Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study

Blackhall, Kristian K.; Singh, Rabindra Prasad

doi:10.1038/s41415-020-2499-1

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…Out-patient services began in May, 2020. Approximately the same proportions of male and female reported in the OPD (52.8% v/s 47.2) which is in accordance with the study of Haquin Guo [12] et al, AM Kranz [13] et al, Pajpani et al [14] and Kristian Blackhall [15] et al…”

Section: Discussionsupporting

confidence: 89%

“…The proportions of patients seeking emergency dental care due to abscess/ swelling /space infection are 3.4% and those reporting due to trauma/ fracture are 2.3%. The observations in previous studies show a much higher range [12,14,15,20] . Emergency services like extraction (29%) of the teeth causing pain, sutures/ intermaxillary fixations (7.9%) in case of orofacial trauma and pulpectomies (21%) were the main treatment provided in the Departments of Oral and Maxillofacial Surgery, Endodontic and Pedodontic.…”

Section: Discussionmentioning

confidence: 69%

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Management of dental emergencies at tertiary dental care center, Rohtak during COVID-19 pandemic

Mendiratta¹,

Manjunath²,

Kumar³

et al. 2021

Int. J. Appl. Dent. Sci.

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To assess the pattern of emergency dental services provided at the tertiary dental care center, Rohtak during COVID-19 pandemic. Method: Retrospective data analysis was done from the Out-Patient Data registers of the Department treating emergency dental services during COVID-19 pandemic i.e. Department of Oral Medicine and Radiology, Oral and Maxillofacial Surgery, Pedodontics and Conservative and Endodontics from March 2020 till October 2020. Data was entered into Microsoft Excel.Results: It was retrieved that maximum patients during the study period seek treatment due to pulpal and periapical pain (43.53%), periodontal pain (7.5%), infected root stumps and mobile teeth (7.18%). Major emergency services were provided in form of extractions (29%), RCTs (21%), restorations (10%), and inter-maxillary fixations (4.2%). Conclusion:The study concludes that most patients in dental emergency were provided with adequate treatment in accordance with the COVID-19 guidelines. The actions now should aim towards assessing the barriers faced by people on account of not receiving dental care and for the consequences that may arise in the light of rapid increase of infection or subsequent wave of reinfection.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 69%

Management of dental emergencies at tertiary dental care center, Rohtak during COVID-19 pandemic

Mendiratta¹,

Manjunath²,

Kumar³

et al. 2021

Int. J. Appl. Dent. Sci.

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“…These studies have focused on processes implemented to operationalise UDCs and on their clinical activity and output. 13,14,15 To date, no published study has explored and reported frontline experiences of what it was actually like to work within a UDC and why. This is surprising considering the long-term impact of COVID-19 and UDC operations on dentistry, the richness of lessons potentially learnt from this time and the high likelihood that processes, such as the ones used during COVID-19, will be required in the future again.…”

Section: Introductionmentioning

confidence: 99%

Frontline experiences and perceptions of Urgent Dental Care centre staff in England during the COVID-19 pandemic: a qualitative study

et al. 2021

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Introduction Following the World Health Organisation declaration of COVID-19 as a global pandemic, routine dental care in the UK ceased, and Urgent Dental Care centres (UDCs) were established to offer remote and face-to-face urgent dental treatment for those in need. Aim To explore perceptions and psychosocial experiences of frontline staff providing care at UDCs in England during COVID-19. Method A qualitative research study using a phenomenological approach. Semi-structured interviews were conducted remotely. Using line-by-line coding, data were analysed using a hybrid approach that incorporated both a deductive, theoretical process and an inductive, data-driven process. Results Participants included 29 dentists and nine dental nurses from UDCs across England. Twelve themes were identified and grouped into positive and negative experiences. Positive experiences were: role fulfilment and having a sense of purpose; team unity and collective coping strategies; and strategic teamwork and preparedness for effective organisation of care. Negative experiences included: feeling undervalued and frustrated due to fragmented guidance and communication; sense of unfairness generated by relational challenges; patient demand outstripping UDC capacity; complex decision-making; uncertainty over safety; suffocating PPE hindering effective communication; ineffective communication channels across healthcare sectors; lack of commitment to remote video consultations; and variable referral quality. Conclusions Participants reported experiencing a number of emotional challenges that appeared to be exacerbated by an unsupportive environment, often due to lack of leadership. However, positive experiences and coping strategies were also identified. Collective and sustained efforts at system level to improve the resilience and mental wellbeing of the current and future dental workforce and integration of dentistry into wider healthcare infrastructures are needed. Supplementary Information Zusatzmaterial online: Zu diesem Beitrag sind unter 10.1038/s41415-021-3375-3 für autorisierte Leser zusätzliche Dateien abrufbar.

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“…To date, there have been numerous studies investigating the effect of the fear of contamination, stay-at-home orders, and lockdown measures that emerged with the pandemic in 2020 on admissions due to urgent or non-urgent clinical conditions other than COVID-19 (12-14). Additionally, the reasons and numbers of dental emergencies presenting to various dentistry departments during the COVID-19 pandemic have also been investigated [ 6 , 10 , 15 ]. However, to our knowledge, there has been no study specifically investigating admissions due to non-urgent dental or orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on new patient visits for orthodontic treatment: A comparison of 2020 and the previous 3 years

Yavan

2021

Journal of the World Federation of Orthodontists

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Background Coronavirus disease (COVID-19) has led to unprecedented challenge to art, sport, education, finance and healthcare. The aim of this study was to compare demographic characteristics of individuals that applied for orthodontic treatment in the pandemic year (2020) and in previous years. Methods The retrospective study included patients who applied to a tertiary orthodontic referral center for orthodontic treatment between January 1, 2016 and December 31, 2020. Clinical and demographic characteristics including age, age groups (child, young adult, adult), gender, and numbers of monthly and annual applications were compared between the pre-pandemic (2017-2020) and post-pandemic (2020) periods. The daily average numbers of applications were compared between 2019 and 2020. Results The average number of monthly admissions was 240.69 ± 81.48 in the pre-pandemic period as opposed to 113.75 ± 88.89 in the year 2020 (p<0.001). The average number of monthly admissions decreased by 48.3% in 2020 compared to 2019, while the average number of daily admissions in 2020 decreased significantly in all months (p<0.05) except for January (p=0.613) compared to the months of the previous year. No significant difference was found between the pre-pandemic period and 2020 with regard to gender distribution (p=0.410). In all years, the numbers of admissions were higher in women compared to men and in children compared to adults. Conclusion The results indicated a sharp decrease in the number of admissions for orthodontic treatment in the pandemic year (2020) compared to previous years.

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Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study

Cited by 10 publications

References 18 publications

Management of dental emergencies at tertiary dental care center, Rohtak during COVID-19 pandemic

Management of dental emergencies at tertiary dental care center, Rohtak during COVID-19 pandemic

Frontline experiences and perceptions of Urgent Dental Care centre staff in England during the COVID-19 pandemic: a qualitative study

Effects of the COVID-19 pandemic on new patient visits for orthodontic treatment: A comparison of 2020 and the previous 3 years

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