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1.
Acta Odontol Latinoam ; 35(2): 144-154, 2022 Sep 30.
Article in English | MEDLINE | ID: covidwho-2101108

ABSTRACT

The aim of this study was to analyze oral health actions in four municipalities in Brazil during the COVID-19 pandemic according to a theoretical framework model on oral healthcare management. It was a qualitative study carried out in two stages. A theoretical-empirical model on the significance of oral healthcare management was developed, following the Grounded Theory method. Fourteen dentists and five healthcare managers participated, through open interview. Subsequently, collaborative research was performed, and the model was applied to analyze the documents produced to address the pandemic by each of four municipalities in Santa Catarina State. The model provided a framework for analyzing actions for coping with the pandemic regarding oral health services. Actions were identified in all dimensions of the model: reduction in supply of dental care due to restricted access to elective services; search for biosafety care standards; dissemination of standardized science-based guidelines; attempt to maintain comprehensive dental assistance through re-adaptation of specialized services and collective actions; and relocation of oral health professionals to assist in other sectors. The oral health care management framework can serve as a reference for redesigning oral health actions and services in other municipalities during the COVID-19 pandemic, in a broader perspective.


Analisar as ações de saúde bucal em quatro municípios brasileiros durante a pandemia de COVID-19, segundo um modelo de referencial teórico sobre gestão da atenção à saúde bucal. Estudo qualitativo realizado em dois momentos. Foi desenvolvido um modelo teórico-empírico sobre o significado da gestão do cuidado em saúde bucal, seguindo o método da Teoria Fundamentada nos Dados. Participaram 14 dentistas e cinco gestores de saúde, por meio de entrevista aberta. Posteriormente, no segundo momento, foi realizada uma pesquisa colaborativa, e o modelo foi aplicado para analisar os documentos produzidos em cada município para o enfrentamento local da pandemia, em quatro municípios do Estado de Santa Catarina, sul do Brasil. O modelo forneceu uma estrutura para analisar as ações de enfrentamento da pandemia nos serviços de saúde bucal. Foram identificadas ações em todas as dimensões do modelo: redução da oferta de atendimento odontológico devido à restrição de acesso aos serviços eletivos; a busca por padrões de assistência à biossegurança; disseminação de diretrizes padronizadas e com base científica; a tentativa de manter a assistência odontológica integral por meio da readaptação de serviços especializados e ações coletivas; e realocação de profissionais de saúde bucal para atendimento em outros setores. O referencial de gestão da atenção à saúde bucal pode servir de referência para redesenhar as ações e serviços de saúde bucal em outros municípios em período de pandemia de COVID-19, em uma perspectiva mais ampla.


Subject(s)
COVID-19 , Pandemics , United States , Humans , Brazil/epidemiology , Pandemics/prevention & control , Cities , Grounded Theory , COVID-19/prevention & control
2.
J Law Med Ethics ; 49(1): 89-91, 2021.
Article in English | MEDLINE | ID: covidwho-2096544
6.
European Review for Medical and Pharmacological Sciences ; JOUR(15):5460-5465, 26.
Article in English | Web of Science | ID: covidwho-2081732

ABSTRACT

OBJECTIVE: Poor oral health and oral diseases are common among people experiencing homelessness. The aim of this study was to evaluate the dental demands and needs of a population of homeless persons in the city of Rome, Italy. PATIENTS AND METHODS: The clinical records of 165 homeless patients admitted between October 2020 and October 2021 to the dental service of the Primary Care Services of the Eleemosynaria Apostolica, Vatican City, were retrospectively reviewed. The service employed dentists to evaluate dental needs and oral conditions in patients experiencing homelessness. The main dental and oral pathological conditions were noted. RESULTS: One hundred and sixty-five records of homeless patients were included in the study. The sample consisted in 138 males (76.97%) and 27 females (23.03%) with a mean age of 46.9 years (range 7-85 years). Acute tooth pain was reported by 132 (80%) patients, 42 (25.45%) had edentulism or missing teeth and 18 (10.91%) patients had oral lesions. Both dental and oral pathologies were intercepted and managed in secondary health-care facilities. CONCLUSIONS: Given the specific peculiarities of this vulnerable population, it is import-ant to implement strategies that facilitate the access of persons experiencing homelessness to dental evaluation with a preventive and curative perspective.

