The COVID-19 pandemic and its global effects on dental practice. An International survey

被引：44

作者：

Campus, G. ^{[1
,2
,3
]}

Betancourt, M. Diaz ^{[1
]}

Cagetti, M. G. ^{[4
]}

Giacaman, R. A. ^{[5
,6
]}

Manton, D. J. ^{[7
]}

Douglas, G. V. A. ^{[8
]}

Carvalho, T. S. ^{[1
]}

Carvalho, J. C. ^{[9
]}

Vukovic, A. ^{[10
]}

Cortes-Martinicorena, F. J. ^{[11
]}

Bourgeois, D. ^{[12
]}

Machiulskiene, V ^{[13
]}

Sava-Rosianu, R. ^{[14
]}

Krithikadatta, J. ^{[15
]}

Morozova, N. Sergeevna ^{[3
]}

Acevedo, A. M. ^{[16
]}

Agudelo-Suarez, A. A. ^{[17
]}

Aguirre, G. ^{[18
]}

Aguirre, K. ^{[18
]}

Alfonso, I ^{[16
]}

Ghaffar, H. A. ^{[19
]}

El Fadl, R. A. ^{[19
]}

Al Maghlouth, S. A. ^{[20
]}

Almerich-Torres, T. ^{[21
]}

Amadori, F. ^{[22
]}

Antia, K. ^{[23
]}

Bajric, E. ^{[24
]}

Barbosa-Liz, D. M. ^{[17
]}

Ben-Tanfous, S. ^{[25
]}

Bieber, H. ^{[26
]}

Bhusari, S. ^{[27
]}

Birch, S. ^{[8
]}

Bonta, G. ^{[4
]}

Bottenberg, P. ^{[28
]}

Bruers, J. J. ^{[29
,30
]}

Bustillos, L. ^{[31
]}

Buhrens, P. ^{[32
]}

Cai, J. ^{[33
,34
]}

Cairoli, J. L. ^{[35
]}

Carrer, F. C. A. ^{[36
]}

Correa, M. B. ^{[36
]}

Cortes-Acha, B.

Carrouel, F. ^{[12
]}

de Carvalho Oliveira, R. ^{[36
]}

Cocco, F. ^{[2
]}

Crombie, F. ^{[37
]}

Csikar, J., I ^{[8
]}

Declerck, D. ^{[38
]}

Denkovski, M.

Deschner, J. ^{[39
]}

机构：

[1] Univ Bern, Dept Restorat Prevent & Pediat Dent, Bern, Switzerland

[2] Univ Sassari, Sch Dent, Dept Surg Microsurg & Med Sci, Sassari, Italy

[3] Sechenov Univ, Sch Dent, Moscow, Russia

[4] Univ Milan, Dept Biomed Surg & Dent Sci, Milan, Italy

[5] Univ Talca, Fac Hlth Sci, Dept Oral Rehabili Tat, Cariol Unit, Talca, Chile

[6] Univ Talca, Fac Hlth Sci, Dept Oral Rehabil, Gerodontol Unit, Talca, Chile

[7] Univ Med Ctr Groningen, Ctr Tandheelkunde Mondzorgkunde, Cariol & Paediat Dent, Groningen, Netherlands

[8] Univ Leeds, Sch Dent, Dept Dent Publ Hlth, Leeds, W Yorkshire, England

[9] UCLouvain, Fac Med & Dent, Louvain, Belgium

[10] Univ Belgrade, Sch Dent Med, Dept Pediat & Prevent Dent, Belgrade, Serbia

[11] Univ Barcelona, Fac Odontol, Barcelona, Spain

[12] Univ Lyon, Univ Claude Bernard Lyon 1, Lab Syst Hlth Care, Lyon, France

[13] Lithuanian Univ Hlth Sci, Fac Odontol, Clin Dent & Oral Pathol, Kaunas, Lithuania

[14] Univ Med & Farm Timisoara, Fac Dent, Dept Prevent Community Dent & Oral Hlth, Timisoara, Romania

[15] Saveetha Dent Coll & Hosp, Dept Conservat Dent & Endodont, Chennai, Tamil Nadu, India

