COVID-19 Pandemic and Periodontal Practice: The Immunological, Clinical, and Economic Points of View

The recent global health problem, COVID-19, has had far-reaching impacts on lifestyles. Although many effective WHO-approved vaccines have been produced that have reduced the spread and severity of the disease, it appears to persist in humans for a long time and possibly forever as everyday it turns out to have new mutations. COVID-19 involves the lungs and other organs primarily through cytokine storms, which have been implicated in many other inflammatory disorders, including periodontal diseases. COVID-19 is in a close association with dental and periodontal practice from two respects: first, repeated mandatory lockdowns have reduced patient referrals to dentists and limited the dental and periodontal procedures to emergency treatments, whereas it is important to recognize the oral manifestations of COVID-19 as well as the influence of oral and periodontal disease on the severity of COVID-19. Second, dentistry is one of the high-risk professions in terms of close contact with unmasked individuals, necessitating redefining the principles of infection control. The pressures of the economic recession on patients as well as dentists add to the difficulty of resuming elective dental services. Therefore, this study is divided into two parts corresponding to what mentioned above: the first part examines the clinical and immunological associations between COVID-19 and periodontal and oral diseases, and the second part delineates the measures needed to control the disease transmission in dental clinics as well as the economic impact of the pandemic era on dental services.

Comparison of Dental Anxiety While Visiting Dental Clinics before and after Getting Vaccinated in Midst of COVID-19 Pandemic

Vaccination is critical to control the rate of coronavirus transmission and infectivity. Dental practices are a high-risk area for contracting coronavirus; this fact generates psychological disturbances amongst patients. In this study, we aimed to assess the levels of anxiety of patients while visiting dental practices before and after getting vaccinated. This cross-sectional study was carried out between March and December 2021. An electronic survey was distributed among the vaccinated individuals who visited dental clinics before and after getting vaccinated. The survey consisted of the following four parts: demographic characteristics, questions related to coronavirus, and anxiety scores before and after getting vaccinated. SPSS-25 was used to perform the statistical analysis, where paired t-test was used to compare the anxiety scores, and Mann–Whitney U test to assess the association of gender with anxiety scores. A p-value of ≤0.05 was considered to be statistically significant. A total of 400 vaccinated individuals participated in this study, with a response rate of 88.23%. The majority of the respondents (71.0%) did not test positive for coronavirus. More than half of the participants (54.0%) reported to not be suffering from any coronavirus-related symptoms. About 100 (25.0%) of the individuals stated that dental clinics are an environment in which there is a high risk of contracting coronavirus. In regards to the comparison of the mean MDAS scores of the participants before and after getting vaccinated, a significant difference (p = 0.001) was found. Vaccination has been recommended for all eligible individuals to control the transmission and infectivity of coronavirus. Vaccinations have decreased the dental anxiety of patients while visiting dental clinics. However, the protective measures are still valid and should be followed, regardless of the vaccination status.

Administration of Systemic Antibiotics for Dental Treatment in Kosovo Major Dental Clinics: A National Survey

Objective Antibiotics misuse and a high level of antibiotics resistance is observed worldwide, but particularly in developing countries. Kosovo in the last decade is facing challenges regarding antimicrobial resistance. The purpose of the present study was to investigate patterns of antibiotics prescriptions of dentists in Kosovo's major dental clinics. Materials and Methods For Kosovo's prescribing pattern, data collection was obtained from 10 Regional Dental Clinics and a Tertiary Health Center regarding patients who were prescribed antibiotics in the years 2015 to 2019. Data analysis was performed by using descriptive statistics and was processed by using MS Excel. Results Most prescribed antibiotic during the observed period from 2015 to 2019 in Kosovo was amoxicillin, although a drastic increase of amoxicillin with clavulanic acid—as a broad-spectrum antibiotic—is observed. The trend of antibiotics use in tertiary health institutions is in an overall decrease in Kosovo with an exception in the year 2017. Despite this overall decrease, inconsistency in prescribing is observed when the pattern is analyzed for each region separately. The highest number of patients in health care dental clinics received antibiotics for maxilla-related health conditions and the lowest number of them for oncologic ones. Conclusion The patterns of antibiotics prescriptions by dental practitioners in Kosovo during the years 2015 to 2019 are fluctuating. Compared with the global health care standards, the irrational use of antibiotics in dental health care clinics in Kosovo still exist and this issue should be further addressed by respective actors.

A dataset for dental anxiety and psychological distress in 1550 patients visiting dental clinics

Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.

Indoor air quality in wards of dental school clinic: Variations of VOCs, CO2 and airborne particle levels

Introduction: The indoor environment of dental clinics may endanger dental patients and personnel and due to a great variety of air pollutants throughout the usual dental operation. The purpose of the present cross-sectional study was the evaluation of Indoor Air Quality (IAQ) and factors affecting it in a dentistry faculty of Arak University of Medical Sciences. Material and methods: The IAQ of five dental active wards and the patient waiting room was evaluated. The concentrations of Total Volatile Organic Compounds (TVOC), CO2, particulate matter, and bioaerosols were measured. Results: The TVOCs concentration in sampling locations ranged between 817 to 3670 μg/m3 during dental work and exceeded the Leadership in Energy and Environmental Design (LEED) guideline in all sampling locations. The highest values of Particulate Matter (PM) for PM10, PM2.5, and PM1 were observed in the periodontics ward, while the lowest values were observed in the endodontics ward. The PM2.5 concentrations exceeded the WHO limit in periodontics and pediatric wards. TVOC levels had a significant positive correlation with temperature (r=0.374, p<0.01) and RH (r=0.265, p<0.05). The predominant bacterial genus of the patient waiting area was Bacillus (36%), while the dominant bacterial genus of the other sampling site was Micrococcus spp. Penicillium (35.5%) and Cladosporium (28%) were the predominant fungi detected. Conclusion: Controlling of airborne particles is to be standardized by the infection control actions of dental clinics and improved ventilation capacity in the air conditioning system was suggested for reducing VOCs and PM concentrations.

AN ANALYSIS OF EXPERIENCES AND PROBLEMS FACED BY THE DENTISTS DURING COVID-19 PANDEMIC: A QUESTIONNAIRE-BASED SURVEY

Severe Acute Respiratory Syndrome Coronavirus-2 pandemic started in December and spread around the globe in a few months. Nosocomial transmission of this virus shut down the dental clinics and creates many problems for patients. This study was designed to assess the experiences and problems faced by the dentist during the pandemic. The was a cross sectional questionnaire-based survey conducted in different dental sectors of Lahore. The questionnaire was distributed through online Microsoft form and total of seventy-eight complete responses were received out of 156 dentists contacted.69.2 % of participants reported that they stop taking appointments during the peaks of pandemic or have planned to stay at home till the end of the pandemic where 27% claimed to perform only emergency procedures. 86% of dentists reported having difficulty finding PPE and 97% had to buy it at a much higher cost. Dentists (96%) also reported that they are facing a significant decrease in income and needed some other source of income. Regarding financial issues they did not get any government support.The COVID-19 pandemic has a significant impact on dentistry. Most dental clinics remained closed, placing a financial burden on the dental profession. This burden was further increased as a result of the scarcity and high cost of PPE. There is a need for standardized protocols to prevent the spread of infection, and government agencies should also consider private clinics for funding and provision of low-cost PPE.