Impact of COVID-19 on Dental Care Utilization and Oral Health Conditions in the United States

Choi, Sung Eun; Mo, E; Sima, Corneliu; Wu, H; Thakkar‐Samtani, Madhuli; Tranby, Eric; Frantsve‐Hawley, Julie; Barrow, Jane

doi:10.1177/23800844231165016

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…This may be due to the difference in the profile of patients arriving to dental clinics during the pandemic. During lockdown periods dental clinics provided mainly urgent treatment for acute painful conditions and most subjects avoided in-office consultations for non-painful conditions [54]. The fact that the prevalence of painful and non-painful TMD during the pandemic was almost similar in both genders further supports this notion.…”

Section: Discussionmentioning

confidence: 84%

The continuous adverse impact of COVID-19 on temporomandibular disorders and bruxism: comparison of pre- during- and post-pandemic time periods

Shalev-Antsel,

Winocur-Arias,

Friedman-Rubin

et al. 2023

BMC Oral Health

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Introduction Some of the conditions affected by the COVID-19 pandemic were Temporomandibular Disorders (TMD) and bruxism. The present study compares the effect of the pandemic on TMD and bruxism (sleep and awake) in three time periods: before the pandemic (pre-COV), during the pandemic (during-COV) and after the pandemic subsided (post-COVR). Material and Methods A total of 587 adult patients (108 in the pre-COV group, 180 in the during-COV group and 252 in the post-COVR group) who arrived for a routine dental treatment between October 2018 and January 2023 were evaluated according to Axis I diagnosis of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Each patient received a DC/TMD Axis I diagnosis as follows: (i) Painful TMD (defined by the presence of at least one of the following - local myalgia, myofascial pain with referral, arthralgia or headache attributed to TMD); (ii) Non painful TMD (defined by the presence of disc displacement with/without reduction, degenerative joint disorders and/or dislocation), (iii) Possible sleep bruxism (SB) and/or (iv) Possible awake bruxism (AB). Statistical methods Logistic regression analyses were conducted to establish the impact of time and gender on the prospects of painful TMD, non-painful TMD, SB and AB. Results The odds of subjects to be diagnosed with painful TMD at the post-COVR era were 3.3 times higher compared to the pre-pandemic time period (pre-COV, 95% C.I. 1.438–7.585). The odds of subjects to be diagnosed with non-painful TMD during-COV were 4 times higher compared to the pre-COV era (95% C.I. 1.332–12.542). The odds of subjects to present possible SB at post-COVR were 2.7 times higher compared to pre-pandemic (pre-COV, 95% C.I. 1.258–5.889, p < 0.05) and the odds to present possible AB after the pandemic subsided (post-COVR) were 3.2 times compared to the pre-pandemic period (95% C.I. 1.496–6.949). The odds of female subjects to be diagnosed with either painful or non-painful TMD were 3.7–4.4 times higher, compared to males. Conclusions Results indicate that with regard to TMD and bruxism the pandemic adverse effects persist also after COVID-19 subsides and the restrictions caused by it are abolished. Apparently, during the pandemic females were affected more seriously by painful and non-painful TMD than males.

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Section: Discussionmentioning

confidence: 84%

The continuous adverse impact of COVID-19 on temporomandibular disorders and bruxism: comparison of pre- during- and post-pandemic time periods

Shalev-Antsel,

Winocur-Arias,

Friedman-Rubin

et al. 2023

BMC Oral Health

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“…The COVID-19 pandemic had an impact on the accessibility of dental services by people which had a devastating effect on the oral health of the people. 14 This study was conducted to explore the experiences and general attitudes of people during the COVID-19 pandemic. With the closure of clinics, the people looked for alternate solutions to their problems.…”

Section: Discussionmentioning

confidence: 99%

“…People in the United States reported the impact of COVID-19 on the oral health of the public, they faced difficulty in scheduling appointments and worsened their hygiene and eating habits. 14 Several studies reported an increase in sugar consumption. Most studies concluded that there was an increase in the provision and utilization of emergency oral health services like tooth extractions, and orthodontic emergencies.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge of Oral Hygiene Practices during Pandemic and its Post-COVID-19 Impact: A Survey-Based Study

