Paediatric Dentistry and the coronavirus (COVID-19) response in the North East of England and North Cumbria

Simpsons, Sarah; Sumner, Oliver; Holliday, Richard; Currie, Charlotte C; Hind, Virginia; Lush, N. C. H.; Burbridge, Lucy; Cole, Ben

doi:10.1101/2020.06.02.20114967

Cited by 10 publications

(12 citation statements)

References 8 publications

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“…Restless, crying children spread more aerosol compared to calm children, so appropriate and skillful behavior management is the first and most important basic technique to minimize the probability of SARS-CoV-2 cross-infection. Dental care to children involves various methods for behavior management, including inhaled or conscious sedation, which were a subject of controversy during COVID-19 outbreak; for example, Simpson et al ( 15 ) avoided inhalation sedation due to difficulties disinfecting the reusable nasal hoods and tubing. This led them to use non-pharmacologic behavior management techniques which they reported effective in over a third of patients who needed extraction and trauma management under local anesthesia ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…Dental care to children involves various methods for behavior management, including inhaled or conscious sedation, which were a subject of controversy during COVID-19 outbreak; for example, Simpson et al ( 15 ) avoided inhalation sedation due to difficulties disinfecting the reusable nasal hoods and tubing. This led them to use non-pharmacologic behavior management techniques which they reported effective in over a third of patients who needed extraction and trauma management under local anesthesia ( 15 ). We have used a higher rate of non-pharmacologic behavior management during lockdown compared with the other periods, as less patients were treated with nitrous oxide (either exclusively or combined with oral sedative) at lockdown.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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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“…Carter et al have reported the acute pulpitis and periapical diseases as the most common complaints of adult and pediatric patients in urgent dental care centres of Newcastle Dental Hospital during COVID-19 [6]. Another study claimed the irreversible pulpitis and dental trauma to be the most frequent diagnoses in pediatric patients in an Urgent Dental Care Centre in the North East of England and North Cumbria [21].…”

Section: Introductionmentioning

confidence: 99%

Association of COVID-19-imposed lockdown and online searches for toothache in Iran

Sofi‐Mahmudi¹,

Shamsoddin²,

Ghasemi

et al. 2021

BMC Oral Health

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Background Novel coronavirus disease-2019 (COVID-19) has impacted populations in many ways worldwide, including access to oral health services. This study aims to assess the association between lockdown due to COVID-19 and online searches for toothache in Iran using Google Trends (GT). Methods We investigated GT online searches for toothache within the past five years. The time frame for data gathering was considered as the initiation and end dates of the national lockdown in Iran. We performed one-way ANOVA statistical test to compare relative search volumes (RSVs) between the year 2020 and 2016–2019 for the whole country. Then we investigated the possible association of RSVs in provinces with dentists’ density, prevalence of current daily smokers, Human Development Index (HDI), Internet access, and fluoride concentration in water using linear regression. Results When comparing 2020 with the previous four years, there was a rise of 2020 RSVs versus all previous years combined and each year (P < 0.001 for all of them). In the linear model for the year 2020, HDI (B = − 3.29, 95% CI: (− 5.80, − 0.78), P = 0.012) had a strong negative relationship with provincial RSVs. HDI mostly had strong positive relationship with provincial RSVs in prior years. Fluoride concentration (B = − 0.13, 95% CI: (− 0.24, − 0.03), P = 0.017) and dentists’ density (B = − 0.04, 95% CI: (− 0.25, 0.17), P = 0.669) were also negatively associated with RSVs in 2020. These associations were mostly negative in the previous years as well. Internet access (B = 0.36, 95% CI: (− 0.38, 1.09), P = 0.325) and prevalence of daily smokers (B = 0.33, 95% CI: (0.13, 0.53), P = 0.002) were positively associated with RSVs. Conclusion The RSVs for toothache in 2020 have increased due to COVID-19-imposed lockdown compared with the same period in the past four years. This increase was related to socioeconomic factors.

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“…6 Another study claimed the irreversible pulpitis and dental trauma to be the most frequent diagnoses in pediatric patients in an Urgent Dental Care Centre in the North East of England and North Cumbria. 21 Iran is no exception to this, and the trend seems to be the same due to 55.5% of Internet accessibility (in 2015). 22 Further, poor to the fair oral health status of the general population and especially among 35 - to 44-year-old adults in Iran could reinforce the need for urgent dental services in the country.…”

Section: Introductionmentioning

confidence: 96%

Association of COVID-19-imposed lockdowns and online searches for toothache in Iran

Sofi‐Mahmudi¹,

Shamsoddin²,

Ghasemi

et al. 2020

Preprint

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Objective: To assess the association between the lockdowns due to COVID-19 and online searches for toothache in Iran using Google Trends (GT). Methods: We investigated GT online searches for the search term دندان درد within the past five years. The time frame for data gathering was considered as the initiation and end dates of lockdown in Iran. Relative search volumes (RSVs) for online Google Search queries in 2019 was considered as the control. We performed one-way ANOVA statistical test to identify whether there is a statistical difference for RSV scores between the year 2020 and 2016-2019 for the whole country. Then we investigated the possible association of RSVs in provinces with dentists density, prevalence of current daily smokers, Human Development Index (HDI), Internet access, and fluoride concentration in water with linear regression. A p-value<0.05 was considered as statistically significant. Results: When comparing 2020 with previous four years, there is a statistically significant difference between RSVs of 2020 with all previous years combined and each of these years (P<0.001 for all of them). In the linear model for the year 2020, HDI (B=-3.29, 95% CI: (-5.80, -0.78), P=0.012), fluoride concentration (B=-0.13, 95% CI: (-0.24, -0.03), P=0.017), and prevalence of daily smokers (B=0.33, 95% CI: (0.13, 0.53), P=0.002) were significantly associated with RSVs. These covariates were not statistically significant for other years, except for Internet access in 2016 (B=-1.13, 95% CI: (-2.26, 0.00), P=0.050). Conclusion: The RSVs for toothache in 2020 have significantly increased due to COVID-19-imposed lockdowns compared to the same period of the year in the past four years. knowing that this period mostly overlaps with the national holidays of Nowruz in Iran, reinforces the impacts of lockdowns on people CSB about toothache. In the subnational scale, the RSVs were significantly correlated with HDI, fluoride concentration, and number of daily smokers which emphasizes the role of socioeconomic factors in dental health and care-seeking behaviour.

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Paediatric Dentistry and the coronavirus (COVID-19) response in the North East of England and North Cumbria

Cited by 10 publications

References 8 publications

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

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

Association of COVID-19-imposed lockdown and online searches for toothache in Iran

Association of COVID-19-imposed lockdowns and online searches for toothache in Iran

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