Could COVID‐19 change the way we manage caries in primary teeth? Current implications on Paediatric Dentistry

BaniHani, Alaa; Gardener, Collette; Raggio, Daniela Prócida; Santamaría, Ruth M.; Albadri, Sondos

doi:10.1111/ipd.12690

Cited by 25 publications

(34 citation statements)

References 14 publications

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“…30 Also, a more minimally invasive approach should be considered, especially reducing the use of aerosols in the dental. 40 In addition, emergency care should be maintained. Before the pandemic, despite the expansion in Primary Health Care services, the SUS system was already challenged by several problems, including the fragmentation of actions, underfunding and low quality of management.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic impact on Brazil's Public Dental System

et al. 2021

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The present study aimed to estimate the impact of the COVID-19 pandemic on dental care procedures in the Public Health System in Brazil. A retrospective, ecological study was carried out, comprising 5,564 Brazilian municipalities. The number of dental procedures (per 100,000 inhabitants) performed in the Brazilian Public Health System (SUS) was the outcome. The impact of the pandemic was estimated by comparing the rate of procedures for each month of 2020 with the rates observed in the equivalent months in 2019, considering the period from March to August. Regulatory legislation regarding restrictions on dental care, issued by the state governments of 27 Brazilian federative units, was used for mediation analysis. A 55% reduction was observed in March for all procedures (IRR = 0.45, 95%CI 0.39-0.51), while in the other months, the rate of reduction remained ≥ 88%. The biggest decrease was observed in collective preventive procedures (reduction ≥99%) between April and August. Procedures that were less likely to generate aerosols (tooth extraction and prosthetic) and emergencies showed the smallest reduction. The reduction was not mediated by the restrictions imposed by state governments (p>0.05). The impact of the COVID-19 pandemic was noteworthy in terms of the decrease in the number of dental procedures carried out in the Brazilian Public Dental Service. The lack of access, the delay of elective procedures and the lack of preventive collective procedures could result in an overburdened system, post-Pandemic.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic impact on Brazil's Public Dental System

et al. 2021

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“…Stress among dental hygienists and other professionals working in dental clinics is a common factor associated with the potential risk of infection from aerosol-generating procedures (AGP), which are performed during their daily activities, along with concerns related to infection control [30,[32][33][34]. From a professional point of view, the results show that the return to work should have been carried out progressively and while limiting the production of aerosols, although it 55.7% of the dental hygienists interviewed during the de-escalation period returned to work as usual, performing all types of treatments without taking into account whether or not aerosols were generated during the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical practice strategies should emphasise minimizing AGP as much as possible; minimally invasive and atraumatic dental treatment alternatives should be chosen [25,35]. The dental hygienist's competence in periodontal treatment and maintenance should consider implementing safe manual plaque removal techniques instead of mechanical interventions, which are considered high AGP [33]. Preventive dental services have been one of the main services with the most delays during the pandemic, and this situation may influence the prognosis of oral health conditions, so other viable alternatives such as telemedicine should be explored to make up for these deficiencies [36].…”

Section: Discussionmentioning

confidence: 99%

Delivery of Health Care by Spanish Dental Hygienists in Private and Public Dental Services during the COVID-19 De-Escalation Phase (June 2020): A Cross-Sectional Study

Expósito-Delgado

Ausina-Márquez

Mateos-Moreno

et al. 2021

IJERPH

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Background: The first wave of the COVID-19 pandemic in Spain posed a major challenge for Spanish dental professionals. The objective of this work is to describe the dental hygienists’ work status and employment patterns during the de-escalation phase in order to analyse the standards of knowledge, compliance with official recommendations, and dental activities both in the public health service and in the private sector. Material and Methods: A cross-sectional questionnaire was answered by Spanish dental hygienists via WhatsApp, Facebook, and Instagram. The questionnaire was piloted before it was distributed and carried out during June 2020. Results: Here, 517 dental hygienists were surveyed, of which 86.2% followed the official recommendations to avoid contagion and 63.8% agreed with the gradual return to work by limiting the use of aerosols. Private dental hygienists identified more with returning to work without restrictions (14.5%) versus those working for the public service (1.2%) (p < 0.005). Conclusions: Dental hygienists’ return to work has involved different strategies, aimed at controlling infection and guaranteeing the safety of patients and the rest of the dental team. The availability of personal protective equipment, the adaptation of clinical infrastructure, and patient care management have differed between professionals working in the private and public sectors.

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“…Treatments avoiding aerosol procedures and those that incorporated minimally invasive procedures were sought to be preferred wherever possible (20). Hence, a change in the way routine pediatric dental treatments are managed may be seen with more focus on minimal interventional dentistry, atraumatic restorative treatments, application of fissure sealants, usage of silver diamine fluoride, and Hall technique (21,22).…”

Section: Discussionmentioning

confidence: 99%

Impact on Utilization and Shift in Treatment Needs Post-COVID Lockdown of Pediatric Dentistry in a Tertiary Care Hospital

Nandlal¹,

Singh²,

Gopi³

2021

Front. Dent. Med

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Background: The COVID-19 pandemic has brought all treatments other than emergencies to a halt. Dental disease, being a multifactorial microbial disease, is capable of progressing to pulpits and its sequelae. The purpose of this study is to predict the impact of utilization of dental services and the progression of treatment needs in children during the lockdown and partial lockdown.Methods: Outpatient department data from the year 2017–2019 from the Department of Pediatric and Preventive Dentistry, JSS Dental College was collected. A table of treatments provided was prepared. Utilization of services as care-seeking rates at 10, 25, and 50% were assumed and modeled corresponding to each stage of the lockdown using linear regression analysis. Dental caries progression was calculated as shifts in treatment needs from permanent restorations to temporary restorations, pulpectomies, or extraction, assuming a 10% progress to each sequela.Results: The p-values for 10, 25, and 50% care-seeking rates were 0.021, <0.001, and <0.001, respectively.Conclusion: The number and severity of cases were predicted to have increased. However, after removal of lockdown, it was noted that the number of patients seeking care was significantly less. The advancement in progression of dental disease further adds to the burden of society and caregivers.

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Could COVID‐19 change the way we manage caries in primary teeth? Current implications on Paediatric Dentistry

Cited by 25 publications

References 14 publications

COVID-19 Pandemic impact on Brazil's Public Dental System

COVID-19 Pandemic impact on Brazil's Public Dental System

Delivery of Health Care by Spanish Dental Hygienists in Private and Public Dental Services during the COVID-19 De-Escalation Phase (June 2020): A Cross-Sectional Study

Impact on Utilization and Shift in Treatment Needs Post-COVID Lockdown of Pediatric Dentistry in a Tertiary Care Hospital

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