The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

Hanie Ahmadi, Alireza Ebrahimi, Farhad Ghorbani, Hanie Ahmadi, Alireza Ebrahimi, Farhad Ghorbani

Abstract

Background: The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject.

Methods: This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists' perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients.

Results: Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic.

Conclusion: Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

Keywords: COVID-19; Dental practice; Dentistry; Pandemic.

Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this paper.

References

    1. Yang W, Sirajuddin A, Zhang X, Liu G, Teng Z, Zhao S, Lu M. The role of imaging in 2019 novel coronavirus pneumonia (COVID-19). European Radiology. 2020. 10.1007/s00330-020-06827-4.
    1. Wu D, Wu T, Liu Q, Yang Z. The SARS-CoV-2 outbreak: what we know. Int J Infect Dis. 2020;94:44–48. doi: 10.1016/j.ijid.2020.03.004.
    1. Guo YR, Cao QD, Hong ZS, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Med Res. 2020;7:11. doi: 10.1186/s40779-020-00240-0.
    1. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. doi: 10.1038/s41368-020-0075-9.
    1. Kohn WG, Harte JA, Malvitz DM, Collins AS, Cleveland JL, Eklund KJ, Guidelines for infection control in dental health care settings - 2003. Journal of the American Dental Association. American Dental Association. 2004.
    1. Bolyard EA, Tablan OC, Williams WW, Pearson ML, Shapiro CN, Deitchman SD, et al. Guideline for infection control in healthcare personnel, 1998. Infect Control Hosp Epidemiol. 1998;19(6):407–463. doi: 10.2307/30142429.
    1. To KK-W, Tsang OT-Y, Yip CC-Y, Chan K-H, Wu T-C, Chan JM-C, et al. Consistent detection of 2019 Novel coronavirus in saliva. Clin Infect Dis. 2020;71(15):841–843. doi: 10.1093/cid/ciaa149.
    1. Updated U. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep. 2001;50(1):1–52.
    1. Ippolito G, Puro V, Heptonstall J, Jagger J, De Carli G, Petrosillo N. Occupational human immunodeficiency virus infection in health care workers: worldwide cases through September 1997. Clin Infect Dis. 1999;28(2):365–383. doi: 10.1086/515101.
    1. ADA. Return to Work Interim Guidance Toolkit.: American Dental Association; 2020 [cited 2020 July 23, 2020]. .
    1. CDC. Guidance for Dental Settings: Centers for Disease Control and Prevention; June 17, 2020. .
    1. Villani FA, Aiuto R, Paglia L, Re D. COVID-19 and dentistry: prevention in dental practice, a literature review. Int J Environ Res Public Health. 2020;17:4609. doi: 10.3390/ijerph17124609.
    1. Farooq I, Ali S. COVID-19 outbreak and its monetary implications for dental practices, hospitals, and healthcare workers. Postgrad Med J. 2020:postgradmedj-2020–137781.
    1. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anesth/J Can Anesth. 2020;67:568–576. doi: 10.1007/s12630-020-01591-x.
    1. Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020. 10.1016/j.jds.2020.02.002.
    1. Rezaei S, Hajizadeh M, Irandoost SF, Salimi Y. Socioeconomic inequality in dental care utilization in Iran: a decomposition approach. Int J Equity Health. 2019;18(1):161. doi: 10.1186/s12939-019-1072-5.
    1. Geldsetzer P. Knowledge and perceptions of COVID-19 among the general public in the United States and the United Kingdom: a cross-sectional Online Survey. Ann Intern Med. 2020;173(2):157–160. doi: 10.7326/M20-0912.
    1. Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, et al. Dentists' awareness, perception, and attitude regarding COVID-19 and infection control: cross-sectional study among Jordanian Dentists. JMIR Public Health Surveill. 2020;6(2):e18798. doi: 10.2196/18798.