Chawla,

Arif,

Jain

et al. 2024

J. Young Pharm.

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Objectives:The main objective of the study was to assess Knowledge of oral hygiene practices during the pandemic and its post-COVID-19 impact among the community of Delhi and NCR region. Materials and Methods: A cross-sectional online survey was conducted among the local population of Delhi and NCR during April and May of 2022. Links to the survey were sent by email and several social media platforms, including WhatsApp. Before answering any questions on the questionnaire, participants were asked to read the study's information and provide their informed permission. Results: A total of 516 people did the survey and their responses were included in data analysis. 78 (15.12) agreed and 379 (73.455) said no access and 59(11.43%) said not always with a p-value˂0.05. 464 (89.92%) agreed that they experienced anxiety and fear during COVID-19 related to their oral hygiene whereas 52 (10.08%) did not, with p-value˂0.05. 406 (76.68%) agreed on receiving guidance and recommendations from a dental or a health professional to maintain or improve oral health during COVID-19 whereas 110 (21.32%) disagreed with p-value˂0.05. Conclusion: Teledentistry was merely used; its use must be encouraged to provide online services to patients in such a pandemic situation. Yet people tried to change their oral hygiene habits and diet to improve their oral health.

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“…These individuals were reported to be more likely to experience surgery visits and less likely to experience preventive and restorative visits. 20 Although tele dentistry became more common during the coronavirus period, providing dental consultation, instructions, and treatment planning, it coincided with a decrease in the overall number of dental visits. Patients received delayed treatment during this time, which resulted in more invasive procedures.…”

Section: Covid-19mentioning

confidence: 99%

“…These obstacles during the COVID-19 period all contributed to the dental status of US individuals. 20…”

Section: Covid-19mentioning

confidence: 99%

Influence of disabilities on state‐level disparity in dental care utilization and tooth loss: Findings from the 2020 Behavioral Risk Factor Surveillance System

Binmogren,

Alshathri,

Alhamdan

et al. 2023

Special Care in Dentistry

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IntroductionThe aim of this study is to describe the prevalence of disparity in access to dental care and tooth loss between US adults with and without disabilities at the state level.MethodsThis secondary analysis included data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS), a cross‐sectional state‐run annual telephone survey of noninstitutionalized US adults aged 18 years or older. The primary predictor, having any disability, was defined as reported difficulty in hearing, vision, cognition, mobility, self‐care, or independent living. The two dental outcomes used were reported time since last dental visit and missing teeth status. We conducted descriptive analysis and multinomial regression models on weighted data to report the prevalence and state‐level disparity in dental outcomes between individuals with and without disability.ResultsNationally, one in four adults reported a disability, with a disproportionately higher prevalence among females, Native Americans and lower education and income groups. The highest utilization of dental services within a year among individuals with disabilities was found in the Northwestern and Midwestern states. Western states had the highest proportion of individuals with disability to have had a recent dental visit and a complete dentition, while the Southern states had the lowest proportions. After adjusting for sociodemographic factors, 59.1% of individuals with disabilities had dental visits within a year, which is 8.0% points less than those without disabilities. Similarly, only 50.8% of individuals with a disability had complete tooth retention, which is 10.1% points less than individuals without disability. Regardless of the type of disability, adults with a disability were less likely to have visited the dentist in the past year or to have retained all of their teeth. Those with self‐care disabilities had the lowest rates of both.ConclusionThere were clear disparities in the utilization of dental care and dentate status among adults with disabilities at the state level. The findings from this study highlighted the necessity of finding local solutions to address the gap in dental care utilization and tooth loss between those with and without disability among the US population.

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Impact of COVID-19 on Dental Care Utilization and Oral Health Conditions in the United States

Cited by 5 publications

References 20 publications

The continuous adverse impact of COVID-19 on temporomandibular disorders and bruxism: comparison of pre- during- and post-pandemic time periods

The continuous adverse impact of COVID-19 on temporomandibular disorders and bruxism: comparison of pre- during- and post-pandemic time periods

Assessment of Knowledge of Oral Hygiene Practices during Pandemic and its Post-COVID-19 Impact: A Survey-Based Study

Influence of disabilities on state‐level disparity in dental care utilization and tooth loss: Findings from the 2020 Behavioral Risk Factor Surveillance System

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