Transition to adult dental care from a pediatric hospital dental home for patients with special health care needs DOI
Audrey Mikkelson, Barbara Sheller,

Bryan J. Williams

et al.

Special Care in Dentistry, Journal Year: 2022, Volume and Issue: 42(4), P. 333 - 342

Published: Jan. 7, 2022

This study describes patients with complex Special Health Care Needs (SHCN) transitioning from a pediatric hospital clinic dental home to adult care and evaluates effectiveness of transition practices.Demographics, medical/behavioral complexity, documentation processes were collected for graduated the service in 2018/2019. An invitation complete survey assessing was sent patients/guardians ≥ 14 months after final visit. Seventy-nine 94% required accommodation SHCN: 47% medical, 42% medical + behavioral, 5% behavioral only. Of 63 eligible patients/guardians, 29 completed surveys. While 90% surveyed had established some/all care, only 41% visit, less than 28% home. Medical/behavioral payer, time since graduation did not impact having visit.This found ineffectiveness departmental protocol homes SHCN. Developing an optimal process is will require collaboration all stakeholders. Introducing early teen years, tracking progress at subsequent visits, patient readiness, summarizing history receiving providers, verifying are elements programs that should be included transitions.

Language: Английский

Prevalence of Anxiety in Dental Students during the COVID-19 Outbreak: A Meta-Analysis DOI Open Access
Javier Santabárbara, Nahia Idoiaga Mondragón, Naiara Ozamiz-Etxebarria

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(20), P. 10978 - 10978

Published: Oct. 19, 2021

Background: Since the onset of COVID-19 pandemic, psychological state university students has been a cause for concern. In particular, odontology have experienced symptoms anxiety due to closure universities and suspension clinical training. Methods: Medline via PubMed was searched studies on prevalence in dental undergraduates, published from 1 December 2019 August 2021. Results: A total fifteen were included this review. Our results show 35% reported by students, which independent gender, response rate or methodological quality. The only significant finding lower located Europe compared those other continents. Conclusions: suggest are experiencing levels during pandemic that there seem be differences between different regions world. Therefore, it is important help psychologically as situation continues.

Language: Английский

Citations

36

Meta-Analysis of Prevalence of Depression in Dental Students during COVID-19 Pandemic DOI Creative Commons
Javier Santabárbara, Naiara Ozamiz-Etxebarria, Nahia Idoiaga Mondragón

et al.

Medicina, Journal Year: 2021, Volume and Issue: 57(11), P. 1278 - 1278

Published: Nov. 21, 2021

: The COVID-19 pandemic has a negative impact on the mental health of population in general, and college students particular. Dental have seen their teaching altered clinical practice reduced. This study was aimed at conducting systematic review meta-analysis studies reporting levels depression among dental during estimating pooled prevalence depression.

Language: Английский

Citations

34

Recommendations for Safe Dental Care: A Systematic Review of Clinical Practice Guidelines in the First Year of the COVID-19 Pandemic DOI Open Access
Naira Figueiredo Deana, Andrea Seiffert, Yanela Aravena‐Rivas

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(19), P. 10059 - 10059

Published: Sept. 24, 2021

In the context of a pandemic, rapid development clinical practice guidelines (CPGs) is critical to guide dental staff towards safe provision care; detailed knowledge recommendations will help achieve intended results. We carried out systematic review in on care issued during first year COVID-19 pandemic. A database search was performed MEDLINE, EMBASE, LILACS, Epistemonikos, and Trip databases identify documents with minimize risk transmission care. The selection process data extraction were by two researchers independently. majority CPGs recommended use rubber dam, high-volume evacuator, mouthwash prior care, four-handed work, mechanical barriers. aerosol-generating equipment should be avoided whenever possible. procedures, N95 respirator (or similar) recommended, addition face protector, an impermeable disposable apron/gown, cap, gloves. developed pandemic offer which providing minimizing exposure SARS-CoV-2 reducing infection environment. Such must, however, updated as new evidence arises.

