Dental services in the COVID-19 pandemic: A synthesis review of scientific production

Authors

DOI:

https://doi.org/10.33448/rsd-v12i2.40295

Keywords:

COVID-19; Dental services; Dentistry.

Abstract

Introduction: the COVID-19 Pandemic deeply has affected the structure of society in all spheres. The peculiarities of dental services, placed these in the centre of attention. This review article aimed to raise the main scientific evidence that guided the practices and organization for the provision of dental services. Methodology: this is a review study for the synthesis of evidence, involving studies developed since January 2020 and October 2022.  Results: 102 articles were selected for analysis, having evidenced that the pandemic deeply affected dental services. Its impacts consisted in the reduction of the supply of services, challenges of adopting stricter biosafety protocols. Dental professionals were required to reinvent themselves for a new reality in their clinical practices; deal with the fear and anxiety of getting infected and infecting their families; and by the uncertainties of financial sustainability to keep the offices functional. Drug prescriptions and a tele-dentistry were the major alternative for offering the services. Concluding remarks: the lessons from the experience with the pandemic, will be part of the future of the post-pandemic, as well as of clinical practice and management of dental services.

Author Biographies

Audêncio Victor, Universidade de São Paulo; Ministério da Saúde de Moçambique

Master in Collective Health and PhD student in Public Health, Faculty of Public Health, University of São Paulo (USP), Brazil

Department of Nutrition, Ministry of Health of Mozambique

Iolanda Ermelindo Zacarias, Universidade Federal da Bahia

Dentist and Master's student in Collective Health at the Institute of Collective Health, Federal University of Bahia, Salvador, BA, Brazil

Egon Bernardo Mualeite, Universidade Lúrio

Dental Doctor, Faculty of Health Sciences, Lúrio University. Nampula, Mozambique

Joaquim Marcos, Universidade Lúrio

Dental Doctor, Faculty of Health Sciences, Lúrio University. Nampula, Mozambique

References

Aladelusi, T. O., Atiba, F. A., Gbadebo, S. O., Adeyemo, Y. I., Olusanya, A. A., & Akadiri, O. A. (2021). COVID-19 outbreak and dental health care provision in Nigeria: a national survey. BMC Oral Health, 21(1), 1–11.

Alzahrani, S. B., Alrusayes, A. A., Alfraih, Y. K., & Aldossary, M. S. (2021). Characteristics of paediatric dental emergencies during the COVID-19 pandemic in Riyadh City, Saudi Arabia. European Journal Of Paediatric Dentistry, 22(2), 95–97. Https://Doi.Org/10.23804/Ejpd.2021.22.02.2

Barma, M. D., Raj, S. S., & Meignana Arumugham, I. (2021). Self-reported belief, perceptions, practice of dental professionals during covid-19 pandemic in chennai: A cross sectional survey. International Journal of Dentistry and Oral Science, 8(9), 4418–4422. https://doi.org/10.19070/2377-8075-21000900

Bertolini, M., Luiza, A., Pires, C., Saporiti, J. M., Kinalski, M. D. A., & Marchini, L. (2020). Impact of COVID-19 pandemic on oral health procedures provided by the Brazilian public health system ✩ COVID-19 and oral health in Brazil. January.

Besegato, J. F., de Melo, P. B. G., Tamae, P. E., Alves, A. P. A. R., Rondón, L. F., Leanse, L. G., dos Anjos, C., Casarin, H. H., Chinelatti, M. A., Faria, G., Dai, T., Bagnato, V. S., & Rastelli, A. N. de S. (2022). How can biophotonics help dentistry to avoid or minimize cross infection by SARS-CoV-2? Photodiagnosis and Photodynamic Therapy, 37(March 2021). https://doi.org/10.1016/j.pdpdt.2021.102682

Blackhall, K. K., & Singh, R. P. (2021). Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study. British Dental Journal. https://doi.org/10.1038/s41415-020-2499-1

