Incidence, diagnosis, and management of orofacial pain among new patients receiving tertiary care in Thailand: A 6-year retrospective study comparing before and during the COVID-19 outbreak

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2024-07-15 DOI:10.1111/joor.13809

Uthai Uma, Klafan Sae-tia, Yanisa Riewruja, Panuwat Duphong, Asamapon Srisathaporn

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引用次数: 0

Abstract

Background

There is insufficient data on orofacial pain related to the COVID-19 outbreak in Thailand.

Objective

To investigate the incidence, diagnosis and management of orofacial pain among new patients over the last 6 years, before and during the COVID-19 outbreak.

Methods

Medical records from new patients who first visited Chulalongkorn Dental Hospital between 2017 and 2022 were retrospectively investigated. The sample size was determined, and proportional stratified random sampling was employed to distribute the sample number proportionally across each year. The hospital number of each patient was randomised using online software as a sampling strategy. A data collection form was developed and used to gather information from the digital data system.

Results

At the first visit, 770 out of 1359 patients (56.7/100 people, 95% CI: 54.0–59.3) reported orofacial pain defined as acute, chronic and unclassified pain. The most common chief complaints based on the AAOP classification were odontogenic pain (90.00%) and temporomandibular disorders (6.10%). The top three provisional modified ICD-10-TM diagnoses among these patients were pulp diseases (21.95%), impacted teeth (20.65%) and dental caries (9.09%). 81.87% of dental students' provisional diagnoses matched the final diagnoses given by dental specialists. Only 63.38% of orofacial pain patients were completely managed during the COVID-19 pandemic with common procedures being surgical removal, extraction and root canal therapy.

Conclusion

Half of Thai dental patients seeking tertiary care at a university dental hospital reported orofacial pain, which was not impacted by the COVID-19 pandemic. In contrast, dysfunction-related problems in the orofacial area significantly increased during the pandemic.

Abstract Image

查看原文本刊更多论文

泰国接受三级护理的新患者口面部疼痛的发病率、诊断和管理：一项为期 6 年的回顾性研究，比较 COVID-19 爆发前和爆发期间的情况。

背景：关于泰国COVID-19疫情相关口面部疼痛的数据不足：有关泰国 COVID-19 爆发相关口面部疼痛的数据不足：调查过去 6 年中，COVID-19 爆发前和爆发期间新患者口面部疼痛的发生率、诊断和处理情况：方法：对 2017 年至 2022 年间首次到朱拉隆功牙科医院就诊的新患者的病历进行回顾性调查。确定样本量后，采用比例分层随机抽样法将样本数量按比例分配到各个年份。作为一种抽样策略，使用在线软件对每位患者的医院编号进行随机抽样。制定了一份数据收集表，用于从数字数据系统中收集信息：首次就诊时，1359 名患者中有 770 人（56.7/100 人，95% CI：54.0-59.3）报告了口面部疼痛，包括急性、慢性和未分类疼痛。根据 AAOP 分类，最常见的主诉是牙源性疼痛（90.00%）和颞下颌关节紊乱（6.10%）。在这些患者中，前三位临时修改的 ICD-10-TM 诊断为牙髓疾病（21.95%）、阻生牙（20.65%）和龋齿（9.09%）。81.87%的牙科学生的临时诊断与牙科专家给出的最终诊断一致。在 COVID-19 大流行期间，只有 63.38% 的口面部疼痛患者得到了彻底治疗，常见的治疗方法包括手术切除、拔牙和根管治疗：结论：在一所大学牙科医院接受三级护理的泰国牙科患者中有一半人报告有口面部疼痛，而 COVID-19 大流行并没有影响到这些患者。相反，在大流行期间，口面部的功能障碍相关问题显著增加。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.