Dental emergency care in Spain during the state of alarm due to COVID-19 pandemic.

BACKGROUND: The first state of alarm due to COVID-19 in Spain led to limit dental treatment exclusively to emergencies. The objective of the survey was to evaluate the amount and type of emergencies attended during this period, as well as to know how they were solved, and what measures were adopted to carry out dental care in these exceptional circumstances. MATERIAL AND METHODS: This cross-sectional study included 312 Spanish dentists, who fulfilled an online questionnaire with 22 closed questions, divided into five sections regarding to various aspects of professional dental profile and emergency care. Descriptive statistic and Chi-square tests were performed (p<0.05). RESULTS: 75.64% of respondents attended emergencies in person only when required, being dental pain the main emergency (90.38%). Dental emergency care in person involved a prior telephone triage of the patient to identify possible COVID-19 symptoms, as well as protective measures implementation for both, the patient and the dentist, at dental office. CONCLUSIONS: The number of dental emergencies decreased during the state of alarm, being dental pain the main cause of dental assistance via telephone or in person. Triage of patients before scheduling an in-person appointment and protective measures implementation were common features in dental emergency care during the first state of alarm period. Key words:Dental emergencies, COVID-19, state of alarm, survey.

Quality of approximal surfaces of posterior restorations in primary molars.

PURPOSE: To evaluate the influence of the restorative material and matrix system on proximal contact tightness and morphological characteristics of class II restorations in primary molars. METHODS: Occluso-mesial cavities in second primary artificial molars were randomly restored using different materials (Filtek Z500 or Filtek Bulk Fill composites or high-viscosity glass ionomer cement Ketac Universal) and different matrix system (Tofflemire, AutoMatrix, matrix band with ring, contoured sectional matrix) (n = 12). Proximal contact tightness was measured using a custom-made device in an Instron 3345, and proximal surface morphology and marginal adaptation were scored after digital scanning. Two-way ANOVA, Tukey and Fischer's exact tests were performed (P < 0.05). RESULTS: Proximal contact tightness values were significantly influenced by the restorative material (P < 0.05), the matrix system (P < 0.001), and their interaction (P < 0.01). Both resin composites showed statistically differences in proximal shape according to the matrix used to restore and exhibited overhanging margins. Ketac Universal restorations showed similar morphology and gaps on the margins regardless of the matrix system. CONCLUSIONS: Overall, both composite restorations achieved tighter proximal contact than those restored with the high-viscosity glass ionomer cement. None of the matrix systems tested provided a convex seamless proximal morphology.