Dental Emergencies during the COVID-19 No Aversion Therapy Centers

Tobias, Guy

doi:10.23880/oajds-16000265

Cited by 7 publications

(9 citation statements)

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“…In KDCH, ADA 20205 guidelines during the COVID were followed and the treatment trend seen in pediatric patients was mostly for the urgent dental care, followed by non emergency dental care, other urgent dental care and emergency procedures. However, this finding was in contrast to a study by Samuel SR et al 14 in which the treatment trend was dominated by non emergency procedures, followed by urgent dental care procedures, and the least frequent was emergency procedures. In our study of the multitude of cases treated during the pandemic, only four had dental emergency based on ADA classification 5 and this is similar to the report by Yang F et al 26 In KDCH during pandemic lockdown, though aerosol producing procedures were stopped some emergency opening of tooth and pulpectomies needed to be performed for pain management but still restorations were done less in number.…”

Section: Discussioncontrasting

confidence: 97%

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Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Limbu¹,

Dikshit²,

Malla³

et al. 2021

J. Nep. Assoc. Ped. Dent.

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Introduction: Pediatric dental management is difficult in its own way which was even more challenging during COVID-19 outbreak and lockdown period. Constrained dental providing clinics and hospitals severely compromised the pediatric dental needs and services. Objective: The aim of this study was to describe pattern of dental emergencies encountered and services provided to the pediatric patients visiting a dental hospital during the first lockdown period in Kathmandu, Nepal. Methods: A cross sectional study was done from 24 March 2020 to 21 July 2020 among the pediatric patients who visited dental hospital during lockdown. Data was collected from questionnaire and dental case history sheet, and statistically analyzed in Statistical Package of Social Sciences (SPSS) version 20. Results: Of the total 172 pediatric patients of mean age 8.3± 2.60 years, majority were males (59.3%) and of 6-12 age group (76.2%). Major complain was mobile/retained teeth (38.4%) and most common diagnosis was exfoliating mobility (23.3%). According to American Dental Association (ADA, 2020) guidelines, urgent dental care (46.5%) followed by non-emergency dental care (43.6%) were mostly found. The predominant procedures were emergency (68.6%) and least was elective (9.3%) and treatment given to majority was extraction (51.8%).There was a statistically significant association between age group and pediatric dental care (ADA). Conclusions: The findings of this study regarding dental emergency encountered and definitive treatment received even during pandemic lockdown can be helpful in finding out how dental care was provided and can be applicable in similar future pandemics.

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Section: Discussioncontrasting

confidence: 97%

“…Ustun N et al 12 observed that there was a decrease in pediatric dental attendance by half during the pandemic period. Similar to our findings, Guo H et al 13 and Tobias G et al 14 also reported decrease in the number of patients visiting the dental emergency clinic in Beijing and Israel respectively.…”

Section: Discussionsupporting

confidence: 91%

Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Limbu¹,

Dikshit²,

Malla³

et al. 2021

J. Nep. Assoc. Ped. Dent.

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“…There is increasing evidence that patients with medical emergencies are avoiding the emergency departments for fear of contracting COVID-19, leading to increased morbidity and mortality (12). (14). The fact that in our clinics none of the staff members and the patients was infected with COVID-19 during the three periods studied is encouraging.…”

Section: Discussionmentioning

confidence: 55%

“…Similar to our findings, Guo et al reported 38% decrease in the number of patients visiting the dental emergency clinic in Beijing, China at the beginning of the COVID-19 pandemic ( 13 ). Tobias et al reported a decrease in dental emergency treatment in the period between March 17th to April 30th, 2020 in a public health system in Israel ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Oral Health Care Delivery for Children During COVID-19 Pandemic—A Retrospective Study

