The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown

Phadraig, Caoimhin Mac Giolla; Harten, Maria Van; Diniz‐Freitas, Márcio; Posse, Jacobo Limeres; Faulks, Denise; Dougall, Alison; Dios, Pedro Diz; Daly, Bobby

doi:10.4317/medoral.24742

Cited by 15 publications

(11 citation statements)

References 29 publications

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“…In Saudi Arabia, researchers have focused on similar barriers associated with SES, including transportation difficulties, late appointment scheduling, fear of dental treatment, lack of perceived needs and/or awareness, limited knowledge of the health care system, and financial care costs [9][10][11]. Recently, the COVID-19 pandemic has created additional factors that negatively impact oral health care for children, including those pertaining to accessibility, care barriers, and dental neglect [12,13].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Children Receiving Treatment at Emergency Dental Clinics: A Case-Control Study

Sabbagh

Albeladi

Altabsh

et al. 2023

IJERPH

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(1) Background: The process of managing children at the emergency dental clinic (ER-C) is a difficult challenge. This matched case-control study assessed risk factors associated with children visiting the ER-C compared to visits at the regular dental clinic (RD-C). (2) Methods: The participants included 421 children aged three to 12 years who were recruited at the ER-C (cases) and RD-C (controls) at King Abdulaziz University Dental Hospital, with each group matched for gender and age. A data-collection form was developed and validated in both Arabic and English, containing the following four sections: DMFT/dmft index, Frankl’s behaviour rating scale, Dental Neglect Scale, and Dental Care Barriers questionnaire. (3) Results: The ER-C (vs RD-C) group showed significantly more uncooperative behaviour (p = 0.002), a higher total mean dental neglect score (p = 0.003), and a higher dental barrier score (p < 0.001). Binary regression analysis showed that those making their first visit (AOR: 2.65, p < 0.001) and with higher dental barriers (AOR: 1.121, p < 0.001) were statistically significantly more associated with ER-C visitation. (4) Conclusion: These findings suggest that children who visit the ER-C are more prone to dental care barriers, uncooperative behaviour, and dental neglect, thus highlighting the importance of encouraging and planning their attendance to ensure optimal dental care.

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Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Children Receiving Treatment at Emergency Dental Clinics: A Case-Control Study

Sabbagh

Albeladi

Altabsh

et al. 2023

IJERPH

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show abstract

“…In line with this, most dental services in the majority of countries were suspended, and dental care was limited to emergency visits only [ 11 , 12 ]. The resultant delays in diagnosis and management of dental diseases led to devastating consequences in oral health conditions [ 13 , 14 ]. This prompted DPs to resort to the use of alternative means (mainly phones, WhatsApp, and video conferencing) in order to follow up with their patients, provide dental advice, and even prescribe medications to emergency cases [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Teledentistry—Knowledge, Practice, and Attitudes of Dental Practitioners in Saudi Arabia: A Nationwide Web-Based Survey

et al. 2021

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The present survey assessed the knowledge, attitudes, and practice of teledentistry (TD) among dental practitioners in Saudi Arabia. This questionnaire-based cross-sectional study was conducted with dental interns and practicing dentists in Saudi Arabia. An online questionnaire was sent to all potential respondents. Questions related to knowledge, practice, attitudes, and training regarding TD were presented. A total of 603 (227 dental interns, 376 practicing dentists) completed the questionnaire. Generally, the participants revealed poor knowledge and practice of TD, with only 38% having heard about TD and only one-quarter of the sample (23.2%) reporting practicing TD at their current workplace. However, most of the participants expressed positive attitudes and a willingness to practice TD in the future. Specialists and those in practice for >5 years showed significantly better knowledge and practice of TD than general dentists and those with lesser clinical experience (p < 0.01). While only one-fifth of the participants (20.2%) reported having attended a workshop/lecture about TD, the majority (69.7%) felt that they needed training on TD. The results revealed poor knowledge, practice, and training with regard to TD among practicing dentists in Saudi Arabia. However, the positive attitude expressed by most of the participants towards practicing TD in the future is an encouraging sign for dental educators and planners of oral health care. Continuous education through periodic workshops and training courses on TD is crucial to improve dentists’ knowledge, practice, and attitudes towards TD. Integration of TD topics into undergraduate/postgraduate curricula is highly recommended. Special attention should be directed to training general dental practitioners and junior dentists.

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“…The reduction in dental care was based on limitations in resources, dental practitioners available to attend to disabled persons, and the number of disabled persons seeking dental care during the lockdown period [25]. This scenario corroborates perspectives on the oral health of disabled persons in the post-COVID-19 era, hypothesizing a worsening of oral health status/OHRQoL during the pandemic period and an increased burden for dental care thereafter [28,29].…”

Section: Discussionmentioning

confidence: 53%

“…In relation to the COVID-19 pandemic, it was expected that it would affect the outcome of temporal trends, as sanitary restrictions to contain the spread of SARS-CoV-2 impacted the provision of dental care for disabled persons globally [27,28]. However, it is possible that this impact was greater on inpatient compared to outpatient dental care, as the COVID-19 scenario was often associated with hospitalizations, which may have more significantly limited the flow of disabled persons requiring dental care under general anesthesia or sedation [27].…”

Section: Discussionmentioning

confidence: 99%

Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil’s Public Healthcare System from 2014 to 2023

Lima,

de Freitas Miranda-Filho,

Moura

et al. 2024

IJERPH

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This study evaluated territorial disparities in dental care for disabled persons in Brazil’s public healthcare system from 2014 to 2023. The person-year incidence of outpatient dental procedures carried out by special care dentistry specialists and hospitalizations for dental procedures for disabled persons were compared across different regions and against the national estimate. In addition, productivity was correlated with oral health-related indicators. The significance level was set at 5%. The northern region exhibited the highest outpatient productivity, while the southern region showed lower productivity compared to the national estimate (both p-value < 0.05). This pattern was reversed in inpatient productivity (both p-value < 0.05), with the northeastern and central–western regions also below average (both p-value < 0.05). There were no significant correlations between the indicators and inpatient productivity, but outpatient productivity was positively correlated with the proportions of inhabitants who self-rated their general and oral health as “poor” or “very poor”, who have never visited a dentist, and who visited a dentist for tooth extraction (all p-values < 0.05). Territorial disparities in dental care for disabled persons were observed within Brazil’s public healthcare system, and they were correlated with unfavorable oral health-related indicators at the population level.

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The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown

Cited by 15 publications

References 29 publications

Risk Factors Associated with Children Receiving Treatment at Emergency Dental Clinics: A Case-Control Study

Risk Factors Associated with Children Receiving Treatment at Emergency Dental Clinics: A Case-Control Study

Teledentistry—Knowledge, Practice, and Attitudes of Dental Practitioners in Saudi Arabia: A Nationwide Web-Based Survey

Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil’s Public Healthcare System from 2014 to 2023

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