Reasons for applying to pediatric dental clinics during coronavirus disease 2019 pandemic

Document Type : Original Article

Authors

1 Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey

2 Assistant Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey

Abstract

BACKGROUND AND AIM: The coronavirus disease 2019 (COVID-19) pandemic has caused changes in both patient profile and dental services due to the high risk of COVID-19 transmission in dental clinics. This study aimed to investigate the effect of the COVID-19 pandemic on the reasons for applying to the pediatric dental clinics.
METHODS: During the COVID-19 pandemic, a questionnaire was given to the parents of systemically healthy children aged 1-14 years who applied to the paedodontics clinics for oral examinations. The families were asked about their sociodemographic status, reasons for the application, and their opinions about the pandemic. The obtained data were analyzed using chi-square, Kruskal-Wallis, Spearman’s rank correlation, and binary logistic regression analysis tests.
RESULTS: While the most common reason for presentation was toothache (49.8%), the percentage of the patients who applied to the Pediatric Dental Clinic, School of Dentistry, Inönü University, Malatya, Turkey, with urgent reasons was 58.2%. There was an increase in the urgent application in children with low income and younger children (P < 0.010).
A negative correlation was found between the urgent applications and income level (r = -0.100, P = 0.014).
CONCLUSION: In the COVID-19 and similar outbreaks that may occur in the future, it is of great importance for pediatric dentists to be able to effectively manage urgent applications in children to protect public health and reduce contamination.

Keywords

Main Subjects


  1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382(8): 727-33.
  2. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 2020; 579(7798): 270-3.
  3. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species severe acute respiratory syndrome-related coronavirus: Classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol 2020; 5(4): 536-44.
  4. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020; 91(1): 157-60.
  5. Peiris JS, Yuen KY, Osterhaus AD, Stohr K. The severe acute respiratory syndrome. N Engl J Med 2003; 349(25): 2431-41.
  6. Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc 2004; 135(4): 429-37.
  7. To KK, Tsang OT, Yip CC, Chan KH, Wu TC, Chan JM, et al. Consistent detection of 2019 novel coronavirus in saliva. Clin Infect Dis 2020; 71(15): 841-3.
  8. Gamio L. The Workers Who Face the Greatest Coronavirus Risk [Online]. [cited 2020 Mar 15]; Available from: URL. https://www.nytimes.com/interactive/2020/03/15/business/economy/coronavirus-worker-risk.html
  9. Del RC, Malani PN. COVID-19-new insights on a rapidly changing epidemic. JAMA 2020; 323(14): 1339-40.
  10. Centers for Disease Control and Prevention. Guidance for Dental Settings [Online]. [cited 2020 Dec 4]; Available from: URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
  11. Mantovani A, Rinaldi E, Zusi C, Beatrice G, Saccomani MD, Dalbeni A. Coronavirus disease 2019 (COVID-19) in children and/or adolescents: A meta-analysis. Pediatr Res 2021; 89(4): 733-7.
  12. Paglia L. Paediatric dentistry and Covid-19: What's next? Eur J Paediatr Dent 2020; 21(4): 257.
  13. Acharya S, Singh B, Godhi B, Godhi B, Pandey S. How to deal and learn from the threat of COVID-19 in paediatric dentistry. Eur J Paediatr Dent 2020; 21(3): 173-5.
  14. Ilyas N, Agel M, Mitchell J, Sood S. COVID-19 pandemic: The first wave - an audit and guidance for paediatric dentistry. Br Dent J 2020; 228(12): 927-31.
  15. Centers for Disease Control and Prevention. Recommendations for patients with suspected or confirmed COVID-19 [Online]. [cited 2020 Dec 4]; Available from: URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html#section-2
  16. Duruk G, Gumusboga ZS, Colak C. Investigation of Turkish dentists' clinical attitudes and behaviors towards the COVID-19 pandemic: A survey study. Braz Oral Res 2020; 34: e054.
  17. ADA Center for Professional Success. What Constitutes a Dental Emergency? [Online]. [cited 2021 Mar 30]; Available from: URL:

https://success.ada.org/~/media/CPS/Files/Open%20Files/ADA_COVID19_Dental_Emergency_DDS.pdf?utm_source=adaorg&utm_medium=covid-statement-200401&utm_content=cv-pm-dental-emergency&utm_campaign=covid-19

  1. Bai J, Xu T, Ji AP, Sun W, Huang MW. Impact of COVID-19 on oral emergency services. Int Dent J 2021; 71(1): 27-31.
  2. Duruk G, Akküç S, Gümüsboga ZS. Children's primary dental treatment needs according to their parents. Pesqui Bras Odontopediatria Clín Integr 2021; 21: e0201.
  3. Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci 2020; 15(4): 564-7.
  4. Yu J, Zhang T, Zhao D, Haapasalo M, Shen Y. Characteristics of endodontic emergencies during coronavirus disease 2019 outbreak in Wuhan. J Endod 2020; 46(6): 730-5.
  5. Kamalova MK, Fomenko IV, Dmitrienko DS, Matvienko NV, Arjenovskaya EN, Gevorkyan AG, et al. Reasons for 1-17-year-old children to visit a dentist during the covid-19 pandemic. Eur J Mol Clin Med 2020; 7(7): 546-58.
  6. Yang F, Yu L, Qin D, Hua F, Song G. Online consultation and emergency management in paediatric dentistry during the COVID-19 epidemic in Wuhan: A retrospective study. Int J Paediatr Dent 2021; 31(1): 5-11.
  7. Shqair AQ, Gomes GB, Oliveira A, Goettems ML, Romano AR, Schardozim LR, et al. Dental emergencies in a university pediatric dentistry clinic: A retrospective study. Braz Oral Res 2012; 26(1): 50-6.
  8. Ortiz AS, Tomazoni F, Knorst JK, Ardenghi TM. Influence of socioeconomic inequalities on levels of dental caries in adolescents: A cohort study. Int J Paediatr Dent 2020; 30(1): 42-9.
  9. Sandstrom A, Cressey J, Stecksen-Blicks C. Tooth-brushing behaviour in 6-12 year olds. Int J Paediatr Dent 2011; 21(1): 43-9.