COVID-19大流行对波兰牙科保健服务的长期影响：一项单中心回顾性分析

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal Pub Date : 2025-03-22 DOI:10.1016/j.identj.2025.02.024

Kacper Łaganowski , Martyna Ortarzewska , Agata Czajka-Jakubowska , Anna Surdacka , Kacper Nijakowski

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引用次数: 0

摘要

2019冠状病毒病大流行严重影响了包括牙科在内的医疗保健系统。本回顾性分析旨在以波兹南大学专业中心为例，评估因COVID-19大流行而进行的牙科手术范围的长期变化。方法研究了波兰波兹南大学牙科和专科医学中心2017年1月1日至2023年12月31日的患者数据集。比较了大流行前（2017-2019年）、大流行期间（2020年）和大流行后（2021-2023年）期间提供的服务。详细分析了恢复性牙科、牙髓学、牙科外科和牙科放射学的选择程序，包括儿童和成人的数据。结果本研究共分析了342,112例患者的医疗记录，包括158,882例保守手术和101,556例外科手术。在大流行期间，保守程序，特别是商业服务大幅减少。在大流行后时期，退回修复体和前牙根管治疗的数量显著增加，这在商业程序中没有观察到。在大流行的第一波期间，外科手术和保守手术之间出现了明显的中断。大流行前和今年第一季度更有利于保守治疗和牙髓治疗。结论2019冠状病毒病大流行导致牙科从预防性和保守性转向外科干预。虽然提供的服务总数有所增加，但更多的患者选择不需要自付费用的手术。临床相关性大流行对牙科患者的临床决策产生了持久的影响，他们更倾向于选择报销和手术服务。

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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Long-Term Impact of the COVID-19 Pandemic on Dental Care Delivery in Poland: A Single-Center Retrospective Analysis

Introduction and aims

The COVID-19 pandemic has significantly impacted healthcare systems, including dentistry. This retrospective analysis aims to evaluate long-term changes in the spectrum of performed dental procedures due to the COVID-19 pandemic based on the example of the university specialized centre in Poznan.

Methods

We explored the patient dataset from the University Center of Dentistry and Specialized Medicine (Poznan, Poland) covering the period from 1 January 2017 to 31 December 2023. Services performed during the prepandemic (2017-2019), pandemic (2020), and postpandemic (2021-2023) periods were compared. Selected procedures in restorative dentistry, endodontics, dental surgery, and dental radiology were analyzed in detail, including data for both children and adults.

Results

Our study analyzed a total of 342,112 patient medical records, including 158,882 conservative procedures and 101,556 surgical procedures. During the pandemic, there was a significant reduction in conservative procedures, particularly commercial services. In the postpandemic period, the number of refunded restorations and endodontic treatments for anterior teeth increased significantly, which was not observed for commercial procedures. A notable disruption between surgical and conservative procedures occurred during the first wave of the pandemic. The prepandemic period and the first quarter of the year were more conducive to conservative and endodontic treatments.

Conclusion

The COVID-19 pandemic has led to a significant long-term shift from preventive and conservative dentistry into surgical interventions. Although the overall number of services provided has increased, more patients are opting for procedures that do not require out-of-pocket expenses.

Clinical Relevance

The pandemic has a lasting impact on the clinical decisions made by dental patients, with a greater preference for reimbursed and surgical services.

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来源期刊

International dental journal 医学-牙科与口腔外科

CiteScore

4.80

自引率

6.10%

发文量

159

审稿时长

63 days

期刊介绍： The International Dental Journal features peer-reviewed, scientific articles relevant to international oral health issues, as well as practical, informative articles aimed at clinicians.