Language: Английский

Citations

30

Methodology for Addressing Infectious Aerosol Persistence in Real-Time Using Sensor Network DOI Creative Commons
Sepehr Makhsous,

Joelle M. Segovia,

Jiayang He

et al.

Sensors, Journal Year: 2021, Volume and Issue: 21(11), P. 3928 - 3928

Published: June 7, 2021

Human exposure to infectious aerosols results in the transmission of diseases such as influenza, tuberculosis, and COVID-19. Most dental procedures generate a significant number aerosolized particles, increasing risk settings. Since generation dentistry is unavoidable, many clinics have started using intervention strategies area-filtration units extraoral evacuation equipment, especially under relatively recent constraints pandemic. However, effectiveness these devices operatories has not been studied. Therefore, ability personnel efficiently position operate instruments also limited. To address challenges, we utilized real-time sensor network for assessment aerosol dynamics during restoration cleaning producers with without intervention. The tested were (i) local area High-Efficiency Particle Air (HEPA) filters (ii) Extra-Oral Suction Device (EOSD). study was conducted at University Washington School Dentistry 13 fixed sensors positioned within operatory one wearable worn by operator. provides time space-resolved particulate matter (PM) data. Three-dimensional (3D) visualization informed persistence operatory. It found that did improve overall concentration offices way. A decrease PM an average 16% observed when EOSD equipment used procedures. combination 3D can provide facility managers actionable feedback effectively assess medical settings develop evidence-based strategies.

Language: Английский

Citations

20

The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown DOI Open Access
Caoimhin Mac Giolla Phadraig, Maria van Harten, Márcio Diniz Freitas

et al.

Medicina oral, patología oral y cirugía bucal, Journal Year: 2021, Volume and Issue: unknown, P. e770 - e777

Published: Jan. 1, 2021

It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide.To report international lockdown provision for before, during and after first (March July 2020).Cross-sectional online self-administered survey dentists who treat completed 10th 31st 2020. Responses allowed comparison from immediately wave lockdowns pandemic. Data were analysed using McNemar's test compare reported practice before lockdown, lockdown.Four-hundred-thirty-six respondents across global regions a significant reduction regarding: proportion treating all types disability (p <0.001) number patients seen per week (p<0.0001). The reporting no availability any pharmacological supports rose 22% pre-lockdown 61% < 0.001) persistent 44% 0.001). An increase in teledentistry was observed.During there negative dental care disabilities. Oral access significantly restricted sedation general anaesthesia particularly affected. There now an increased need ensure that no-one left behind new existing services as they emerge post-pandemic.

Language: Английский

Citations

16

The Impact of COVID-19 on the Oral Health of Patients with Special Needs DOI
Ronald L. Ettinger, Leonardo Marchini, Samuel Zwetchkenbaum

et al.

Dental Clinics of North America, Journal Year: 2022, Volume and Issue: 66(2), P. 181 - 194

Published: Jan. 10, 2022

Language: Английский

Citations

11

A multi-country survey on the impact of COVID-19 on dental practice and dentists’ feelings in Latin America DOI Creative Commons
Rafael R. Moraes, Carlos Enrique Cuevas‐Suárez, Wilfredo Gustavo Escalante‐Otárola

et al.

BMC Health Services Research, Journal Year: 2022, Volume and Issue: 22(1)

Published: March 25, 2022

The COVID-19 pandemic has significantly influenced the routine of healthcare workers. This study investigated impact on dental practice and dentists' feelings in Latin America.A survey was conducted with dentists from 11 Spanish-speaking American countries September-December 2020. Professionals were invited by email via an open campaign promoted social media. questions care routines, changes, about pandemic. Descriptive statistics used to identify frequencies distributions variables. Proportions compared using chi-square tests.A total 2127 responses collected a sample diverse demographic, sex, work, education characteristics. considered high/very high 60% respondents. volume patients assisted weekly lower pre-pandemic period (mean reduction = 14 ± 15 patients). A rate fear contracting at work observed (85%); 4.9% participants had positive test. main professional challenges faced respondents number or financial gain (35%), (34%), burden difficulty purchasing new personal protective equipment (22%). appointments. test associated their reports having patients. most cited uncertainty, fear, worry, anxiety, stress. Negative more prevalent for professionals who did not receive training preventive measures those reporting higher levels contract disease.This multi-country indicated routines America. massive prevalence bad

