A Study on Patient Behaviors Towards Dental Visits and Oral Health during COVID-19 Outbreak
DOI:
https://doi.org/10.5195/d3000.2022.183Keywords:
COVID-19, dentistry, patient comfort, oral health.Abstract
BackgroundInvestigating the impact of COVID-19 pandemic on oral health and patient attitudes towards a dental visit is essential to improving access to oral health care during the pandemic. This calls for studying the chief patient fears, preferences and future intentions related to dental visits during the COVID-19 pandemic.
MethodsA web-based survey was administered to the public within the US in December 2020. The participants (N=502) answered questions about their oral health, trust level for dental offices, chief concerns and preferences related to dental visits during the COVID-19 outbreak. We used descriptive statistics (e.g., Chi-square, Shapiro-Wilk, Kruskall-Wallis and Wilcoxon Signed Rank tests) to find if demographics, oral health history or social behaviors were associated with the relevant patient attitudes.
ResultsWhen queried about COVID-19’s impact on oral health, 62.5% respondents reported a minimal impact, 7.2% a positive impact, and 30.3% a negative impact. There were statistically significant differences in responses based on respondents’ ethnicity (N=502, P=.033) and dental visit history during the pandemic (N=502, P=.008).
The public trust rating for COVID-19-related precautions was more favorable towards the medical offices than the dental offices (N=502, P<.001). The majority considered contracting COVID-19 from the other patients in the dental office waiting area (60.4%), the dentist/hygienist/dental assistants (54.2%), and the aerosols (50.8%) as their chief concerns. 20.1% respondents preferred no other patient, 25.1% only one more patient, and 31.1% up to three more patients in the waiting area during a dental visit.
ConclusionsThe reported impact of COVID-19 on self-perceived oral health was modest for most respondents. Patients’ chief concerns for a dental visit include contracting COVID-19 infection from other patients, dentists, and aerosols in the operatory. It may be beneficial if dental practices avoid scheduling multiple patients in the waiting area to improve access to oral health care.
References
World Health Organization Naming the coronavirus disease (COVID-19) and the virus that causes it. World Heal. Organ. 2020, 19.
Centers for Disease Control and Prevention How COVID-19 Spreads Available online: https://www.cdc.gov/coronavirus/2019-ncov/transmission/index.html (accessed on Mar 27, 2021).
WHO Coronavirus disease (COVID-19): How is it transmitted?; 2020;
Rahman, H.S.; Aziz, M.S.; Hussein, R.H.; Othman, H.H.; Salih Omer, S.H.; Khalid, E.S.; Abdulrahman, N.A.; Amin, K.; Abdullah, R. The transmission modes and sources of COVID-19: A systematic review. Int. J. Surg. Open 2020, 26.
Epstein, J.B.; Chow, K.; Mathias, R. Dental procedure aerosols and COVID-19. Lancet Infect. Dis. 2020.
Virdi, M.K.; Durman, K.; Deacon, S. The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review. JDR Clin. Transl. Res. 2021.
Ge, Z. yu; Yang, L. ming; Xia, J. jia; Fu, X. hui; Zhang, Y. zhen Possible aerosol transmission of COVID-19 and special precautions in dentistry. J. Zhejiang Univ. Sci. B 2020, 21.
Evans, G. CDC Updates Guidance on COVID-19 Transmission in Dental Settings: Concerns about aerosols, splashing. Hosp. Infect. Control Prev. 2020, 47.
Eckert, S. Editorial: How Will COVID-19 Change Dentistry? Int. J. Oral Maxillofac. Implants 2020, 35, doi:10.11607/jomi.2020.3.e.
Patel, N. Impact on Dental Economics and Dental Healthcare Utilization in COVID-19: An Exploratory Study. J. Adv. Oral Res. 2020, 11, doi:10.1177/2320206820941365.
Iyer, P.; Aziz, K.; Ojcius, D.M. Impact of COVID-19 on dental education in the United States. J. Dent. Educ. 2020, 84.
Health Policy Institute, A.D.A. COVID-19 Economic Impact on Dental Practices. Available online: https://www.ada.org/en/science-research/health-policy-institute/covid-19-dentists-economic-impact (accessed on Mar 27, 2021).
ADANews HPI poll: Dentists see increased prevalence of stress-related oral health conditions Available online: https://www.ada.org/en/publications/ada-news/2021-archive/march/hpi-poll-dentists-see-increased-prevalence-of-stress-related-oral-health-conditions (accessed on Mar 27, 2021).
Dziedzic, A.; Wojtyczka, R. The impact of coronavirus infectious disease 19 (COVID-19) on oral health. Oral Dis. 2020, doi:10.1111/odi.13359.
Botros, N.; Iyer, P.; Ojcius, D.M. Is there an association between oral health and severity of COVID-19 complications? Biomed. J. 2020, 43.
Marchini, L.; Ettinger, R.L. COVID-19 pandemics and oral health care for older adults. Spec. Care Dent. 2020, 40.
Picciani, B.L.S.; Bausen, A.G.; Michalski dos Santos, B.; Marinho, M.A.; Faria, M.B.; Bastos, L.F.; Dziedzic, A. The challenges of dental care provision in patients with learning disabilities and special requirements during COVID-19 pandemic. Spec. Care Dent. 2020, 40.
Parker, K.; Horowitz, J.; Brown, A.; Fry, R.; Cohn, D.; Igielnik, R. What unites and divides urban, suburban and rural communities. Pew Res. Cent. 2018.
Estrich, C.G.; Mikkelsen, M.; Morrissey, R.; Geisinger, M.L.; Ioannidou, E.; Vujicic, M.; Araujo, M.W.B. Estimating COVID-19 prevalence and infection control practices among US dentists. J. Am. Dent. Assoc. 2020, 151, doi:10.1016/j.adaj.2020.09.005.
Estrich, C.G.; Gurenlian, J.R.; Battrell, A.; Bessner, S.K.; Lynch, A.; Mikkelsen, M.; Morrissey, R.; Araujo, M.W.B.; Vujicic, M. COVID-19 Prevalence and Related Practices among Dental Hygienists in the United States. J. Dent. Hyg. JDH 2021, 95.
Samaranayake, L.; Fakhruddin, K.S. COVID-19 Vaccines and Dentistry. Dent. Update 2021, 48, doi:10.12968/denu.2021.48.1.76.
Rahman, N.; Nathwani, S.; Kandiah, T. Teledentistry from a patient perspective during the coronavirus pandemic. Br. Dent. J. 2020, doi:10.1038/s41415-020-1919-6.
Giudice, A.; Barone, S.; Muraca, D.; Averta, F.; Diodati, F.; Antonelli, A.; Fortunato, L. Can teledentistry improve the monitoring of patients during the Covid-19 dissemination? A descriptive pilot study. Int. J. Environ. Res. Public Health 2020, 17, doi:10.3390/ijerph17103399.
Klemmedson, D. Is there an upside to COVID-19 for dentistry? J. Am. Dent. Assoc. 2020, 151.
Chavis, S.E.; Hines, S.E.; Dyalram, D.; Wilken, N.C.; Dalby, R.N. Can extraoral suction units minimize droplet spatter during a simulated dental procedure? J. Am. Dent. Assoc. 2021, 152, doi:10.1016/j.adaj.2020.10.010.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.