7.
J Prev Med Hyg ; 63(2): E231-E239, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-2081074

ABSTRACT

Objective: The purpose of the study was to ascertain Oral Health Related Quality of Life (OHRQOL) and evaluate oralhygiene practices in patients visiting a dental institution during COVID-19 time. Materials and methods: Face-to face interviews were conducted using a semi-structured close-ended questionnaire,assessing oral hygiene practices and self-reported oral problems perceived in last 6 months, using both Hindi and English version of Oral Health Impact Profile (OHIP-14) Questionnaire. Frequency distribution of oral hygiene practices were obtained, and Descriptive statistics computed the scores of OHIP-14. Kruskal-wallis test and Independent t-test were used to match the association of OHIP-14 with demographic variables. Multiple linear regression analysis was utilized to compute the association of OHIP-14 with independent variables, age and gender. Results: Subjective evaluation of OHRQOL (Oral Health Related Quality of Life) using OHIP-14 Porforma resulted in high score for physical pain and psychological discomfort but subjects expressed less discomfort in connection to functional limitation, physical disability, psychological discomfort, social disability and handicap domains of OHIP-14. With progressive increase in age OHRQOL worsened. Females had poor OHRQOL, with significant difference as compared to males. Gender and marital status observed variance in OHIP-14 with statistically significant difference (P <0.000). Conclusion: More than two-third subjects preferred cleaning their teeth using toothbrush and toothpaste. Therefore, COVID-19 consequently impacted OHRQOL of the general population.


Subject(s)
COVID-19 , Quality of Life , Female , Humans , India , Male , Oral Health , Oral Hygiene , Pandemics , Quality of Life/psychology
8.
Odovtos - International Journal of Dental Sciences ; 24(3):191-199, 2022.
Article in English | Scopus | ID: covidwho-2056540

ABSTRACT

This study aimed to investigate self-medication in the COVID-19 outbreak among patients attending the dental clinic of Zanjan University of Medical Sciences. The total number of patients who took part in this research was 306, and they were questioned using a 28-item questionnaire after signing a permission form. SPSS26 was used to gather and analyze the data. There were 196 women and 110 males among the patients.The results showed that the prevalence of self-medication was 53.9%, and a lower educational level was associated with self-medication. The most common problem for self-medicating was toothache, and the most frequent drug was Ibuprofen. The majority of the participants reported that their relatives/friends suggested the drugs to them. The main source of obtaining the drugs was pharmacies. The major reasons for self-medication were the high cost of dental treatments and fear of COVID-19. © 2022, Universidad de Costa Rica. All rights reserved.