    1. Checchi V, Bellini P, Bencivenni D, Consolo U. COVID‐19 dentistry‐related aspects: a literature overview. Int Dent J. 2020. 10.1111/idj.12601.
    1. Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med. 2020;382(10):970–971. doi: 10.1056/NEJMc2001468.
    1. Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481–487. doi: 10.1177/0022034520914246.
    1. Jamal M, Shah M, Almarzooqi SH, et al. Overview of transnational recommendations for COVID-19 transmission control in dental care settings. Oral Dis. 2020;00:1–10.
    1. Barabari P, Moharamzadeh K. Novel Coronavirus (COVID-19) and Dentistry-A Comprehensive Review of Literature. Dent J (Basel) 2020;8(2):53. doi: 10.3390/dj8020053.
    1. Ebrahimi A, Ebrahimi S, Ashkani ES. How COVID-19 pandemic can lead to promotion of remote medical education and democratization of education? J Adv Med Educ Prof. 2020;8(3):144–145.
    1. OSHA. COVID-19 Guidance for dental practitioners: occupational safety and health administration; May 2020 [cited 2020 June 2020]. .
    1. Ignatius E, Perälä S, Mäkelä K. Use of videoconferencing for consultation in dental prosthetics and oral rehabilitation. J Telemed Telecare. 2010;16(8):467–470. doi: 10.1258/jtt.2010.100303.
    1. Volgenant CMC, Persoon IF, de Ruijter RAG, de Soet JJ(H). Infection control in dental health care during and after the SARS‐CoV‐2 outbreak. Oral Dis. 2020;00:1–10.
    1. CDC. Guidance for Dental Settings: Centers for Disease Control and Prevention; 2020 [cited 2020 Aug. 28, 2020]. .
    1. BDA. Coronavirus and dentistry: British Dental Association; 2020 [cited 2020 september 11, 2020]. .
    1. Ali Z, Baker S, Barabari P, Martin N. Efficacy of removable partial denture treatment: a retrospective oral health-related quality of life evaluation. Eur J Prosthodont Restor Dent. 2017;25(2):101–107.
    1. ADA. HPI polling shows robust, sustained rebound in dental care: American Dental Association Health Policy Institute June 05, 2020 [June 2020]. .
    1. CDC. Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic: Centers for Disease Control and Prevention May 12, 2020. .
    1. Sarkarat F, Tootoonchian A, Haraji A, Rastegarmoghaddam Shaldoozi H, Mostafavi M, Naghibi Sistani SMM. Evaluation of dentistry staff involvement with COVID-19 in the first 3 month of epidemiologic spreading in Iran. J Res Dent Sci. 2020;17(2):137–145.
    1. Arellano-Cotrina JJ, Marengo-Coronel N, Atoche-Socola KJ, Peña-Soto C, Arriola-Guillén LE. Effectiveness and recommendations for the use of dental masks in the prevention of COVID-19: a literature review. Disaster Med Public Health Preparedness. 2020:1–6.
    1. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review. Anaesthesia. 2020;75:920–927. doi: 10.1111/anae.15071.
    1. Schwendicke F, Krois J, Gomez J. Impact of SARS-CoV2 (Covid-19) on dental practices: economic analysis. J Dent. 2020 doi: 10.1016/j.jdent.2020.103387.
    1. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020 doi: 10.1136/bmj.m1211.
    1. Chew NW, Lee GK, Jing M, et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med. 2020;173:317–320. doi: 10.7326/M20-1083.
    1. Dai Y, Hu G, Xiong H, Qiu H, Yuan X. Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. MedRxiv. 2020 Jan 1.
    1. Dong Z-Q, Ma J, Hao Y-N, Shen X-L, Liu F, Gao Y, et al. The social psychological impact of the COVID-19 pandemic on medical staff in China: a cross-sectional study. Eur Psychiatry. 2020;63(1):e65. doi: 10.1192/j.eurpsy.2020.59.
    1. Kirkpatrick JN, Hull SC, Fedson S, Mullen B, Goodlin SJ. Scarce-resource allocation and patient triage during the COVID-19 pandemic. J Am Coll Cardiol. 2020;76(1):85. doi: 10.1016/j.jacc.2020.05.006.

Source: PubMed

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