Fux-Noy

Mattar

Shmueli

et al. 2021

Front. Public Health

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Aim: COVID-19 outbreak and the lockdown period following was a very challenging time for pediatric dentistry. We aimed to find whether the characteristics of dental care provided to children at the Department of Pediatric Dentistry at Hadassah medical center, Jerusalem, Israel, differed between the periods, before COVID-19 outbreak, during the lockdown period and during the period that followed it.Materials and Methods: We retrospectively reviewed computerized records of patients who visited the pediatric dental clinic at three different periods: pre-lockdown period, lockdown period, and post-lockdown period.Results: Nine-hundred and forty-nine children were included in the study; most of them were healthy children between 3 and 6 years old. During lockdown, all scheduled appointments except for treatments under general anesthesia and deep sedation were canceled due to the government's restrictions; the frequency of treatments with non-pharmacological behavior management, general anesthesia or deep sedation was higher than in the previous or subsequent periods and the use of inhaled/conscious sedation was significantly lower. During lockdown most of the children were diagnosed with dentoalveolar abscess (32.3%), compared to 14 and 21% at the previous or subsequent periods, respectively (P < 0.001). Treatments combination during lockdown included more extractions, pulpectomies and pulp extirpation and less permanent restorations (P < 0.001). None of the staff members was infected with COVID-19 at the clinic during these periods. We concluded that dentists should be updated about Covid-19 modes of transmission and the recommended infection control measures in dental settings. Effective management protocols can help the dental staff to continue to provide efficient treatment and prevent Covid-19 contamination.

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“…Nonetheless, in China [ 37 ] and Turkey [ 29 ], a 38% reduction in pediatric dental emergency cases was reported. Other studies in Israel also reported a decrease in dental emergency cases [ 35 , 38 ]. A total of 20.8% of dental emergency cases were treated in South India [ 36 ].…”

Section: Discussionmentioning

confidence: 83%

Pediatric Dental Emergency Visits and Treatment during Lockdown in the COVID-19 Pandemic: A Retrospective Study

Elalouf

Rubanenko

Yaron

et al. 2022

IJERPH

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The COVID-19 pandemic has affected all the professions of life, particularly the healthcare sector. In dentistry, prevention of viral spread among healthcare professionals and patients was a substantial challenge. The virus can directly or indirectly infect dentists during dental procedures. This study focuses on the purpose of pediatric patients’ emergency visits to dental clinics and the treatments practiced during the lockdown. It compares the purpose of emergency pediatric patient visits in dental clinics and their treatments before, during, and after the lockdown periods. Computerized data for two consecutive years (2019 and 2020), between 19 March and 30 April and after the lockdown period from 1 May to 12 June 2020, were collected from five random dental clinics in Israel. The emergency visits of patients under 18 years before, during, and after the lockdown was organized into demographic characteristics, the purpose of the visits, and the treatments with medication or dental procedures. Categorical variables were compared and correlated with the chi-squared test and Pearson’s test, respectively, by using SPSS version 21. During the lockdown, emergency cases got appointments for a physical checkup. Herein, we found higher cases of emergency visits of pediatric patients with pain (n = 281, 32.6%) than trauma (n = 18, 24.7%), followed by infection (n = 31, 28.4%) and treatment continuation (n = 7, 20.6%) during the lockdown period, compared to before and after the lockdown periods. The patients treated with medication and dental procedures during lockdown were significantly different (p < 0.001) than before and after the lockdown. Extraction (n = 81, 41.5%), filling (n = 84, 50.6%), fluoride (n = 13, 92.9%), and pulp treatment (n = 92, 42.6%) were substantially practiced in pediatric patients during the lockdown. Further, this study confirmed the rapid adaptation of professional dentists to deal with non-vaccinated pediatric patients and reinforced the better preparation and requirements for such challenges in the future.

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Dental Emergencies during the COVID-19 No Aversion Therapy Centers

Cited by 7 publications

References 0 publications

Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Oral Health Care Delivery for Children During COVID-19 Pandemic—A Retrospective Study

Pediatric Dental Emergency Visits and Treatment during Lockdown in the COVID-19 Pandemic: A Retrospective Study

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