A Study on Patient Behaviors Towards Dental Visits and Oral Health during COVID-19 Outbreak

Autori

DOI:

https://doi.org/10.5195/d3000.2022.183

Parole chiave:

COVID-19, dentistry, patient comfort, oral health.

Abstract

Background              

Investigating 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.

Methods

A 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.   

Results

When 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.

Conclusions

The 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.

Biografia autore

Marriam Mahmood, Independent Researcher

Dentist

Riferimenti bibliografici

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.

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Pubblicato

2022-06-07

Fascicolo

V. 10 N. 1 (2022)

Sezione

Adults & the Elderly

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