[16] Univ Cent Venezuela, Fac Odontol, Caracas, Venezuela

[17] Univ Antioquia, Fac Dent, Medellin, Antioquia, Colombia

[18] Univ El Salvador, Fac Odontol, San Salvador, El Salvador

[19] Ain Shams Univ, Fac Dent, Cairo, Egypt

[20] King Fahad Med City, Riyadh, Saudi Arabia

[21] Univ Valencia, Fac Odontol, Valencia, Spain

[22] Univ Brescia, Sch Pediat Dent, Dent Clin, Brescia, Italy

[23] Univ Georgia, Sch Hlth Sci, Tbilisi, Georgia

[24] Clin Sarajevo Univ, Fac Dent, Dept Prevent & Pediat Dent, Sarajevo, Bosnia & Herceg

[25] Fac Dent Med Monastir, Monastir, Tunisia

[26] Bundeswehr Med Serv Headquarters, Koblenz, Germany

[27] Heidelberg Inst Global Hlth HIGH, Heidelberg, Germany

[28] VUB, Oral Hlth Res Cluster, Brussels, Belgium

[29] Univ Amsterdam, Amsterdam, Netherlands

[30] Vrije Univ Amsterdam, Amsterdam, Netherlands

[31] Univ Los Andes, Fac Odontol, Merida, Venezuela

[32] Freier Verband Deutsch Zahnarzte, Bonn, Germany

[33] Wuhan Univ, Sch & Hosp Stomatol, State Key Lab Breeding Base Basic Sci Stomatol, Minist Educ, Wuhan, Peoples R China

[34] Wuhan Univ, Sch & Hosp Stomatol, Key Lab Oral Biomed, Minist Educ, Wuhan, Peoples R China

[35] Univ Insubria, Dept Biotechnol & Life Sci, Varese, Italy

[36] Univ Sao Paulo, Sch Dent, Dept Community Dent, Sao Paulo, Brazil

[37] Univ Melbourne, Fac Med Dent & Hlth Sci, Melbourne Dent Sch, Melbourne, Vic, Australia

[38] KULeuven, Dept Oral Hlth Sci, Populat Studies Oral Hlth, Leuven, Belgium

[39] Johannes Gutenberg Univ Mainz, Dept Periodontol & Operat Dent, Univ Med Ctr, Mainz, Germany

[40] Heidelberg Univ Hosp, Heidelberg Inst Global Hlth, Heidelberg, Germany

[41] Univ Michigan, Sch Dent, Ann Arbor, MI 48109 USA

[42] King Fahad Med City, Ryad, Saudi Arabia

[43] Dent Coll, Dept Pediat & Prevent Dent, Ambala, Haryana, India

[44] EviDent Fdn, Melbourne, Vic, Australia

[45] Univ Med, Dept Prosthodont, Fac Dent Med, Tirana, Albania

[46] Fatima Mem Hosp, Dept Oral & Maxillofacial Surg, Lahore, Pakistan

[47] Natl Dent Ctr Singapore, Dept Restorat Dent, Singapore, Singapore

[48] Univ Malaya, Fac Dent, Kuala Lumpur, Malaysia

[49] Intercountry Ctr Oral Hlth Africa, Jos, Nigeria

[50] Univ Valencia, Sch Dent, Valencia, Spain

来源：

JOURNAL OF DENTISTRY | 2021年 / 114卷

关键词：

COVID-19; SARS-CoV-2; Dentistry; Dental professionals; Personal Protective Equipment (PPE); Infection control; Oral Health; Global Health; Public Health Dentistry; TRANSMISSION;

D O I：

10.1016/j.jdent.2021.103749

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objectives: A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and Personal Protective Equipment (PPE). Methods: A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) Personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) Working conditions and PPE adopted after the outbreak. Countries' data were grouped by the Country Positive Rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. Results: A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n = 27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR = 1.80 95%CI =1.60/2.82 and OR = 5.20 95%CI =1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR = 1.09 95%CI = 0.97/1.60). The same significant associations were observed in the multivariate analysis. Conclusions: Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events.

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