The Impact of the First Wave of the COVID-19 Pandemic on Providing Special Care Dentistry: A Survey for Dentists
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Geographical Area | Frequency | Percent |
---|---|---|
Africa * | 3 | 0.7 |
Asia (except Near East) * | 34 | 7.8 |
Europe | 176 | 40.4 |
Latin America and the Caribbean | 101 | 23.2 |
North America | 93 | 21.3 |
Near East * | 19 | 4.4 |
Oceania * | 10 | 2.3 |
Total | 436 | 100.0 |
Lockdown Length (LDL) | Africa | Asia * | Europe | Latin America and the Caribbean | North America | Near East | Oceania | Total | |
---|---|---|---|---|---|---|---|---|---|
>8 weeks | N dentists | 1 | 22 | 102 | 49 | 48 | 6 | 5 | 233 |
% within >8 week LDL | 0.4 | 9.4 | 43.8 | 21.0 | 20.6 | 2.6 | 2.1 | 100.0 | |
% of Total | 0.2 | 5.0 | 23.4 | 11.2 | 11.0 | 1.4 | 1.1 | 53.4 | |
6–8 weeks | N dentists | 0 | 3 | 62 | 9 | 30 | 7 | 4 | 115 |
% within 6–8 week LDL | 0.0 | 2.6 | 53.9 | 7.8 | 26.1 | 6.1 | 3.5 | 100.0 | |
% of Total | 0.0 | 0.7 | 14.2 | 2.1 | 6.9 | 1.6 | 0.9 | 26.4 | |
<6 weeks | N dentists | 2 | 2 | 11 | 17 | 10 | 4 | 1 | 47 |
% within <6 week LDL | 4.3 | 4.3 | 23.4 | 36.2 | 21.3 | 8.5 | 2.1 | 100.0 | |
% of Total | 0.5 | 0.5 | 2.5 | 3.9 | 2.3 | 0.9 | 0.2 | 10.8 | |
No lockdown | N dentists | 0 | 7 | 1 | 26 | 5 | 2 | 0 | 41 |
% no lockdown | 0.0 | 17.1 | 2.4 | 63.4 | 12.2 | 4.9 | 0.0 | 100.0 | |
% of Total | 0.0 | 1.6 | 0.2 | 6.0 | 1.1 | 0.5 | 0.0 | 9.4 | |
Total | N dentists | 3 | 34 | 176 | 101 | 93 | 19 | 10 | 436 |
% of Total | 0.7 | 7.8 | 40.4 | 23.2 | 21.3 | 4.4 | 2.3 | 100.0 |
Participants’ COVID-19 Status | Responding Dentists | Other Dental Team Members | ||
---|---|---|---|---|
Responses | Percent of Cases | Responses | Percent of Cases | |
Quarantine/Self-isolation | 129 | 29.6 | 249 | 57.1 |
Symptoms suggesting COVID-19 | 35 | 8.0 | 112 | 25.7 |
Tested for SARS-CoV-2 and/or for SARS-CoV-2 antibody titers | 141 | 32.3 | 203 | 46.6 |
Confirmed COVID-19 diagnosis | 11 | 2.5 | 87 | 20.0 |
Hospitalized due to COVID-19 symptoms | 1 | 0.2 | 9 | 2.1 |
Not tested for COVID-19 | 254 | 58.3 | 75 | 17.2 |
Changes in Clinical Activity | Responding Dentists | |
---|---|---|
Responses | Percent of Cases | |
Increased professional activity | 12 | 2.8 |
Maintained professional activity | 79 | 18.1 |
Reduced professional activity to urgent care, using face-to-face and teletriage | 234 | 53.7 |
Reduced professional activity to urgent care, using teletriage only | 62 | 14.2 |
Stopped all professional activity | 49 | 11.2 |
Protective Measures against SARS-CoV-2 | Total | Europe | Latin America and the Caribbean | North America | Others | p * |
---|---|---|---|---|---|---|
Responses (% of Cases) | Responses (% of Cases) | Responses (% of Cases) | Responses (% of Cases) | Responses (% of Cases) | ||
Increased the waiting time between patients to allow for cross-infection control measures | 344 (78.8) | 146 (83.0) | 90 (89.1) | 60 (64.5) | 49 (74.2) | <0.001 |
Avoided generating aerosols whenever possible | 343 (78.6) | 137 (77.8) | 84 (83.2) | 65 (69.9) | 58 (87.9) | 0.030 |
Used high-power suction whenever possible | 271 (62.1) | 108 (61.4) | 50 (49.5) | 75 (80.6) | 39 (59.1) | <0.001 |
Used rubber dam whenever appropriate and possible | 122 (51.3) | 86 (48.9) | 44 (43.6) | 51 (54.8) | 43 (65.2) | 0.039 |
Opened windows after aerosol-generating procedures | 210 (48.1) | 111 (63.1) | 67 (66.3) | 7 (7.5) | 26 (39.4) | <0.001 |
Changed the usual composition of any pre-procedural mouth rinses | 172 (39.4) | 51 (29.0) | 35 (34.7) | 56 (60.2) | 30 (45.5) | <0.001 |
Altered the use of air-conditioning in the dental surgery | 122 (27.9) | 58 (33.0) | 39 (38.6) | 14 (15.1) | 11 (16.7) | <0.001 |
Used additional filters or air decontamination machines after aerosol-generating procedures | 91 (20.8) | 18 (10.2) | 12 (11.9) | 45 (48.4) | 16 (24.2) | <0.001 |
Used an aerosol box shield | 34 (7.7) | 7 (4.0) | 11 (10.9) | 8 (8.6) | 8 (12.1) | 0.082 |
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Limeres Posse, J.; van Harten, M.T.; Mac Giolla Phadraig, C.; Diniz Freitas, M.; Faulks, D.; Dougall, A.; Daly, B.; Diz Dios, P. The Impact of the First Wave of the COVID-19 Pandemic on Providing Special Care Dentistry: A Survey for Dentists. Int. J. Environ. Res. Public Health 2021, 18, 2970. https://doi.org/10.3390/ijerph18062970
Limeres Posse J, van Harten MT, Mac Giolla Phadraig C, Diniz Freitas M, Faulks D, Dougall A, Daly B, Diz Dios P. The Impact of the First Wave of the COVID-19 Pandemic on Providing Special Care Dentistry: A Survey for Dentists. International Journal of Environmental Research and Public Health. 2021; 18(6):2970. https://doi.org/10.3390/ijerph18062970
Chicago/Turabian StyleLimeres Posse, Jacobo, Maria T. van Harten, Caoimhin Mac Giolla Phadraig, Márcio Diniz Freitas, Denise Faulks, Alison Dougall, Blánaid Daly, and Pedro Diz Dios. 2021. "The Impact of the First Wave of the COVID-19 Pandemic on Providing Special Care Dentistry: A Survey for Dentists" International Journal of Environmental Research and Public Health 18, no. 6: 2970. https://doi.org/10.3390/ijerph18062970