A Retrospective Study of Oral Emergency Services During COVID-19

Guo, Hua-Qiu; Xu, Tao; Pan, Jie; Ji, Ai-ping; Huang, Mianliang; Bai, Jushan

doi:10.1016/j.identj.2021.09.004

Cited by 7 publications

(12 citation statements)

References 18 publications

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“…The least-urgent cases of this study decreased like the relative emergencies in our study [12]. In the study by Guo et al a decrease of relative emergencies by more than 50% was noted, which again supports our observation [7]. In that study, a similar volume of patients (12,416) were included, as in our investigation.…”

Section: Discussionsupporting

confidence: 90%

“…1). This effect has also been found in other studies regarding dental and non-dental emergencies during the pandemic [5][6][7]. Other investigators found the absence of patients in the pandemic being triggered by the fear of infection [8,9].…”

Section: Discussionsupporting

confidence: 79%

“…However, our study did not only compare periods of low and high incidence during the pandemic as occurred in the study by Guo et al, but also analyzed waves of the COVID-19 pandemic and corresponding periods of previous years. Despite the use of different classification systems, both Guo et al and our study found an inverse dependency between the number of visits and COVID-19 incidence [7].…”

Section: Discussioncontrasting

confidence: 64%

“…However, this study included maxillofacial patients, whereas our study focused exclusively on dental outpatients [14,15]. In previous studies on this topic, cases were often divided into urgent and nonurgent or not further classified [7,11].…”

Section: Discussionmentioning

confidence: 99%

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Interplay of pandemic and seasonal parameters in dental emergency service

Hell

Deschner²,

Ziskoven³

et al. 2022

BMC Oral Health

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Background To evaluate the relationship between pandemic events and dental emergency service frequentation. Utilization patterns in the scope of the COVID-19 pandemic were analyzed and considered in regard of seasonal parameters. Methods All outpatients seeking treatment in a university hospital’s dental emergency service were analyzed in the years 2019, 2019 and 2020 according to demographic data and emergencies were subdivided into “absolute” and “relative”. The years 2018 and 2019 were used to compare COVID-19 and non-COVID-19 phases. Defined waves of the pandemic were compared with equivalent prior-year periods. Results Our study includes 11,219 dental emergency patients over a period of three years with a slight surplus of male patients. Comparing the pre-COVID-19 years and 2020 as a year of pandemic, the total count of cases decreased by more than 25%. The share of absolute emergencies in 2020 was higher than in the years before (p < 0.0001). The under-utilization during the waves was more pronounced during the first wave compared to the second waves. Conclusions Additionally to the clear decrease by more than 25% in 2020, we found an inverse dependency of 7-day-incidence of COVID-19 and number of visits. This effect was more distinct for relative emergencies, while the number of patients with absolute emergencies remains rather constant. Probably, there is an acclimatization effect regarding the waves. Patients older than 60 years who suffered from relative emergencies showed an under-utilzation during 2020. During a pandemic such as COVID-19, the effect of under-utilization is more pronounced among elderly patients. However, a pandemic acclimatization effect seems to occur. This can be taken into account in the administration of this kind of circumstances in the future.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Interplay of pandemic and seasonal parameters in dental emergency service

Hell

Deschner²,

Ziskoven³

et al. 2022

BMC Oral Health

View full text Add to dashboard Cite

show abstract

“…Results from the present study showed that, during the lockdown, a small percentage of patients experienced dental pain (13.6%) or had to visit the dentist for urgent care (16.5%). These findings are compatible with those in the study by Docimo et al 10 but not with other studies reporting dental pain in 30%–38% of the children 4,6,16,21 . This difference could be attributed to the variations in restrictions set by the health ministries in each country.…”

Section: Discussionsupporting

confidence: 88%

Impact of the COVID‐19 lockdown on the oral health status of paediatric dental patients in Greece

Angelopoulou

Seremidi

Papaioannou

et al. 2023

Int J Paed Dentistry

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Background Limited evidence regarding the post‐COVID‐19 dental status of paediatric patients is available, with most studies assessing only children's oral health habits. Aim To evaluate the effect of the COVID‐19 lockdown on the oral health of paediatric dental patients in Greece. Design This was a retrospective cohort study that included a questionnaire on children's oral health behavior and a clinical examination assessing dental caries and dental treatment needs using the International Caries Detection and Assessment System criteria, dmft/DMFT, and Treatment Need Index. The Wilcoxon signed‐rank test was used for a statistical comparison between questionnaire and clinical data before, during, and after the lockdown. Results A total of 102 children with a median age of 9 years were recruited from the current cohort of patients that had their last dental examination 6 months prior to the lockdown. Results from the questionnaire showed decreased brushing frequency with increased eating frequency and sugar consumption during the lockdown period (p < .001). Moreover, 16.5% had to visit the dentist for urgent care during the lockdown, 13.6% experienced dental pain, and 51.5% did not experience any dental emergencies. Clinical examination, after the lockdown, recorded significantly increased mean dmft/DMFT scores by 0.63 units in the primary dentition (p = .01) and 0.52 units in the permanent teeth (p = .002). Significantly higher treatment needs, with more carious lesions requiring extensive treatment after the lockdown, were recorded (p < .001). Conclusion The COVID‐19 lockdown negatively affected children's oral health behavior: caries prevalence increased and more complex dental treatments were required.

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Impact of COVID-19 pandemic on pediatric dental procedures in primary healthcare settings in Piracicaba, Brazil: an ecological study

Figueiredo dos Santos,

Bado,

da Cunha

et al. 2024

BMC Prim. Care

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Background The COVID-19 pandemic brought significant changes to dental care, which may have affected pediatric dental care offered in primary healthcare settings. Therefore, the aim of this study was to analyze the quantity of dental procedures performed in primary healthcare for children aged 6 to 12 years, before and during the COVID-19 pandemic. Methods This is an ecological study using data from the health information system of Piracicaba, São Paulo, Brazil. The variables considered were: coverage of first programmed dental consultation, restoration of permanent and deciduous teeth, topical fluoride application (individual per session), emergency care, and deciduous tooth extraction. Two periods were considered: period I (March 1, 2019 to February 29, 2020) and period II (April 1, 2020 to March 31, 2021), before and during the pandemic, respectively. Comparisons between periods were made using the paired nonparametric Wilcoxon test with a significance level of 5%. Results There was an increase in emergency care from 15.4 to 32.4% (p = 0.0095) and a decrease in the number of restorations of deciduous teeth from 32.8 to 20.2% (p = 0.0217). The first programmed consultation showed a decrease of 9.60% (p = 0.0930) in period II. Conclusions The COVID-19 pandemic has hindered access to primary dental care for children, impacting the quantity of emergency care, reducing restorations of deciduous teeth, and first programmed dental consultations. These findings highlight the need for strategies to ensure that pediatric dental care is not neglected during pandemics.

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A Retrospective Study of Oral Emergency Services During COVID-19

Cited by 7 publications

References 18 publications

Interplay of pandemic and seasonal parameters in dental emergency service

Interplay of pandemic and seasonal parameters in dental emergency service

Impact of the COVID‐19 lockdown on the oral health status of paediatric dental patients in Greece

Impact of COVID-19 pandemic on pediatric dental procedures in primary healthcare settings in Piracicaba, Brazil: an ecological study

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