Oral and maxillofacial surgical services amid COVID-19 pandemic: perspective from Tanzania

Sohal, Karpal Singh; Simon, Elison N. M.; Kalyanyama, Boniphace M; Moshy, Jeremiah Robert

doi:10.1186/s41182-020-00258-z

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Accordingly, the SARS-CoV-2 virological test was carried out, although the result came out one day after the patient was given treatment. 7,[11][12][13][14] Treatment of odontogenic infections is based on important elements, such as administration of special antibiotics and surgical intervention. 26 Ideally, the antibiotics given should be in accordance with the results of culture and resistance tests, because this examination requires a long time, so the administration of antibiotics can be empirically based or according to the germ pattern in the area.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic management of odontogenic abscess in maxillofacial area in patient confirmed covid-19: A case report and literatur review

Tajrin¹

2021

J Dentomaxillofac Sci

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Objective:The purpose of writing this case report and literature review is to discuss the management of therapy in covid-19 patient with odontogenic abscess in the maxillofacial area. Method: A 65-year-old male patient came to the Ibnu Sina Makassar Hospital, complaining of swelling of the right submandibular blood extending to the buccal, sublingual, submental, and temporal. Patient was in a limp condition, shortness of breath (dyspnea), coughing, difficulty opening his mouth, difficulty eating and swallowing with pulse 121 times / minute, breathing 32 times / minute, and oxygen saturation of 94% (simple mask of 5 lpm). Patient was diagnosed with the right submandibular abscess extending to the right buccal, right temporal, right and left sublingual, and submental with sepsis due to gangrene of tooth root 46. Surgical incision and drainage of the abscess was performed under general anesthesia. Results: Incision and drainage of the abscess in the patient was carried out even with the suspicion that the patient was indicated as having been exposed to covid-19 by following the principle of preventing covid-19 infection. Conclusion: Surgical preparation, appropriate therapeutic management, and proper use of PPE will help provide the best service to patients while protecting medical personnel in the current Covid-19 pandemic era.

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Section: Discussionmentioning

confidence: 99%

Therapeutic management of odontogenic abscess in maxillofacial area in patient confirmed covid-19: A case report and literatur review

Tajrin¹

2021

J Dentomaxillofac Sci

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“…Крім того, під час комплексної оцінки кожної окремої клінічної ситуації з травматичним ураженням структур ЩЛД в умовах СОVID-пандемії дослідники наголошували на обов'язковій потребі оцінки особистісного ризику можливого інфікування пацієнта та потреби у врахуванні забезпеченості ресурсами, необхідними для проведення відповідних хірургічних маніпуляцій [9]. В умовах пандемії відмічалася виражена пріоритизації тих видів хірургічних втручань в щелепно-лицевій ділянці, ігнорування потреби проведення в яких було небезпечним для життя пацієнта; крім того відмічалося зростання кількості випадків лікування травматичних уражень ЩЛД методами закритої редукції та зменшення частоти застосування методів лікування із використанням принципів відкритої редукції та внутрішньої фіксації [20]. Додатково було розроблено низку вузькоспеціалізованих, загальнопревентивних та суміжних рекомендацій та директив, врахування котрих сприяє оптимізації процесу надання стоматологічної допомоги загалом та проведенню відповідних хірургічних втручань в щелепно-лицевій ділянці зокрема [7,10,22].…”

Section: результати обговоренняunclassified

Peculiarities of prevalence and distribution patterns and treatment approaches of maxillofacial traumatic injuries within the conditions COVID-19 pandemic

Брехлічук¹,

Goncharuk-Khomyn²

2021

Rep. of Vinnytsia Nation. Med. Univ.