9.
J Med Internet Res ; 24(10): e39218, 2022 10 21.
Article in English | MEDLINE | ID: covidwho-2054793

ABSTRACT

BACKGROUND: It is recommended that caregivers receive oral health education and in-person training to improve toothbrushing for young children. To strengthen oral health education before COVID-19, the 21-Day FunDee chatbot with in-person toothbrushing training for caregivers was used. During the pandemic, practical experience was difficult to implement. Therefore, the 30-Day FunDee chatbot was created to extend the coverage of chatbots from 21 days to 30 days by incorporating more videos on toothbrushing demonstrations and dialogue. This was a secondary data comparison of 2 chatbots in similar rural areas of Pattani province: Maikan district (Study I) and Maelan district (Study II). OBJECTIVE: This study aimed to evaluate the effectiveness and usability of 2 chatbots, 21-Day FunDee (Study I) and 30-Day FunDee (Study II), based on the protection motivation theory (PMT). This study explored the feasibility of using the 30-Day FunDee chatbot to increase toothbrushing behaviors for caregivers in oral hygiene care for children aged 6 months to 36 months without in-person training during the COVID-19 pandemic. METHODS: A pre-post design was used in both studies. The effectiveness was evaluated among caregivers in terms of oral hygiene practices, knowledge, and oral health care perceptions based on PMT. In Study I, participants received in-person training and a 21-day chatbot course during October 2018 to February 2019. In Study II, participants received only daily chatbot programming for 30 days during December 2021 to February 2022. Data were gathered at baseline of each study and at 30 days and 60 days after the start of Study I and Study II, respectively. After completing their interventions, the chatbot's usability was assessed using open-ended questions. Study I evaluated the plaque score, whereas Study II included an in-depth interview. The 2 studies were compared to determine the feasibility of using the 30-Day FunDee chatbot as an alternative to in-person training. RESULTS: There were 71 pairs of participants: 37 in Study I and 34 in Study II. Both chatbots significantly improved overall knowledge (Study I: P<.001; Study II: P=.001), overall oral health care perceptions based on PMT (Study I: P<.001; Study II: P<.001), and toothbrushing for children by caregivers (Study I: P=.02; Study II: P=.04). Only Study I had statistically significant differences in toothbrushing at least twice a day (P=.002) and perceived vulnerability (P=.003). The highest overall chatbot satisfaction was 9.2 (SD 0.9) in Study I and 8.6 (SD 1.2) in Study II. In Study I, plaque levels differed significantly (P<.001). CONCLUSIONS: This was the first study using a chatbot in oral health education. We established the effectiveness and usability of 2 chatbot programs for promoting oral hygiene care of young children by caregivers. The 30-Day FunDee chatbot showed the possibility of improving toothbrushing skills without requiring in-person training. TRIAL REGISTRATION: Thai Clinical Trials Registry TCTR20191223005; http://www.thaiclinicaltrials.org/show/TCTR20191223005 and TCTR20210927004; https://www.thaiclinicaltrials.org/show/TCTR20210927004.


Subject(s)
COVID-19 , Toothbrushing , Child , Child, Preschool , Humans , COVID-19/prevention & control , Oral Health , Oral Hygiene , Pandemics/prevention & control
10.
Community Dent Health ; 2022 Oct 04.
Article in English | MEDLINE | ID: covidwho-2054643

ABSTRACT

In response to the impact of the COVID-19 pandemic on access to already oversubscribed specialist paediatric dental services, a pilot of an enhanced primary care paediatric dental pathway, known as the Child Friendly Dental Practice (CFDP) scheme, was commissioned by the Greater Manchester Health and Social Care Partnership. Supported by a transformational commissioning approach, the ambition of the CFDP pilot was to manage or stabilise the oral health of high-need paediatric patients who had been referred to specialist dental services within Community or Hospital Dental Service settings, through timely access to primary care clinicians who were confident and experienced in treating children. The theory of change of the CFDP pilot proposed that rapid access to enhanced primary dental care would reduce the need for onward referral to specialist paediatric dental services, whilst also stabilising the oral health of children who require more complex management in specialist services. A formative evaluation of the phase one pilot implementation of the CFDP Scheme has demonstrated the potential of the CFDP Scheme to improve access to dental services for paediatric patients referred from their General Dental Practitioner. Comparison of waiting times between the CFDP pathway and the standard paediatric dental referral pathway have revealed substantially reduced waiting times to access care along the CFDP pathway, while less than 30% of those who attended CFDPs required onward referral to specialist paediatric dental services. Encouragingly, similar attendance and treatment completion rates were noted among patients from all levels of socio-economic deprivation, reducing concerns regarding the potential for service-based interventions to increase oral health inequalities. Following successful completion of the phase one pilot implementation and evaluation, the CFDP Scheme has now been rolled out across all localities in Greater Manchester as part of a second phase pilot implementation. Public Health Competencies; Equitable healthcare provision, Partnership working, Evidence-based public health, Systems thinking, Transformational commissioning, Healthcare evaluation.

11.
J Dent Res ; 101(10): 1135-1136, 2022 09.
Article in English | MEDLINE | ID: covidwho-2053574
12.
Health Info Libr J ; 39(3): 207-224, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-2052480