Chisini, L. A., dos Santos Costa, F., Sartori, L. R. M., Corrêa, M. B., D’avila, O. P., & Demarco, F. F. (2021). COVID-19 Pandemic impact on Brazil’s Public Dental System. Brazilian Oral Research, 35, 1–11. https://doi.org/10.1590/1807-3107bor-2021.vol35.0082

Choi, S. E., Simon, L., Basu, S., & Barrow, J. R. (2020). Changes in dental care use patterns due to COVID-19 among insured patients in the United States. Molecules, 2(1), 1–12. http://clik.dva.gov.au/rehabilitation-library/1-introduction-rehabilitation%0Ahttp://www.scirp.org/journal/doi.aspx?DOI=10.4236/as.2017.81005%0Ahttp://www.scirp.org/journal/PaperDownload.aspx?DOI=10.4236/as.2012.34066%0Ahttp://dx.doi.org/10.1016/j.pbi.20

Di Blasio, A., Barenghi, L., Alberto, B., Giannì, A. B., & Spadari, F. (2020). Severe acute respiratory syndrome coronavirus 2 infection prevention in orthodontic practice. American Journal of Orthodontics and Dentofacial Orthopedics, 158(6), 777–779. https://doi.org/https://doi.org/10.1016/j.ajodo.2020.09.003

Eggmann, F., Haschemi, A. A., Doukoudis, D., Filippi, A., Verna, C., Walter, C., Weiger, R., Zitzmann, N. U., & Bornstein, M. M. (2021). Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine. Clinical Oral Investigations, 25(10), 5711–5721.

Exposito-Delgado, A. J., Ausina-Marquez, V., Mateos-Moreno, M. V, Martinez-Sanz, E., Trullols-Casas, M. D., Llamas-Ortuno, M. E., Blanco-Gonzalez, J. M., Almerich-Torres, T., Bravo, M., & Martinez-Beneyto, Y. (2021). Delivery of Health Care by Spanish Dental Hygienists in Private and Public Dental Services during the COVID-19 De-Escalation Phase (June 2020): A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18(16). https://doi.org/10.3390/ijerph18168298

Garcia Santos, I., Carvalho Souza, V. G., Verly da Silva, G. T., de Toledo Lourenço, A. H., Cortines Laxe, L. A., & Morais Apolônio, A. C. (2021). Biosafety in Dental Practices Versus COVID-19 Outbreak. Pesquisa Brasileira Em Odontopediatria e Clinica Integrada, 21, 1–12.

González, A. R., & Brito, I. M. (2020). El enfrentamiento a la covid-19 en servicios estomatológicos cubanos Facing COVID-19 in Cuban Dentistry Services.

Goswami, M., Gogia, M., & Bhardwaj, S. (2021). From Lockdown to Slow Release : Pediatric Dental Services during COVID-19 Pandemic — Emergency Preparedness and Impact on Future.

Goto, M., Nagao, T., Hasegawa, S., Watanabe, S., Miyabe, S., & Miyachi, H. (2020). Impact of COVID-19 pandemic on oral and maxillofacial surgery in Japan: A report from a questionnaire survey during the different phases of the pandemic. January.

Grande, J., & García-romero, D. M. (2020). Comportamiento del Servicio de Urgencia Estomatológica en tiempos de covid-19 . Jagüey Grande , Matanzas , 2020 Behavior of the Dentistry Emergency Service in the times of COVID-19 . 1209–1220.

