The impact of covid-19 lockdown on maxillofacial related services at tertiary dental institution
DOI:
https://doi.org/10.17159/2519-0105/2021/v76no10a5Keywords:
Covid-19, SARS-CoV-2, pandemic, maxillofacial services,Abstract
In the wake of the devastating COVID-19 pandemic, many countries in the world instituted various protocols to limit the
spread of the disease and to reduce the burden on health care facilities. However, the unintended consequences of
these restrictions included the reduction of human mobility, limited access to health care services, resulting in delayed
or missed medical treatment. Aims The aim of the study was to assess the impact of the COVID-19 lockdown restriction on maxillofacial services. Methodology This retrospective and descriptive study of patient’s clinical records, spanned from October 2019 to August 2020.This period included the pre-lockdown (October –December 2019) and the different lockdown (levels 5,4, and 3) periods.
Complete clinical patient records were included for analysis. Results The study revealed a 88%, 86%, and 45% decline in
maxillofacial and oral surgery consultations during levels 5, 4 and 3 respectively. Third molar impaction related complaints such as pericoronitis, pain and sepsis werethe predominant consultation motives during all levels of lockdown periods. Gender and age of patients had no impact on the consultation rates during the course of the study. Conclusion The Covid-19 pandemic related lockdown restrictions affected the service provision for maxillofacial patients seen at this institution.
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References
Kang S-J, Jung SI. Age-related morbidity and mortality among patients with COVID-19. Infect Chemother. 2020;52(2):154-164.
Roderick P, Macfarlane A, Pollock AM. Getting back on track: control of covid-19 outbreaks in the community. BMJ. 2020; 369:m2484. https://doi.org/10.1136/bmj.m2484
Chinazzi M, Davis JT, Ajelli M, et al. The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak. Science. 2020;368(6489):395-400.
Bo Y, Guo C, Lin C, et al. Effectiveness of nonpharmaceutical interventions on COVID-19 transmission in 190 countries from 23 January to 13 April 2020. Int J Tuberc Lung Dis 2021;102:247-253.
Leung C, Cheng K, Lam T, Migliori G. Mask wearing to complement social distancing and save lives during COVID-19. Int J Tuberc Lung Dis. 2020;24(6):556-558.
Lee K-B, Han S, Jeong Y. COVID-19, flattening the curve, and Benford’s law. Physica A.2020;559:125090.https://doi.org /10.1016/j.physa.2020.125090.
Hamzelou J.World in lockdown. New Sci. 2020;245(3275):7.https://doi.org/10.1016/S0262-4079(20)30611-4
WongLaura E, HawkinsJessica E, MurrellKaren L. Where are all the patients? Addressing Covid-19 fear to encourage sick patients to seek emergency care. NEJM Catalyst Innovations in Care Delivery. 2020. https://doi.org/10.1056/CAT.20.0193
Hatefi S, Smith F, Abou-El-Hossein K, Alizargar J. COVID-19 in South Africa: lockdown strategy and its effects on public health and other contagious diseases. Public Health. 2020;185:159-160.
Babitsch B, Gohl D, von Lengerke T. Re-revisiting Andersen's Behavioral Model of Health Services Use: a systematic review of studies from 1998-2011. Psychosoc Med. 2012;9:Doc11-Doc11. https://dx.doi.org/10.3205%2Fpsm000089
Pabst A, Zeller AN, Sader R, et al. The influence of the SARS-CoV-2 pandemic on oral and maxillofacial surgery: a nationwide survey among 54 hospitals and 240 private practices in Germany Clin. Oral Investig... 2021;25(6):3853-3860.
Bartella AK, Halama D, Kamal M, et al. Impact of COVID-19 on Oral and Maxillofacial Surgery: Preliminary Results After the Curfew. J.Craniofac. Surg.. 2021;32(3):e305-e308.
Donohoe E, Courtney R, McManus E, Cheng J, Barry T. The impact of COVID-19 on Oral and Maxillofacial Surgery patient presentations to the Emergency Department: A West of Ireland Experience. Advances in 616 > RESEARCH www.sada.co.za / SADJ Vol. 76 No.10 Oral and Maxillofacial Surgery. 2021;2:100061. https://dx.doi.org/10.1016%2Fj.adoms.2021.100061
Vishwakarma K, Khakhla DH, Ambereen A, Rawat SK, Mishra P, Shukla B. Impact of COVID-19 on oral and maxillofacial surgery practice in India: A national survey. Natl J Maxillofac Surg. 2021;12(2):219-226.
Hartnett KP, Kite-Powell A, DeVies J, et al. Impact of the COVID-19 pandemic on emergency department visits—United States, January 1, 2019–May 30, 2020. Morbidity and Mortality Weekly Report. 2020;69(23):699-704.
Pu JJ, McGrath CP, Leung YY, et al. The Impact of Coronavirus Disease 2019 on the Disease Pattern of Oral and Maxillofacial Surgery Inpatients: A Comparative Study. Front.Med. 2021;8(461). https://doi.org/10.3389/fmed.2021.613663
Renton T, Wilson NH. Problems with erupting wisdom teeth: signs, symptoms, and management. Br J Gen Pract. 2016;66(649):e606-e608. https://dx.doi.org/10.3399%2Fbjgp16X686509
Fux-Noy A, Mattar L, Shmueli A, Halperson E, Ram D, Moskovitz M. Oral Health Care Delivery for Children During COVID-19 Pandemic—A Retrospective Study. Front. Public Health. 2021;9(504). https://doi.org/10.3389/fpubh.2021.637351.
Jeffery MM, D’Onofrio G, Paek H, et al. Trends in emergency department visits and hospital admissions in health care systems in 5 states in the first months of the COVID-19 pandemic in the US. JAMA Intern. Med. 2020;180(10):1328-1333.
Armfield JM. What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance. Community Dent. Oral Epidemiol. 2013;41(3):279-287.
Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing. Br J Surg.. 2020;107(10):1262-1280.
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