ABSTRACT

INTRODUCTION: Increasing affordability, accessibility and penetration of internet services worldwide, have substantially changed the ways of gathering health-related information. This has led to the origin of concept infodemiology that allows the information to be collected and analysed in near real time. Globally, oral diseases affect nearly 3.5 billion people; thus, volume and profile of oral health searches would help in understanding specific community dental needs and formulation of pertinent oral health strategies. AIM: To review the published literature on infodemiological aspects of oral health and disease. METHODOLOGY: This scoping review was conducted in accordance with PRISMA-ScR guidelines. Electronic search engines (Google Scholar) and databases (PubMed, Web of science, Scopus) were searched from 2002 onwards. RESULTS: Thirty-eight articles were included in this review. The infodemiological studies for oral health and disease were mainly used in two domains. Out of 38 articles, 24 accessed the quality of available online information and 15 studied online oral health-related information seeking behaviour. CONCLUSION: The most commonly searched oral diseases were toothache, oral cancer, dental caries, periodontal disease, oral maxillofacial surgical procedures and paediatric oral diseases. Most of the studies belonged to developed countries and Google was the most researched search engine.


Subject(s)
Dental Caries , Oral Health , Child , Dental Caries/prevention & control , Humans , Infodemiology , Information Seeking Behavior , Internet , Search Engine
13.
Journal of International Dental and Medical Research ; 15(3):1211-1216, 2022.
Article in English | Scopus | ID: covidwho-2046537

ABSTRACT

The study aims to assess the impact of COVID-19 pandemic on the frequency and causes of dental visits during the past year of lockdown and to evaluate the perception of the parents of the influence of the pandemic on their children’s oral health. An anonymous questionnaire was submitted online to a total of 132 parents of children aged 5 through 12 years. During the lockdown period, 69,70% of the children had one dental appointment and 6,06% visited a dentist twice. Those who did not visit a dentist during the pandemic were 23,48%. The main reason for a dental visit was failure of dental restoration (31,06%). The majority of the respondents think that the COVID 19 pandemic did not affected their child's oral health (66.67%), but women were more likely to think so. Most of the participants (75,00%) reported that they had no difficulty in making an appointment for their child and for 66.67% dental treatment was not refused due to the pandemic. The COVID-19 pandemic affected the frequency and the reasons for pediatric dental visits. Further research should be carried out on the actual situation of the long-term impact of the COVID19 pandemic on children’s oral health. Cli © 2022, Journal of International Dental and Medical Research. All Rights Reserved.

14.
Journal of Datta Meghe Institute of Medical Sciences University ; 17(5):S63-S66, 2022.
Article in English | Scopus | ID: covidwho-2040150

ABSTRACT

Severe acute respiratory syndrome coronavirus 2 is a widespread worldwide public health malady due to a viral COVID-19 infection. The World Health Organization has affirmed this malady as a pandemic and Public Health Emergency of International Concern. A wide array of oral lesions has been reported in patients with COVID-19. Oral lesions can be an initial sign of COVID-19 or an alarming sign of peripheral thrombosis. However, there is a scarcity of published literature on the oral manifestations of COVID-19 in hospitalized patients. We present four different types of oral lesions in hospitalized patients with moderate-to-severe COVID-19 disease. This article proposes that a detailed examination of the oral cavity in patients admitted to COVID-19 intensive care unit/high dependency units will help to understand the significance of the oral lesions in the management of the disease. Dental professionals should be a part of the multidisciplinary treatment protocol, thus, emphasizing a detailed and meticulous oral examination and oral health amelioration of COVID-19 patients. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

15.
BMC Oral Health ; 22(1): 422, 2022 09 22.
Article in English | MEDLINE | ID: covidwho-2038722

ABSTRACT

BACKGROUND: Poor oral health due to dental caries is one of the most prevalent non-communicable diseases worldwide. It has a significant impact on individuals across the lifespan and is a leading cause of preventable hospitalizations. The impacts of COVID-19 on oral health at the practice level are well documented, but gaps in understanding the impact on individual oral health remain. This review addresses this gap. METHODS: Using a JBI scoping review process we mapped and summarized the evidence to identify the impact of COVID-19 on individual oral health. Key search terms were developed, and searches were undertaken by an experienced research librarian. RESULTS: The 85 included studies were conducted in 23 countries from 5 regions across the world classified using the United Nations Geoscheme system. The majority (82/85) were quantitative, 2 were reviews and there was one qualitative interview study. Cross-sectional surveys were the most common data collection approach followed by an analysis of clinical data, analysis of internet trends and other online methods. Five key areas were identified including changes to the provision of emergency dental services, provision of routine oral health services, oral hygiene maintenance at home, changes in dietary preferences, alternative models of dental provision and help-seeking and attitudes towards dental care in the future. CONCLUSIONS: This scoping review has demonstrated that the pandemic has impacted on oral health at the individual level. It is important that we are aware of these impacts and ensure that support systems are in place to overcome future periods where access to dental care might be compromised. The provision of preventive care remains a vital first step in ensuring good overall oral health as is paramount during periods where access to dental treatment might be limited.


Subject(s)
COVID-19 , Dental Caries , Oral Health , Oral Hygiene , Cross-Sectional Studies , Dental Caries/epidemiology , Dental Caries/prevention & control , Humans
16.
Int J Environ Res Public Health ; 19(18)2022 Sep 14.
Article in English | MEDLINE | ID: covidwho-2032969

ABSTRACT

This study assessed the association between emotional distress, sleep changes, decreased frequency of tooth brushing, and self-reported oral ulcers, and the association between COVID-19 status and decreased frequency of tooth brushing. Using a cross-sectional online survey, data were collected from adults in 152 countries between July and December 2020. Binary logistic regression analyses were conducted to determine the associations between dependent (decreased frequency of tooth brushing, oral ulcers, change in sleep pattern) and independent (tested positive for COVID-19, depression, anxiety, frustration/boredom, loneliness, anger, and grief/feeling of loss) variables after adjusting for confounders (age, sex, level of education, employment status). Of the 14,970 participants data analyzed, 1856 (12.4%) tested positive for COVID-19. Respondents who reported feeling depressed (AoR: 1.375), lonely (AoR: 1.185), angry (AoR: 1.299), and experienced sleep changes (AoR:1.466) had significantly higher odds of decreased tooth brushing frequency. Respondents who felt anxious (AoR: 1.255), angry (AoR: 1.510), grief/sense of loss (AoR: 1.236), and sleep changes (AoR: 1.262) had significantly higher odds of oral ulcers. Respondents who tested positive for COVID-19 had significantly higher odds of decreased tooth brushing frequency (AoR: 1.237) and oral ulcers (AoR: 2.780). These findings highlight that the relationship between emotional distress and oral health may intensify during a pandemic.


Subject(s)
COVID-19 , Oral Ulcer , Psychological Distress , Adult , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Pandemics , SARS-CoV-2 , Self Report , Sleep , Surveys and Questionnaires , Toothbrushing
17.
Dental Nursing ; 18(9):446-447, 2022.
Article in English | CINAHL | ID: covidwho-2030354

ABSTRACT

In this article, author considered how biodegradable and more eco-friendly products have minimal environmental impact, creating safer dentistry for all.

18.
Prehosp Disaster Med ; : 1-3, 2022 Sep 15.
Article in English | MEDLINE | ID: covidwho-2028613
19.
Braz. dent. sci ; 25(3): 1-10, 2022. tab
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-2024922

ABSTRACT

Objective: Increased rate of dental caries among children necessitate regular pediatric dental treatments; however, the COVID-19 pandemic has posed significant challenges for dental visits of children, compromising their oral health. To assess the attitude of parents towards oral health and dental treatment of their children during the COVID-19 pandemic. Material and Methods: 232 eligible parents presenting to the Pediatric Dentistry Department of Qazvin Dental School during March and April 2021 seeking dental care for their children were requested to fill out a questionnaire included data regarding demographic information, child's dental history, attitude about the COVID-19 and risk of dental treatments. Data were analyzed using independent t-test, one-way ANOVA, and Pearson's correlation coefficient (alpha=0.05). Results: One-third of the parents reported that fear of contraction of COVID-19 was the reason for not seeking dental care during the pandemic. The majority of the parents stated no change in oral hygiene behavior or consumption of sugary foods during the pandemic. Cancellation of previous dental appointments (P=0.038) and unwillingness to seek dental care at present (P=0.015) were significantly correlated with the susceptibility score. The susceptibility score of the parents was also correlated with their psychological status (P=0.016). A significant correlation was noted between the susceptibility score and attitude as well (r=0.287, P<0.001). Conclusion: High level of concern regarding the COVID-19 prevents parents from seeking dental care for their children. It is imperative to take measures to reassure the parents regarding the safety of dental care for their children during the pandemic to ensure continuation of dental care. (AU)


Objetivo: O aumento da incidência de cárie dentária entre as crianças exige que tratamentos odontológicos pediátricos regulares sejam realizados; no entanto, a pandemia da COVID-19 trouxe desafios significativos para as consultas odontológicas de crianças, comprometendo a saúde bucal. O objetivo do estudo foi mensurar a atitude dos pais em relação a saúde bucal e o tratamento odontológico de seus filhos durante a pandemia da COVID-19. Material e Métodos: 232 pais elegíveis que se apresentaram ao Departamento de Odontopediatria da Faculdade de Odontologia de Qazvin durante março e abril de 2021 em busca de atendimento odontológico para seus filhos foram solicitados a preencher um questionário, incluindo dados sobre informações demográficas, histórico odontológico da criança, atitude sobre a COVID-19 e risco de tratamentos odontológicos no contexto da COVID-19. Os dados foram analisados usando o teste t independente, ANOVA um fator e coeficiente de correlação de Pearson (alfa = 0,05). Resultados: Um terço dos pais relatou que o medo de contrair COVID-19 foi o motivo para não procurar atendimento odontológico durante a pandemia. A maioria dos pais afirmou não haver mudança no comportamento de higiene bucal ou consumo de alimentos açucarados durante a pandemia. Cancelamento de consultas odontológicas anteriores (P=0,038) e falta de vontade de procurar atendimento odontológico no momento (P=0,015) foram significativamente correlacionados com o escore de suscetibilidade. O escore de suscetibilidade dos pais também foi correlacionado com seu estado psicológico (P=0,016). Também foi observada correlação significativa entre o escore de suscetibilidade e a atitude (r=0,287, P<0,001). Conclusão: O alto nível de preocupação em relação a COVID-19 impede que os pais procurem atendimento odontológico para seus filhos. É imperativo tomar medidas para tranquilizar os pais quanto à segurança do atendimento odontológico de seus filhos durante a pandemia para garantir a continuidade do atendimento odontológico. (AU)


Subject(s)
Humans , Attitude , Child , Oral Health , Dental Care , COVID-19
20.
Bali Medical Journal ; 11(2):844-849, 2022.
Article in English | Web of Science | ID: covidwho-2025804

ABSTRACT

Introduction: Betel leaf is very popular in Asia and known to have a function as traditional medicine. And is often referred to as the "Golden Heart of Nature". This is because the betel leaf has an effect such as antimicrobial, antiviral, radioprotective, antioxidant, antiseptic, bactericidal, anti-inflammatory, antiallergic, wound healing, antiplatelet, antibacterial, antifungal, and immunomodulatory activity. Nutraceutical nano-betel leaf extract contains rich in minerals, vitamins, antioxidants, phenolic compounds, and essential oils. Effectively protects the mouth from pathogens. This research aims to review the nutraceuticals of nano-betel leaf extract to prevent COVID-19 and oral cavity disease. Methods: This systematic review study was conducted through six steps: (1) framing the questions (based on theory);(2) Run a search (on Scopus, Google Scholar, EBSCO, ProQuest, and Science Direct publishing articles from 2020 to 2022);(3) Determine the relevant research;(4) Determine the articles come from diverse backgrounds;(5) Extraction of data from individual studies;(6) Synthesis of results using the narrative method.Results: Betel leaf contains nutrients for oral health, immunomodulators, and COVID-19, namely protein, amino acids, vitamins A, B, C, and K, as well as minerals such as Mg, K, Ca, Fe, I, P,Zn, essential oil (eugenol, hydroxylchavicol, allylpyrocatechol, quercetin, etc). Betel leaf nano extract has a significant role as antioxidants, anti-inflammatory, antimicrobial, and antivirus, which act as anti-oral cavity disease and anti-COVID-19. Betel leaf nano extract has a significant role in curing various oral cavity diseases related to COVID-19, including fungal infections, toothache, conjunctivitis, re-current HSV, oral ulcerations, xerostomia or decreased salivary flow, and gingivitis.Conclusion: Betel leaf nano extract has a significant role in curing oral cavity disease and COVID-19. It is recommended that research into the oral disease and COVID-19 drugs combined with viable ingredients substances from betel leaf.

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