Gray, E., Hardwick, C., Gradwell, N., Pellatt, A., Cassells, N., Craven, R., Cox, J., & Dudding, T. (2022). Did the March 2020 lockdown cause an increase in patients presenting to the emergency department with odontogenic pain and infection? A single centre, retrospective analysis. British Journal of Oral and Maxillofacial Surgery, 60(9), 1254–1260. https://doi.org/10.1016/j.bjoms.2022.07.006

Guo, H., Zhou, Y., Liu, X., & Tan, J. (2020). The impact of the COVID-19 epidemic on the utilization of emergency dental services. Journal of Dental Sciences, 15(4), 564–567. https://doi.org/10.1016/j.jds.2020.02.002

Gupta, V. V, Thomas, A. M., Gandhi, S., Atwal, P. K., Kapoor, S., Chitkara, N., & Mathew, R. S. (2021). An audit of the impact of countrywide lockdown during covid-19 pandemic on utilization of dental services in India. International Journal of Current Research and Review, 13(6 special Issue), S-190-S-193. https://doi.org/10.31782/IJCRR.2021.SP184

Hegde, M. N., Parmar, G., Logani, A., Hegde, N. D., Ballal, S., Krithikadatta, J., Nawal, R., Amalavathy, K., Devadiga, D., & Bhat, R. (2021). Dental practice management during COVID- ­ Now and beyond. April, 1–6. https://doi.org/10.1111/ijcp.14251

Hopcraft, M., & Farmer, G. (2021). Impact of COVID‐19 on the provision of paediatric dental care: Analysis of the Australian Child Dental Benefits Schedule. Community Dentistry & Oral Epidemiology, 49(4), 369–376.

Johnson, V., Brondani, M., von Bergmann, H., Grossman, S., & Donnelly, L. (2022). Dental Service and Resource Needs during COVID-19 among Underserved Populations. JDR Clinical and Translational Research, 7(3), 315–325. https://doi.org/10.1177/23800844221083965

Kateeb, E. T., Juniedi, R. N., & Warren, J. J. (2022). Reopening Dental Offices for Routine Care Amid the COVID-19 Pandemic: Report From Palestine. International Dental Journal, 72(1), 83–92. https://doi.org/10.1016/j.identj.2021.01.017

Koletsi, D., Belibasakis, G. N., & Eliades, T. (2020). Interventions to Reduce Aerosolized Microbes in Dental Practice: A Systematic Review with Network Meta-analysis of Randomized Controlled Trials. Journal of Dental Research, 99(11), 1228–1238.

Kranz, A. M., Chen, A., Gahlon, G., & Stein, B. D. (2020). 2020 trends in dental office visits during the COVID-19 pandemic. Kaos GL Dergisi, 8(75), 147–154. https://doi.org/10.1016/j.jnc.2020.125798%0Ahttps://doi.org/10.1016/j.smr.2020.02.002%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/810049%0Ahttp://doi.wiley.com/10.1002/anie.197505391%0Ahttp://www.sciencedirect.com/science/article/pii/B9780857090409500205%0Ahttp:

Kumar, A., & Nair, R. (2020). Stress Levels of Indian Endodontists during COVID-19 Pandemic Niveles de estrés de endodoncistas de la India durante la pandemia COVID-19. 57(April), 1–20.

Kumar, U., Gupta, A., Goyal, A., & Gauba, K. (2021). Impact of covid-19 pandemic on characteristics of dental emergencies and treatment services at tertiary care centre. Saudi Dental Journal, 33(8), 1018–1023. https://doi.org/10.1016/j.sdentj.2021.06.004

Lewandowska, M., Partyka, M., Romanowska, P., Saczuk, K., & Lukomska-Szymanska, M. M. (2021). Impact of the COVID-19 pandemic on the dental service: A narrative review. Dental and Medical Problems, 58(4), 539–544. https://doi.org/10.17219/dmp/137758

Luo, W., Lee, G. H. M., Nalabothu, P., & Kumar, H. (2020). Paediatric dental care during and post-COVID-19 era: Changes and challenges ahead. January.