Language: Английский

Citations

11

A retrospective study on the effect of the COVID-19 pandemic on dental treatments in adults DOI Creative Commons

Diego Gómez-Costa,

Juan Manuel Ramírez,

Iván García Guerrero

et al.

BMC Oral Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: April 12, 2022

Abstract Background The aim was to analyze the prevalence of dental treatments that were not performed in a care university referral center capital Spain during first wave COVID-19 pandemic. Methods This retrospective observational study based on registry medical records. Sex, age, nationality, and type treatment service Integrated Adult Dental Clinic subject Dentistry degree at Rey Juan Carlos University Madrid analyzed. Results A total 392 records 58.67% (95% CI 53.74–63.44) conservative treatments, 47.45% 42.55–52.39) periodontal 27.30% 23.12–31.91) 13.52% 10.49–17.26) clinical activities. patients most affected by absence ranged age from 35 74 years. Age, sex, nationality influential performing treatments. Conclusions pandemic could have negatively influenced such as increasing risk tooth loss adults.

Language: Английский

Citations

10

Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022) DOI
Gerardo Maupomé, Allison C. Scully, Juan F. Yepes

et al.

Journal of Public Health Dentistry, Journal Year: 2023, Volume and Issue: 83(2), P. 147 - 154

Published: March 7, 2023

Abstract Objectives We showed in a previous analysis the patterns of disruption for private dental insurance claims United States caused by SARS‐CoV‐2 pandemic 2020. The present report examines trends during 2020 and 2021, that is, contrasting perspectives 2019 with acute phase 2020, 2021. Methods Private paid from data warehouse were obtained, encompassing 5% random sample records between January December 2021 child adult insureds who filed claim 2019, classified into one four categories based on likelihood being associated urgent/emergency care. Results precipitous reduction care March–June recovered to almost pre‐pandemic levels fall However, downward decline started late continued through Differential impacts categories—in terms urgency care—were evident closely resembling Conclusions Dental first year contrasted A trend demand/availability changes set perhaps linked perceptions overall economic situation. Such has overall, even after considering seasonal acceleration Delta, Omicron, other variants.

Language: Английский

Citations

5

Trends in dental insurance claims in the United States before and during the SARS‐CoV‐2 pandemic in 2020 DOI
Gerardo Maupomé, Allison C. Scully, Juan F. Yepes

et al.

Journal of Public Health Dentistry, Journal Year: 2022, Volume and Issue: 82(3), P. 352 - 357

Published: Jan. 9, 2022

Abstract Objectives The SARS‐CoV‐2 pandemic disrupted health care services. Previous reports estimated reductions in demand and supply of dental services, but actual changes have not been reported. present report depicts a perspective trends claims from private practice the United States during 2019 2020. Methods Private insurance paid data warehouse (encompassing 66+ carriers States) were obtained for children adults (treatments identified by their American Dental Association Code Procedures Nomenclature [CDT]), encompassing 5% random sample all records between January December A market‐based treatment classification placed CDT codes into one four categories based on likelihood being associated with urgent/emergency care. Results Claims 3.8 million patients constituted analyses. Substantial drops provision items quantified large segment plans at national level, showing differential impacts categories. Conclusions Week‐by‐week, detailed descriptions demand/availability throughout first year 2020 through contrasting perspectives 2019. Provision fluctuated over time subject to urgency, also modified as weeks/months office lockdowns ebbed out market.

Language: Английский

Citations

8