The Impact of COVID-19 Related Lockdown on Dental Practice in Central Italy-Outcomes of A Survey

Bruna Sinjari, Imena Rexhepi, Manlio Santilli, Gianmaria D Addazio, Piero Chiacchiaretta, Piero Di Carlo, Sergio Caputi, Bruna Sinjari, Imena Rexhepi, Manlio Santilli, Gianmaria D Addazio, Piero Chiacchiaretta, Piero Di Carlo, Sergio Caputi

Abstract

The COVID-19 pandemic has affected lives and professions worldwide. We aimed to determine the behavior of dentists during the lockdown in Central Italy through an online survey. We demonstrated that the most frequent of urgencies, not otherwise manageable through telemedicine, was dental pulp inflammation. Although a statistically significant increase in the use of some of the personal protective equipment (PPE) from pre to during lockdown was shown, dentists were afraid of being infected during the dental procedures. Moreover, we showed that digital dentistry, telemedicine, use of the rubber dam, distancing of the appointments and further structural changes at the dental office are necessary to reduce the contagion among dentists and patients. No significant differences were shown between gender.

Keywords: COVID-19; SARS-CoV-2; contagion; dentistry.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Demographic characteristics of the participants grouped by sex and age.
Figure 2
Figure 2
The graph represents the perception of fear of being infected between males and females. The χ2 test showed no statistically significant differences between sex (n.s., p > 0.05).
Figure 3
Figure 3
Graphical representation concerning the use of phone triage in the dental office. No statistically significant differences were shown between males and females using the χ2 test (n.s., p > 0.05).
Figure 4
Figure 4
Comparison of filtering face piece (FFP) mask use before and during lockdown. The χ2 test showed highly statistically significant differences (**** p < 0.001).

