Re: Maxillofacial Surgery and COVID-19, the Pandemic!

Jayasuriya, Nadeena Sri Swarnagupta; Perera, Irosha; Ratnapreya, Sakuntha

doi:10.1007/s12663-020-01424-w

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…Accordingly, in line with clinical practice restrictions around the world [4][5][6][7][8][9], providing routine dental treatment which involved aerosol-generating procedures was temporarily suspended. However, like many other countries, essential oral cancer and OMF trauma retained priority care status [22][23][24][25] in Sri Lanka. Hence, all OMF injury cases who presented to the Emergency Treatment Unit (ETU) of National Dental Hospital (Teaching) Sri Lanka (NDHTSL), which is the country's premier, multispecialty tertiary care public dental hospital, were treated.…”

Section: Introductionmentioning

confidence: 99%

Pattern and Causes of Oral and Maxillofacial Injuries Presented to a Tertiary Care Public Dental Hospital in Strictly Imposed COVID-19 Lockdown Scenario

Surendra

Perera

Ranasinghe

et al. 2020

Oral

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The unprecedented COVID-19 pandemic has indelibly impacted routine healthcare provision across the globe. Nevertheless, management of traumatic injuries has remained a priority patient care service of oral and maxillofacial (OMF) practice. This study aimed to explore the pattern and mechanisms of OMF injuries presenting at a major public dental hospital during a COVID-19 lockdown period in Sri Lanka. An enhanced OMF injury surveillance system was established at the National Dental Hospital (Teaching) Sri Lanka (NDHTSL) on 1 March 2020. OMF injury surveillance data from 1 March 2020 to 31 May 2020 were collated from the “enhanced injury surveillance form”. This period overlapped with the strictly imposed island-wide COVID-19 community lockdown. Pre-COVID-19 period (November 2017 to January 2020) OMF injury data were compared with this period. OMF injuries were categorized as hard tissue, extra-oral or intra-oral soft tissue, upper and middle face fractures and mandibular fractures. Data were analyzed with descriptive statistics, Fisher’s exact and Chi-square tests of significance. A total of 361 OMF injuries were identified among 208 patients who were predominantly males (71.6%); mean age was 24.95 ± 2.76 years. Injuries to gingivae and oral mucosa (26.9%) were the leading type, followed by extra-oral soft tissues (22.1%), periodontal injuries (20.7%) and hard tissue injuries (20.2%). Upper face and mandibular fractures accounted for 2.9% and 1.9%, respectively. Most patients sustained their injuries due to falls at their homes and surrounds. This was significantly increased compared to the pre-COVID-19 period (p = 0.0001). The significant increase in OMF injuries associated with falls around the home during the COVID-19 lockdown scenario in Sri Lanka compared to the pre-COVID-19 period may need further investigation in order to understand the how these injuries may be prevented.

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Section: Introductionmentioning

confidence: 99%

Pattern and Causes of Oral and Maxillofacial Injuries Presented to a Tertiary Care Public Dental Hospital in Strictly Imposed COVID-19 Lockdown Scenario

Surendra

Perera

Ranasinghe

et al. 2020

Oral

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“…Moreover, fluoride gel and varnish applications, simple fillings and fissure sealant applications were performed for selected children while addressing their painful teeth to augment further prevention of emergency dental visits due to acute exacerbations of dentoalveolar infections. This fostered stay-home-stay-safe strategy fundamental to containment of spread of COVID-19 [11,12]. Those complied with the international guidelines on paediatric dentistry that emphasized triaging and exclusive treatment for emergency cases by minimizing aerosol generation procedures underpinned by case-base selection of biological, non-invasive, or minimally invasive treatment methods [13].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2021

IPDOAJ

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BackgroundCOVID-19 denotes an unprecedented persistent global public health challenge transforming health care delivery towards triaging and redefining of treatment priorities [1]. Providing emergency health care for patients while streamlining resources for managing COVID-19 epidemic has become the overarching goal of health administrators. Sri Lanka is a lower-middle-incomedeveloping country, possessing an efficiently pro-poor public health care delivery model [2]. Oral health care services are closely being integrated into the existing public health care delivery model from outpatient dental care to specialized care [3]. Oral health is fundamental to performing vital daily functions such as eating, speaking, and sleeping. A community's opportunity to access to dental care, therefore, is considered to be a fundamental human right [4]. Early childhood dental caries (ECC) denotes one of the most common chronic childhood diseases [5] often goes untreated giving rise to late sequalae such as symptomatic pulp exposed teeth and frequent dento-alveolar infections. Consequently, such conditions give rise to emergency visits of children having dental pain and swelling [6]. Less optimal oral hygiene practices, cariogenic dietary patterns and lack of availability and accessibility to preventive oral health care services are the major determinants of dento-alveolar infections among children [7]. Untreated childhood dental caries, hence, constitutes one of the common unmet health needs in children especially from socially disadvantaged and culturally diverse backgrounds [8]. Preventive oral health package tailored to such children could make them "low risk" thereby preventing and controlling frequent emergency dental visits. This model has catered to high caries risk urban children in the Colombo Municipal Council area [9,10] identified as one of the high-risk zones for COVID-19 epidemic in the Colombo district. National Dental Hospital (Teaching) Sri Lanka is the premier multi-specialty tertiary care public dental hospital in the country. In this backdrop,

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“…Copyrights @ Irosha Perera, et al Inter Ped Dent Open Acc J Moreover, fluoride gel and varnish applications, simple fillings and fissure sealant applications were performed for selected children while addressing their painful teeth to augment further prevention of emergency dental visits due to acute exacerbations of dentoalveolar infections. This fostered stay-home-stay-safe strategy fundamental to containment of spread of COVID-19 [11,12]. Those complied with the international guidelines on paediatric dentistry that emphasized triaging and exclusive treatment for emergency cases by minimizing aerosol generation procedures underpinned by case-base selection of biological, non-invasive, or minimally invasive treatment methods [13].…”

Section: Volume 5 -Issuementioning

confidence: 99%