Evaluation of PhD Students’ and Endodontists’ Treatment Approaches during the COVID-19 Pandemic: A Questionnaire-Based Survey

K. Olcay, S. Yusufoğlu
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Abstract

Abstract Objectives This study aimed to evaluate endodontists’ treatment approaches during the novel coronavirus disease (COVID-19) pandemic. Materials and Methods Web-based 16-question survey was sent to members of the Turkish Endodontic Society via social media and email between May 5 to 25, 2020, to obtain information about the members’ demographic characteristics and treatment approaches of seven cases considering COVID-19. The cases represented different endodontic diseases such as symptomatic apical periodontitis, chronic apical periodontitis, acute apical abscess, asymptomatic and symptomatic cases required retreatment, third molar tooth with endodontic symptoms, and symptomatic irreversible pulpitis. Statistical Analysis Statistical analysis was performed using a Chi-square test. The statistical significance was set at α = 0.05. Results Of the 203 respondents, 65.5% were females and 34.5% were males, 62.6% were endodontists and 37.4% were PhD students, 68% worked at a university, 21.2% worked at private clinics, and 10.8% worked at public clinics. Frequency of going to work was mostly once a week (31%). Most commonly performed treatments were “acute apical abscess (32.2%)” and “symptomatic irreversible pulpitis (30.8%).” The respondents most frequently preferred “to prescribe antibiotics and/or painkillers and postpone the treatment” in cases 1 and 6, “to follow-up” in cases 2 and 5, “to extract the tooth” in case 4, and “to start endodontic treatment but postpone the treatment by placing antibacterial medicament into the root canals” in cases 3 and 7 (p < 0.05). Conclusion During a pandemic, the general treatment approach for endodontic emergencies should be to eliminate acute symptoms and minimize the risk of transmission.
COVID-19大流行期间博士生和牙髓医生治疗方法的评估:一项基于问卷的调查
摘要目的评价新型冠状病毒病(COVID-19)大流行期间牙髓医生的治疗方法。材料与方法基于网络的16个问题的调查于2020年5月5日至25日通过社交媒体和电子邮件发送给土耳其牙髓学会成员,以获取7例考虑COVID-19的成员的人口统计学特征和治疗方法信息。这些病例包括症状性根尖牙炎、慢性根尖牙炎、急性根尖脓肿、无症状和有症状需要再治疗的病例、有根管症状的第三磨牙、症状性不可逆牙髓炎等不同的根管疾病。统计学分析采用卡方检验进行统计学分析。统计学意义设为α = 0.05。结果203名调查对象中,女性占65.5%,男性占34.5%,牙髓医生占62.6%,博士生占37.4%,大学工作人员占68%,私立诊所工作人员占21.2%,公立诊所工作人员占10.8%。上班频率以每周一次为主(31%)。最常见的治疗是“急性根尖脓肿(32.2%)”和“症状性不可逆牙髓炎(30.8%)”。在病例1和病例6中,受访者最倾向于“开抗生素和/或止痛药并推迟治疗”;在病例2和病例5中,受访者最倾向于“随访”;在病例4中,受访者最倾向于“拔牙”;在病例3和病例7中,受访者最倾向于“开始根管治疗但通过在根管中放置抗菌药物来推迟治疗”(p < 0.05)。结论大流行期间,牙髓急诊的一般治疗方法应是消除急性症状,尽量减少传播风险。
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