at describing a score to assess infection control structures in Oral Health Teams (OHT) in Primary Health Care (PHC) in Brazil. Methods. Secondary data from a national external evaluation of PHC conducted in 2017 and 2018 were analyzed. The construction of the score used 14 variables, divided into the following: structural characteristics of the PHC, infection control equipment under conditions of use, and biosafety supplies in sufficient quantity. The questions were mostly dichotomous (yes/no). Descriptive analyses were carried out to characterize the OHT and factor analyses to reduce the number of observed variables to a specific number of factors. Results. Among 20,301 health units with OHT, 4,510 (22.2%) units did not have washable floors, ceilings, and walls; 8,406 (41.4%) did not have a sealer; 16,780 (82.7%) did not have taps with noncontact activation, and 4,663 (23.0%) units did not have rubber gloves. Regarding personal protective equipment (PPE), 1,618 (8.0%) units did not have a sufficient quantity of basic PPE. Three factors were defined to explain the 14 evaluated variables. The South region had the best score of infection control, while the North had the worst. Conclusions. Regional inequalities in the failures in infection control structures identified in PHC with OHT were related to the physical structure, equipment, and supplies used for infection control and the absence of PPE for OHT.

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“…It is noteworthy that changes in biosafety protocols during the COVID-19 pandemic, the increase in PPE values, and the need to purchase new equipment such as thermometers have significantly increased the costs of dental treatments [27,31].…”

Section: Considerations On Suggested Protocolsmentioning

confidence: 99%

Considerations on endodontic care in times of SARS CoV-2 pandemic

Brandt

Fernandes

Cavalcanti

2021

RGO, Rev. Gaúch. Odontol.

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The severe acute respiratory syndrome of the new coronavirus, SARS CoV-2, which became a pandemic, was first reported in Wuhan, Hubei, China, in December 2019. It can cause mild symptoms, but in some cases, it can cause serious complications, leading to death. The disease spreads through aerosol droplets and has an estimated incubation period between 2 and 14 days (a period in which the patient has high potential to infect other people). Endodontists have a high risk of exposure to COVID-19 when compared to other health professionals, since most of the work involves the generation of aerosols and care for patients in emergency situations, such as symptomatic irreversible pulpitis, symptomatic apical periodontitis, acute apical abscess and traumatic dental injuries, is imperative. Thus, this critical review addresses considerations about endodontic care in times of pandemic, whose emergencies imply a real need for treatment, as well as the care that must be adopted to minimize risks for both professionals and patients who seek the resolution of their clinical pain conditions.

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Economic Impact of New Biosafety Recommendations for Dental Clinical Practice During COVID-19 Pandemic

Cited by 18 publications

References 15 publications

Impact of the coronavirus disease 2019 pandemic on periodontal practice: A questionnaire survey

Impact of the coronavirus disease 2019 pandemic on periodontal practice: A questionnaire survey

A Description of Infection Control Structure in Primary Dental Health Care, Brazil

Considerations on endodontic care in times of SARS CoV-2 pandemic

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