Dentistry and coronavirus (COVID-19) - moral decision-making

Coulthard, Paul

doi:10.1038/s41415-020-1482-1

Cited by 369 publications

(379 citation statements)

References 12 publications

(12 reference statements)

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“…(4,6,(35)(36)(37) The rapid reorganization of clinical services may not be straightforward and might require considerable moral decision making from the dental professionals to commence regular services. (38) This might be the reason few participants despite being able to reach to the hospital were not provided with the desired treatment. Besides, the utilization of dental services has been traditionally low especially in our part of the world.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Outbreak in Dental Service Utilization Reported by Patients Visiting a Tertiary Care Centre: Mixed Quantitative-qualitative Study

Shrestha

Bhagat

Agrawal

et al. 2020

Preprint

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Background: COVID-19 poses a major public health calamity. Its wider impact on health service utilization is yet to be studied. The study aims to assess dental problems faced by patients during the COVID-19 outbreak and the possible reasons in failing to seek dental careMethods: A cross-sectional quantitative-qualitative design was employed to assess the outcomes among patients reporting to a tertiary care centre. Participants were selected by convenient sampling and interviewed using structured questionnaire. Responses were transcribed, translated and coded before analyzing for the themes by thematic analysis. Quantitative component of the study was analyzed by descriptive and inferential methods.Result: Mean age of the participants was 43.7 years (SD: 16.1). Most of them (63%) reported not having had an oral examination in the past year while 62% reported being unable to seek dental treatment during the pandemic. Pain, sequelae of pain and other self-perceived urgent causes were identified as the major problems faced by the participant. Similarly, the reasons for not being able to seek dental treatment were grouped as fear of transmission, lack of transportation and lockdown, unavailability of health services, misinformation, lack of communication from hospital regarding its services, and deferred treatment by the hospitals.Conclusion: Pain remains the ultimate trigger for care seeking behaviour. Dental service utilization was reported to be influenced by a number of factors during COVID-19. The pandemic seemed to add up to the already pre-existing dilemma in seeking dental care. A conceptual framework has been suggested to aid further researches in the future for looking into the impacts from such pandemics.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Outbreak in Dental Service Utilization Reported by Patients Visiting a Tertiary Care Centre: Mixed Quantitative-qualitative Study

Shrestha

Bhagat

Agrawal

et al. 2020

Preprint

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“…12 However, surprisingly, there is no mention of dental procedures. 13 Fomites and feco-oral are other possible transmission routes that require attention. Recent updates suggest the possible routes of entry to be via the exposure of mucous membranes of nose, mouth, and eyes, 10 , 14 and raise the concern for hand hygiene by the dental team as well as patients.…”

Section: K Nowledge About Sars-cov-2 R Ementioning

confidence: 99%

Dentistry during and after COVID-19 Pandemic: Pediatric Considerations

Kochhar

Bhasin

Kochhar³

et al. 2020

International Journal of Clinical Pediatric Dentistry

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A bstract This article is a rumination on the outbreak of the dreaded coronavirus disease-2019 (COVID-19) pandemic which has engulfed both the developed and the developing countries, thereby causing widespread global public health concerns and threats to human lives. Although countries have made varied efforts, the pestilence is escalating due to the high infectivity. It is highly likely that dental professionals in upcoming days will come across COVID-19 patients and SARS-CoV-2 carriers, and hence must ensure a tactful handling of such patients to prevent its nosocomial spread. Despite the avalanche of information that has exploded in relation to this rapidly spreading disease, there is a lack of consolidated information to guide dentists regarding clinical management including precautions to take materials to use and postprocedure care, during and after the COVID-19 pandemic. Available sources of information have been analyzed, while relying on peer-reviewed reports followed by information available from the most respected authoritative sources, such as WHO, Centers for Disease Control and Prevention (CDC), and ADA. This review aims to provide a comprehensive summary from the available literature on COVID-19, its insinuation in dentistry, recommendations that have been published, and the actual in-practice implications, so a plan can be formulated and adapted to the circumstances of each dental practice during the pandemic and the times to follow. How to cite this article Kochhar AS, Bhasin R, Kochhar GK, et al . Dentistry during and after COVID-19 Pandemic: Pediatric Considerations. Int J Clin Pediatr Dent 2020;13(4):399–406.

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“…The reduced availability of dental care might have increased the demand on the already burdened hospitals emergency departments [14], with potential impact on oral health and quality of life of patients. In addition, the limited provision of services and closure of dental practices raised concerns among dental professionals about the nancial consequences of this closure [15]. Reports show that dental economy and other health care sectors were at a virtual standstill because of the pandemic [15,16].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the limited provision of services and closure of dental practices raised concerns among dental professionals about the nancial consequences of this closure [15]. Reports show that dental economy and other health care sectors were at a virtual standstill because of the pandemic [15,16].…”

Section: Introductionmentioning

confidence: 99%

Dental practice closure during COVID-19 and associated professional, practice and structural determinants: a multi-country survey

Abdelrahman

Atteya

Ihab

et al. 2020

Preprint

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Background: The outbreak of novel coronavirus disease (COVID-19) in China has influenced every aspect of life worldwide. Due to the characteristics of dental settings, the risk of cross infection may be high between dental practitioners and patients. Being on the list of high-risk professions, dentists are very much expected to develop severe anxiety about the current pandemic situation. In addition, the limited provision of services and closure of dental practices raised concerns among dental professionals about the financial consequences of this closure. Therefore, the study assessed the extent of dental practice closure in various countries around the world, factors associated with this closure and whether closure and associated factors differed between private and non-private sectors.Methods: From April to May 2020, a web-based survey was sent to dentists in several countries. The survey assessed professional factors, practice factors and country-level structural factors. Multilevel logistic regression was used to assess the association of practice closure with these factors. Effect modification due to private and non-private sectors was assessed. Results: Dentists (n= 3243) participated from 29 countries. The majority (75.9%) reported practice closure with significantly higher percentage in the private than non-private sector. Fears were associated with significantly higher likelihood of closure in private (OR= 1.54, 95%CI= 1.24, 1.92) and non-private sectors (OR= 1.38, 95%CI= 1.04, 1.82). Non-private, governmental sector dentists (OR= 0.54, 95%CI= 0.31, 0.94) and those in rural areas (OR= 0.58, 95%CI= 0.42, 0.81) and those in hospitals (overall OR= 0.60, 95%CI= 0.36, 0.99) reported low likelihood of closure. High likelihood of closure was reported by those in academia (OR= 2.13, 95%CI= 1.23, 3.71). More hospital beds were associated with lower likelihood of closure in the non-private sector (OR= 0.65, 95%CI= 0.46, 0.91) and private sector dentists in high income countries (HICs) reported less closure than in non-HICs (OR= 0.55, 95%= 0.15, 1.93).Conclusions: Most dentists reported practice closure because of COVID-19 with greater impact in the private than non-private sectors with professional, practice and country-level factors associated.

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Dentistry and coronavirus (COVID-19) - moral decision-making

Cited by 369 publications

References 12 publications

Impact of COVID-19 Outbreak in Dental Service Utilization Reported by Patients Visiting a Tertiary Care Centre: Mixed Quantitative-qualitative Study

Impact of COVID-19 Outbreak in Dental Service Utilization Reported by Patients Visiting a Tertiary Care Centre: Mixed Quantitative-qualitative Study

Dentistry during and after COVID-19 Pandemic: Pediatric Considerations

Dental practice closure during COVID-19 and associated professional, practice and structural determinants: a multi-country survey

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