Dental Emergencies and Coronavirus Disease-2019: Scoping Review of the Literature and Single Centre Experience

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
A. Guida, A. Carotenuto, Vladimiro Lanza, F. Antonucci, Paola Salerno, Dario Marasca, Umberto Esposito, M. Gargiulo
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引用次数: 3

Abstract

Understanding the impact of the COVID-19 pandemic on dental emergencies. A systematic review of the literature (PubMed/Scopus) searching for articles on COVID-19 and dental abscess and a retrospective cohort study with quantitative/qualitative data analysis of our hospital E.R. patients admitted for cervico-facial abscess of dental origin were performed. Thirteen studies could be included in the review, concerning characteristics/management of patients with dental emergencies in hospitals/private practices, generally with poor evidence. For the retrospective analysis, 232 consecutive patients were included (100 study vs. 132 control). The prevalence of dental emergencies (abscess) and relative complications (mediastinitis, exitus) increased. Dental care availability was limited, with strong heterogeneity amongst regions/nations. At-risk (aerosol-generating) procedures were generally avoided, and hospitalization length reduced. Comorbidity patients and males seem less likely to restore regular dentist attendance during the post-lockdown pandemic. Despite the poor scientific evidence, COVID-19 seems to have impacted dental emergencies through limited routine dental care availability and influence on physicians’ and patients’ behaviour.
牙科急诊和冠状病毒病-2019:文献综述和单中心经验
了解COVID-19大流行对牙科紧急情况的影响。系统查阅文献(PubMed/Scopus),检索有关COVID-19与牙脓肿的文章,并对我院急诊收治的颈面部牙源性脓肿患者进行回顾性队列研究,并进行定量/定性数据分析。本综述可纳入13项研究,涉及医院/私人诊所牙科急诊患者的特征/管理,通常证据不足。回顾性分析纳入了232例连续患者(100例研究对照132例)。牙科急症(脓肿)和相关并发症(纵隔炎、牙床)的发生率增加。牙科保健的可获得性有限,各地区/国家之间存在很强的异质性。一般避免了有风险(产生气溶胶)的手术,缩短了住院时间。在封锁后的大流行期间,合并症患者和男性似乎不太可能恢复定期看牙医。尽管科学证据不足,但COVID-19似乎通过有限的常规牙科护理和对医生和患者行为的影响,影响了牙科紧急情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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