References

    1. World Health Organization Statement on the Second Meeting of the International Health Regulations: Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019-nCoV) [(accessed on 30 March 2020)]; Available online:
    1. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses The species Severe acute respiratory syndrome-related coronavirus: Classifying 2019-nCoV and naming it SARS-CoV-2. Nat. Microbiol. 2020;5:536–544. doi: 10.1038/s41564-020-0695-z.
    1. Secon H. Nearly 3400 Chinese Healthcare Workers Have Gotten the Coronavirus, and 13 Have Died. [(accessed on 4 March 2020)]; Available online: .
    1. Zemouri C., de Soet H., Crielaard W., Laheij A. A scoping review on bio-aerosols in healthcare and the dental environment. PLoS ONE. 2017;12:e0178007. doi: 10.1371/journal.pone.0178007.
    1. Peng X., Xu X., Li Y., Cheng L., Xuedong Zhou X., Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int. J. Oral Sci. 2020;12:9. doi: 10.1038/s41368-020-0075-9.
    1. Izzetti R., Nisi M., Gabriele M., Graziani F. COVID-19 Transmission in Dental Practice: Brief Review of Preventive Measures in Italy. J. Dent. Res. 2020 doi: 10.1177/0022034520920580. in press.
    1. To K.K.W., Tsang O.T.Y., Yip C.C.Y., Chan K.H., Wu T.C., Chan J.M.C., Leung W.S., Chik T.S.H., Choi C.Y.C., Kandamby D.H., et al. Consistent detection of 2019 novel coronavirus in saliva. Clin. Infect. Dis. 2020 doi: 10.1093/cid/ciaa149. in press.
    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 doi: 10.1177/0022034520914246. in press.
    1. Chen N., Zhou M., Dong X., Qu J., Gong F., Han Y., Qiu Y., Wang J., Liu Y., Yuan Wei Y., et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet. 2020;395:507–513. doi: 10.1016/S0140-6736(20)30211-7.
    1. Gazzetta Ufficiale Della Repubblica Italiana: Decreto del Presidente del Consiglio dei Ministri 11 Marzo 2020. [(accessed on 11 March 2020)]; Available online: .
    1. Federazione Nazionale Degli Ordini dei Medici Chirurghi e Degli Odontoiatri COVID-19, la Malattia da Nuovo Coronavirus (SARS-CoV-2) [(accessed on 20 February 2020)]; Available online: .
    1. Associazione Nazionale Dentisti Prevenzione Dell’infezione da Coronavirus SARS-CoV-2: Guida Pratica per Odontoiatri e Personale di Studio Odontoiatrico. [(accessed on 17 March 2020)]; Available online: .
    1. Dave M., Seoudi N., Coulthard P. Urgent Dental Care for Patients during the COVID-19 Pandemic. Lancet. 2020;395:1257. doi: 10.1016/S0140-6736(20)30806-0.
    1. Spagnuolo G., De Vito D., Rengo S., Tatullo M. COVID-19 Outbreak: An Overview on Dentistry. Int. J. Environ. Res. Public Health. 2020;17:2094. doi: 10.3390/ijerph17062094.
    1. Maret D., Peters O.A., Vaysse F., Vigarios E. Integration of Telemedicine into the Public Health Response to COVID-19 Must Include Dentists. Int. Endod. J. 2020;53:880–881. doi: 10.1111/iej.13312.
    1. Coulthard P. Dentistry and Coronavirus (COVID-19)—Moral Decision-Making. Br. Dent. J. 2020;228:503–505. doi: 10.1038/s41415-020-1482-1.
    1. Ministero della Salute Monitoraggio 2 agosto2020. [(accessed on 2 August 2020)]; Available online: .
    1. Ministero della Salute Monitoraggio 4 Maggio 2020. [(accessed on 4 May 2020)]; Available online: .
    1. Gamio L. The workers who face the greatest coronavirus risk. [(accessed on 15 March 2020)];The New York Times. Available online: .
    1. Coulthard P. The Oral Surgery Response to Coronavirus Disease (COVID-19). Keep Calm and Carry On? Oral Surg. 2020;13:95–97. doi: 10.1111/ors.12489.
    1. Yu J., Zhang T., Zhao D., Haapasalo M., Shen Y. Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan. J. Endod. 2020;46:730–735. doi: 10.1016/j.joen.2020.04.001.
    1. Azami-Aghdash S., Azar E.F., Azar P.F., Rezapour A., Moradi-Joo M., Moosavi A., Oskouei G.S. Prevalence, etiology, and types of dental trauma in children and adolescents: Systematic review and meta-analysis. Med. J. Islam. Repub. Iran. 2015;29:234.
    1. Ahmed M.A., Jouhar R., Naseer Ahmed N., Adnan S., Aftab M., Zafar M.S., Khurshid Z. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int. J. Environ. Res. Public Health. 2020;17:2821. doi: 10.3390/ijerph17082821.
    1. Duruk G., Gümüşboğa Z.Ş., Çolak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: A survey study. Braz. Oral Res. 2020;34:e054. doi: 10.1590/1807-3107bor-2020.vol34.0054.
    1. Scarano A., Inchingolo F., Lorusso F. Facial Skin Temperature and Discomfort When Wearing Protective Face Masks: Thermal Infrared Imaging Evaluation and Hands Moving the Mask. Int. J. Environ. Res. Public Health. 2020;17:4624. doi: 10.3390/ijerph17134624.
    1. Consolo U., Bellini P., Bencivenni D., Iani C., Checchi V. Epidemiological Aspects and Psychological Reactions to COVID-19 of Dental Practitioners in the Northern Italy Districts of Modena and Reggio Emilia. Int. J. Environ. Res. Public Health. 2020;17:E3459. doi: 10.3390/ijerph17103459.
    1. Cagetti M.G., Cairoli J.L., Senna A., Campus G. COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey. Int. J. Environ. Res. Public Health. 2020;17:E3835. doi: 10.3390/ijerph17113835.
    1. Stefani A., Bruno G., Mutinelli S., Gracco A. COVID-19 Outbreak Perception in Italian Dentists. Int. J. Environ. Res. Public Health. 2020;17:E3867. doi: 10.3390/ijerph17113867.
    1. Ministero della Salute Indicazioni Operative per L’attività Odontoiatrica Durante la Fase 2 Della Pandemia COVID-19. [(accessed on 30 May 2020)]; Available online: .
    1. Zimmermann M., Nkenke E. Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J. Craniomaxillofac. Surg. 2020;48:521–526. doi: 10.1016/j.jcms.2020.03.011.
    1. Cantore S., Ballini A., Mori G., Dibello V., Marrelli M., Mirgaldi R., De Vito D., Tatullo M. Anti-plaque and antimicrobial efficiency of different oral rinses in a 3-day plaque accumulation model. J. Biol. Regul. Homeost. Agents. 2016;30:1173–1178.
    1. Sinjari B., D’Addazio G., Traini T., Varvara G., Scarano A., Murmura G., Caputi S. A 10-year retrospective comparative human study on screw-retained versus cemented dental implant abutments. J. Biol. Regul. Homeost. Agents. 2019;33:787–797.
    1. Wang Y., Li C., Yuan H., Wong M.C., Shi Z., Zhou X. Rubber dam isolation for restorative treatment in dental patients. Cochrane Database Syst. Rev. 2016;9:CD009858. doi: 10.1002/14651858.CD009858.pub2.
    1. Keys W., Carson S. Rubber dam may increase the survival time of dental restorations. Evid. Based Dent. 2017;18:19–20. doi: 10.1038/sj.ebd.6401221.
    1. Gilbert G.H., Riley J.L., Eleazer P.D., Benjamin P.L., Funkhouser E. Discordance between presumed standard of care and actual clinical practice: The example of rubber dam use during root canal treatment in the National Dental Practice-Based Research Network. BMJ Open. 2015;5:e009779. doi: 10.1136/bmjopen-2015-009779.
    1. Madarati A.A. Why dentists don’t use rubber dam during endodontics and how to promote its usage? BMC Oral Health. 2016;16:24. doi: 10.1186/s12903-016-0175-2.
    1. Shashirekha G., Jena A., Maity A.B., Panda P.K. Prevalence of Rubber Dam Usage during Endodontic Procedure: A Questionnaire Survey. J. Clin. Diagn. Res. 2014;8:ZC01–ZC03.
    1. Al-Amad S.H., Awad M.A., Edher F.M., Shahramian K., Omran T.A. The Effect of Rubber Dam on Atmospheric Bacterial Aerosols during Restorative Dentistry. J. Infect. Public Health. 2017;10:195–200. doi: 10.1016/j.jiph.2016.04.014.
    1. Bartoszko J.J., Farooqi M.A.M., Alhazzani W., Loeb M. Medical Masks vs N95 Respirators for Preventing COVID-19 in Healthcare Workers: A Systematic Review and Meta-Analysis of Randomized Trials. Influenza Other Respir. Viruses. 2020;14:365–373. doi: 10.1111/irv.12745.

Source: PubMed

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