Madi, M., Kumar, M., Varchas, P., Vineetha, R., & Pentapati, K. C. (2021). Changing trends in the outpatient dental visits during the COVID – 19 pandemic in a tertiary care hospital. Saudi Journal of Biological Sciences, 28(8), 4437–4441. https://doi.org/10.1016/j.sjbs.2021.04.038

Mahdavi, A., Atlasi, R., & Naemi, R. (2022). Teledentistry during COVID-19 pandemic: scientometric and content analysis approach. BMC HEALTH SERVICES RESEARCH, 22(1). https://doi.org/10.1186/s12913-022-08488-z

Menhadji, P., Patel, R., Asimakopoulou, K., Quinn, B., Khoshkhounejad, G., Pasha, P., Garcia Sanchez, R., Ide, M., Kalsi, P., & Nibali, L. (2021). Patients’ and dentists’ perceptions of tele-dentistry at the time of COVID-19. A questionnaire-based study. Journal of Dentistry, 113(August), 103782. https://doi.org/10.1016/j.jdent.2021.103782

Mian, M., Teoh, L., & Hopcraft, M. (2021). Trends in Dental Medication Prescribing in Australia during the COVID-19 Pandemic. JDR Clinical and Translational Research, 6(2), 145–152. https://doi.org/10.1177/2380084420986766

Morishita, M., Takahashi, O., Yoshii, S., Hayashi, M., Kibune, R., Nakamura, T., Muraoka, K., Tominaga, K., & Awano, S. (2022). Effect of COVID-19 on dental telemedicine in Japan. Journal of Dental Sciences, 17(1), 42–48. https://doi.org/10.1016/j.jds.2021.07.028

Nahidi, S., Li, C., Sotomayor-Castillo, C., Kaufman-Francis, K., & Shaban, R. Z. (2022). “We will have to learn to live with it”: Australian dentists’ experiences during the COVID-19 pandemic. Infection, Disease and Health, 27(2), 96–104. https://doi.org/10.1016/j.idh.2021.11.001

Olivieri, J. G., de España, C., Encinas, M., Ruiz, X.-F., Miró, Q., Ortega-Martinez, J., & Durán-Sindreu, F. (2021). General Anxiety in Dental Staff and Hemodynamic Changes over Endodontists’ Workday during the Coronavirus Disease 2019 Pandemic: A Prospective Longitudinal Study. Journal of Endodontics, 47(2), 196–203. https://doi.org/https://doi.org/10.1016/j.joen.2020.10.023

Olszewska, A., Paszynska, E., Roszak, M., & Czajka-Jakubowska, A. (2021). Management of the Oral Health of Children During the COVID-19 Pandemic in Poland. FRONTIERS IN PUBLIC HEALTH, 9. https://doi.org/10.3389/fpubh.2021.635081

Pagotto, L. E. C., Santos, T. de S., & Pastore, G. P. (2022). Impact of COVID-19 on maxillofacial surgery practice: a systematic review. Brazilian Journal of Otorhinolaryngology, 88(6), 990–998. https://doi.org/10.1016/j.bjorl.2021.09.002

Pajpani, M., Patel, K., Bendkowski, A., & Stenhouse, P. (2020). Rapid response: activity from a hospital based Urgent Dental Care Centre during the COVID-19 pandemic. January.

Patel, T., & Wong, J. (2020). The role of real-time interactive video consultations in dental practice during the recovery and restoration phase of the COVID-19 outbreak. British Dental Journal, 229(3), 196–200. https://doi.org/10.1038/s41415-020-1918-7

Piela, K., Watson, P., Donnelly, R., Goulding, M., Henriquez, F. L., MacKay, W., & Culshaw, S. (2022). Aerosol reduction efficacy of different intra-oral suction devices during ultrasonic scaling and high-speed handpiece use. BMC Oral Health, 22(1). https://doi.org/10.1186/s12903-022-02386-w

Poirier, B., Jensen, E., & Sethi, S. (2022). The evolution of the teledentistry landscape in Australia: A scoping review. AUSTRALIAN JOURNAL OF RURAL HEALTH, 30(4), 434–441. https://doi.org/10.1111/ajr.12874

Posada, C. J., Boyd, L. D., Perry, K. R., & Vineyard, J. (2021). Knowledge, Attitudes, Practices of Dental Professionals Regarding the Infection Control Guidelines for Dentistry Prior to the COVID-19 Pandemic. Journal of Dental Hygiene, 95(3), 25–32.

