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Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine.
Eggmann, Florin; Haschemi, Asin Ahmad; Doukoudis, Dimitrios; Filippi, Andreas; Verna, Carlalberta; Walter, Clemens; Weiger, Roland; Zitzmann, Nicola U; Bornstein, Michael M.
Afiliación
  • Eggmann F; Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland. florin.eggmann@unibas.ch.
  • Haschemi AA; Department of General Pediatric and Adolescent Dentistry, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland.
  • Doukoudis D; Department of General Dentistry, University Center for Dental Medicine UZB, University of Basel UZB, Basel, Switzerland.
  • Filippi A; Department of Oral Surgery, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
  • Verna C; Department of Pediatric Oral Health and Orthodontics, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
  • Walter C; Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland.
  • Weiger R; Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland.
  • Zitzmann NU; Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
  • Bornstein MM; Department of Oral Health & Medicine, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
Clin Oral Investig ; 25(10): 5711-5721, 2021 Oct.
Article en En | MEDLINE | ID: mdl-33710460
OBJECTIVES: This study aimed to assess whether the emergency service of a major Swiss dental institution faced different demands (patient volume, treatment needs, dental care characteristics) during a lockdown, issued to mitigate the COVID-19 pandemic, compared with the weeks before and after. MATERIALS AND METHODS: Data of patients receiving urgent care at a university center for dental medicine (Basel, Switzerland) during the 6-week lockdown, pre-lockdown, and post-lockdown periods were retrospectively evaluated. Statistical analysis involved tests for equal proportions and logistic regression models. The level of significance was set at α=0.05. RESULTS: The study comprised 3109 dental emergency visits in the period from February 2 to June 5, 2020. Daily caseloads increased during lockdown. Abscesses, orthodontic emergencies, and surgical follow-ups were more common during lockdown, whereas the number of dento-alveolar injuries declined (≤0.048). Urgent dental care provision involved intraoral radiographs more frequently in the pre-lockdown period compared with the following weeks (p<0.001). Among all treatments, aerosol-generating procedures dropped from 56.1% (pre-lockdown) to 21.3% during lockdown (p<0.001), while teledentistry follow-ups became more frequent (p<0.001). Patients with comorbidities sought urgent dental care less frequently during the post-lockdown period (p=0.004). CONCLUSIONS: The lockdown significantly impacted the dental emergency service in terms of patients' diagnoses, treatment needs, and the characteristics of the urgent care that was delivered. CLINICAL RELEVANCE: Access to essential dental care must be monitored and safeguarded throughout the COVID-19 pandemic and beyond as deferred care entails risks for serious sequelae and persons with comorbidities may change their dental care-seeking behavior.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Odontológica / Pandemias / COVID-19 Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Odontológica / Pandemias / COVID-19 Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania