Knowledge, attitude and practice among dental practitioners with regard to overcoming the barriers created by personal protective equipment in the COVID-19 era and delivering effective dental treatment: A questionnaire-based cross-sectional study.

ABSTRACT

BACKGROUND: In the wake of the coronavirus disease 2019 (COVID-19) pandemic, dental professionals are at high risk of contracting the virus owing to their close proximity to patients. Using personal protective equipment (PPE) is necessary to avoid being infected as well as to avoid being the source of infection. Apart from physical limitations, also communication and work efficiency are affected by the barriers created by PPE. OBJECTIVES: This study was conducted to assess knowledge, attitude and practice regarding the challenges faced by dental practitioners in India due to the use of PPE as well as to discuss the ways of overcoming these barriers by dentists. MATERIAL AND METHODS: A cross-sectional study was conducted during a period of 1 month. A Google Forms questionnaire was sent out; it included 12 questions regarding the use of PPE, changes in the diet and the work routine, the side effects of PPE, effects on communication and work efficiency, and the patients' attitude toward PPE. The obtained data was subjected to the statistical analysis with the use of the IBM SPSS Statistics for Windows software, v. 26.0. For all statistical tests, p < 0.05 was considered to be statistically significant, keeping α error at 5% and ß error at 20%, thus giving a power to the study of 80%. RESULTS: A total of 390 dentists completed the questionnaire. The study revealed that 85% of the respondents agreed that wearing PPE affected their work efficiency and 89% experienced difficulty in communication. The majority of the participants experienced side effects, like profuse sweating, breathlessness, headaches, and skin irritation. CONCLUSIONS: It was proven that the current use of PPE not only makes communication harder, but also elevates anxiety among patients. Dentists have adapted themselves by switching to other means of communication, such as sending instructions by means of text messages/telemedicine, as well as taking breaks between patients, switching to a healthier diet, and exercising regularly, thus helping to minimize the adverse effects of PPE.