Rahman, N., Sandhu, B., & Eyeson, J. (2021). A comparison of pre-radiotherapy extractions prior to and during the pandemic at charing cross hospital. Advances in Oral and Maxillofacial Surgery, 3(May), 100088. https://doi.org/10.1016/j.adoms.2021.100088

Rahmayati, Y., Vanini, F., Rahmayani, L., Hendarti, R., Aghamdi, W., Andriany, P., Sundari, I., Novita, C. F., & Sofya, P. A. (2022). Designing the temporary dental clinic in the Covid-19 global pandemic. IOP Conference Series: Earth and Environmental Science, 1026(1). https://doi.org/10.1088/1755-1315/1026/1/012023

Ramírez, G., Liliana, Á., Orjuela, B., Andrea, R., Rocío, L., Guzmán, M., Liliana, C., Forero, P., & Andrés, I. (2020). La atención en salud bucal para personas con discapacidad. Un desafío en tiempos de pandemia por la COVID-19.

Raskin, S. E., Diep, V. K., Chung-Bridges, K., Heaton, L. J., & Frantsve-Hawley, J. (2020). Dental safety net providers’ experiences with service delivery during the first year of COVID-19 should inform dental pandemic preparedness. Molecules, 2(1), 1–12. http://clik.dva.gov.au/rehabilitation-library/1-introduction-rehabilitation%0Ahttp://www.scirp.org/journal/doi.aspx?DOI=10.4236/as.2017.81005%0Ahttp://www.scirp.org/journal/PaperDownload.aspx?DOI=10.4236/as.2012.34066%0Ahttp://dx.doi.org/10.1016/j.pbi.201

Reyes Fernández, S., García Verónica, A., Hernández Treviño, N., Cobos Cruz, X. T., Sandoval Guevara, D., Serna Radilla, V. O., & Romero Castro, N. S. (2022). The dental office: A safe place against COVID19 and other future pandemics. Advances in Oral and Maxillofacial Surgery, 7(May), 100305. https://doi.org/10.1016/j.adoms.2022.100305

Silva, W. O., Vianna Silva Macedo, R. P., Nevares, G., Val Rodrigues, R. C., Grossi Heleno, J. F., Braga Pintor, A. V., & Almeida, B. M. (2021). Recommendations for Managing Endodontic Emergencies during Coronavirus Disease 2019 Outbreak. Journal of Endodontics, 47(1), 3–10. https://doi.org/https://doi.org/10.1016/j.joen.2020.09.018

Silveira, M. G. de S. e S., Fernandez, M. dos S., Tillmann, T. F. F., Danigno, J. F., Echeverria, M. S., & Silva, A. E. R. (2021). Changes in dental practice in times of COVID-19: review and recommendations for dental health care. Mudanças Na Prática Odontológica Em Tempos de COVID-19: Revisão e Recomendações Para o Cuidado Odontológico., 69, 1–10.

Singh, H., Maurya, R. K., Sharma, P., Kapoor, P., & Mittal, T. (2020). Aerosol generating procedural risks and concomitant mitigation strategies in orthodontics amid COVID-19 pandemic – An updated evidence-based review. Ann Oncol, January, 2–5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254017/pdf/main.pdf

Soegyanto, A. I., Wimardhani, Y. S., Maharani, D. A., & Tennant, M. (2022). Indonesian Dentists’ Perception of the Use of Teledentistry. International Dental Journal, 72(5), 674–681. https://doi.org/https://doi.org/10.1016/j.identj.2022.04.001