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Annotation. According to previous studies there are specific territorial, social and culturally associated patterns of prevalence and distribution of maxillofacial injuries within quarantine restrictions regarding their etiology and mechanism of occurrence in different countries, which in turn could provoke changes among individual components of generally accepted recommendations used during the treatment of patients with traumatic maxillofacial lesions under conditions of lockdown and COVID-19 pandemic. Objective – to determine the main features of the maxillofacial traumatic lesions prevalence and distribution patterns and to systematize the main changes in the protocols of specialized dental care used for the treatment of patients with traumatic lesions of the maxillofacial structures during COVID-19 pandemic. During the course of the analytical study, retrospective epidemiological data related to the prevalence of maxillofacial injuries during 2020 was processed, and comparative analysis of the obtained data with similar indicators registered during the control periods of 2018–2019 was provided. After the content analysis of available recommendations considering specifics of patients stratification, prioritization and features of certain types of surgical interventinos associated with the need for treatment maxillofacial trauma cases of varying severity, their systematization was carried out within the Microsoft Excel 2019 (Microsoft Office 2019, Microsoft) in the form of text blocks with the subsequent construction of structural and logical schemes. It was found that in the context of a global analysis provided among medical institutions that specialized at the surgical treatment of patients with various types of maxillofacial lesions, general decreasing tendency of their activity and specific reduction in elective manipulations amount were noted during 2020. The most common maxillofacial trauma cases under the conditions of quarantine restrictions were those caused by the factors of fall in house conditions and interpersonal conflicts; the amount of road traffic accident-associated maxillofacial injuries significantly decreased. There was a pronounced prioritization of those types of maxillofacial surgeries, ignoring of which could provoke life-threat for the patient; in addition, there was an increase in the number of cases of traumatic lesions treatment with closed reduction methods and a decrease in the frequency of treatment methods based on the principles of open reduction and internal fixation during COVID-19 pandemic. Thus, under the conditions of the COVID-19 pandemic a general reduction tendency regarding prevalence of maxillofacial traumatic lesions was noted, which was supported with the decrease in number of registered cases considering patients referral to the maxillofacial specialists. In order to optimize the process of providing dental care in general and to carry out appropriate surgical interventions in the maxillofacial region in particular, a number of strictly specialized, general preventive and related recommendations and directives were additionally developed.

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“…The coronavirus disease 2019 (COVID-19) was initially declared a global health emergency on January 30, 2020 [ 1 ], and a global pandemic by the World Health Organization (WHO) on March 11, 2020, however, the first case of COVID-19 in Tanzania was confirmed on March 16, 2020 [ 2 ] and since then thousands of cases have been diagnosed in the country.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practices related to COVID-19 among patients attending public dental clinics in Tanzania: A cross-sectional study

Sohal

Moris²,

Moshy³

2022

PLoS ONE

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Introduction The risk of contracting COVID-19 through dental treatment is potentially high, thus several guidelines have been developed to minimize the spread of COVID-19 in the dental office worldwide. These changes have posed some relevant questions among oral health professionals regarding the understanding and attitudes of dental patients toward COVID-19. This study aimed to assess the knowledge, attitude, and practices of dental patients in Dar es Salaam, Tanzania. Methodology This cross-sectional study was carried out in 4 public hospitals in Dar es Salaam, Tanzania involving 472 adult patients. Data were collected using a questionnaire that had a set of questions regarding knowledge, attitude, and practices (KAP) related to COVID-19. Data were analyzed using the SPSS computer software version 26. For descriptive analysis means, standard error of the mean, and proportion were used. Multivariate regression analysis was utilized for the response analysis. Alpha of less than 0.05 was considered to indicate statistical significance. Results Good levels of knowledge, attitude, and practices related to COVID-19 were found in 76.5%, 74.8%, and 58.1% of participants respectively. On performing multivariate analysis, odds of having good knowledge regarding COVID-19 were almost 2 folds higher in participants who were females, with high education levels, those without partners, and those with stable income. Females were 1.5 folds more likely to have a good attitude toward COVID-19 and odds of good practice against COVID-19 were 3 folds higher in young adults compared to the elderly. Conclusion A majority of dental patients have good knowledge and attitude related to COVID-19. Predictors of good knowledge were sex, education level, marital status, and income of the participants. Sex predicted good attitude and age predicted good practice.

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Oral and maxillofacial surgical services amid COVID-19 pandemic: perspective from Tanzania

Cited by 4 publications

References 13 publications

Therapeutic management of odontogenic abscess in maxillofacial area in patient confirmed covid-19: A case report and literatur review

Therapeutic management of odontogenic abscess in maxillofacial area in patient confirmed covid-19: A case report and literatur review

Peculiarities of prevalence and distribution patterns and treatment approaches of maxillofacial traumatic injuries within the conditions COVID-19 pandemic

Knowledge, attitudes, and practices related to COVID-19 among patients attending public dental clinics in Tanzania: A cross-sectional study

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