Su, N.-Y., Yang, P.-Y., & Chang, Y.-C. (2022). Telemedicine as an effective tool for dental service during COVID-19 pandemic. Journal of Dental Sciences, 17(2), 1065. https://doi.org/https://doi.org/10.1016/j.jds.2021.12.005

Suzuki, S., Ohyama, A., Yoshino, K., Eguchi, T., Kamijo, H., & Sugihara, N. (2022). COVID-19–Related Factors Delaying Dental Visits of Workers in Japan. International Dental Journal, 72(5), 716–724. https://doi.org/10.1016/j.identj.2022.05.001

Swift, V. D., Kangutkar, T., Knevel, R., & Down, S. (2022). The impact of COVID ‑ 19 on individual oral health : a scoping review. BMC Oral Health, 1–10. https://doi.org/10.1186/s12903-022-02463-0

Vidal, E. I. de O., & Fukushima, F. B. (2021). A arte e a ciência de escrever um artigo científico de revisão. Cadernos de Saude Publica, 37(4), 1–4. https://doi.org/10.1590/0102-311X00063121

Wang, C., Miao, L., Wang, Z., Xiong, Y., Jiao, Y., & Liu, H. (2021). Emergency Management in a Dental Clinic During the Coronavirus Disease 2019 (COVID-19) Epidemic in Beijing. International Dental Journal, 71(1), 32–39. https://doi.org/10.1111/idj.12609

Wu, J. H., Lee, M. K., Lee, C. Y., Chen, N. H., Lin, Y. C., Chen, K. K., Lee, K. T., & Du, J. K. (2021). The impact of the COVID-19 epidemic on the utilization of dental services and attitudes of dental residents at the emergency department of a medical center in Taiwan. Journal of Dental Sciences, 16(3), 868–876. https://doi.org/10.1016/j.jds.2020.12.012

Xavier, S. P., Victor, A., Cumaquela, G., Vasco, M. D., & Rodrigues, O. A. S. (2022). Inappropriate use of antibiotics and its predictors in pediatric patients admitted at the Central Hospital of Nampula, Mozambique. Antimicrobial Resistance and Infection Control, 11(1), 1–8. https://doi.org/10.1186/s13756-022-01115-w

Xiang, J., Xin, Y., Wang, R., Zhou, H., Zou, Y., Shim, S., & Zhao, L. (2022). Appointment impact and orthodontic emergency occurrence during the coronavirus disease 2019 pandemic: A retrospective study. American Journal of Orthodontics and Dentofacial Orthopedics, 161(1), e12–e19. https://doi.org/https://doi.org/10.1016/j.ajodo.2020.12.016

Yanedy, S., & Peláez, G. (2021). La COVID-19 desde una mirada odontológica COVID-19 from a dental perspective. 21(3), 932–950.

Yang, J., Yang, G., Jin, R., Song, G., & Yuan, G. (2022). Changes in paediatric dental clinic after reopening during COVID-19 pandemic in Wuhan: A retrospective study. BMJ Open, 12(1), 1–7. https://doi.org/10.1136/bmjopen-2020-048430

Yang, Y., Zhou, Y., Liu, X., & Tan, J. (2020). Health services provision of 48 public tertiary dental hospitals during the COVID-19 epidemic in China. Clinical Oral Investigations, 24(5), 1861–1864. https://doi.org/10.1007/s00784-020-03267-8

Published

10/02/2023

How to Cite

VASCO, M. D.; VICTOR, A.; ZACARIAS, I. E.; MUALEITE, E. B.; MARCOS, J. Dental services in the COVID-19 pandemic: A synthesis review of scientific production. Research, Society and Development, [S. l.], v. 12, n. 2, p. e25612240295, 2023. DOI: 10.33448/rsd-v12i2.40295. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/40295. Acesso em: 29 apr. 2024.

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Section

Health Sciences