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Aguilar Gálvez D, Noal FC, Arriola-Guillén LE, Hugo FN, Leal SC, Borba de Araujo F. Virtual learning object for developing knowledge about the diagnosis and management of molar incisor hypomineralization. Int J Paediatr Dent 2022; 32:458-463. [PMID: 34564920 DOI: 10.1111/ipd.12925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 07/21/2021] [Accepted: 09/07/2021] [Indexed: 12/01/2022]
Abstract
AIM To develop, apply, and evaluate a virtual learning object (VLO) for teaching undergraduate dental students and paediatric dentists to diagnose and manage molar incisor hypomineralization (MIH). DESIGN This controlled educational intervention included 170 undergraduate dental students and 50 paediatric dentists. The student intervention group (VLOG) was trained by the VLO, the control group of students (CG) received a synchronous virtual class, and the group of paediatric dentists (PDG) was trained by the VLO. Pre-test and post-test data were analyzed with a mixed one-way and Tukey's post hoc ANOVA test (α = 0.05). The answers to the questionnaire were analyzed with the one-way ANOVA test and Tukey's post hoc test (α = 0.05). RESULTS The values obtained in the pre-test were significantly lower than those obtained in the post-test for all groups. The specialists showed a higher level of knowledge before and after the MIH training compared with the students (p < .001). Similarly, statistical differences were found in the level of knowledge, which increased after MIH training (p < .001). There were no differences between the CG and VLOG. CONCLUSIONS The level of knowledge increased in all groups after training regardless of the method used. VLOG works similar to traditional teaching approaches.
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Affiliation(s)
- Denisse Aguilar Gálvez
- Pediatric Dentistry Specialty of the Stomatology, Universidad Científica del Sur, Lima, Perú.,Universidad Federal Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | - Fernando Neves Hugo
- Department of Preventive and Social, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Hariyani N, Shanbhag N, Wijayati E, Prananta A, Setyowati D, Palupi R. Teledentistry and online referral system in Indonesian primary health care center during the COVID-19 pandemic: A narrative review. J Int Soc Prev Community Dent 2022; 12:385-392. [DOI: 10.4103/jispcd.jispcd_244_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 12/23/2021] [Accepted: 01/20/2022] [Indexed: 11/04/2022] Open
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Chisini LA, Costa FDS, Sartori LRM, Corrêa MB, D'Avila OP, Demarco FF. COVID-19 Pandemic impact on Brazil's Public Dental System. Braz Oral Res 2021; 35:e082. [PMID: 34287465 DOI: 10.1590/1807-3107bor-2021.vol35.0082] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 06/22/2021] [Indexed: 12/21/2022] Open
Abstract
The present study aimed to estimate the impact of the COVID-19 pandemic on dental care procedures in the Public Health System in Brazil. A retrospective, ecological study was carried out, comprising 5,564 Brazilian municipalities. The number of dental procedures (per 100,000 inhabitants) performed in the Brazilian Public Health System (SUS) was the outcome. The impact of the pandemic was estimated by comparing the rate of procedures for each month of 2020 with the rates observed in the equivalent months in 2019, considering the period from March to August. Regulatory legislation regarding restrictions on dental care, issued by the state governments of 27 Brazilian federative units, was used for mediation analysis. A 55% reduction was observed in March for all procedures (IRR = 0.45, 95%CI 0.39-0.51), while in the other months, the rate of reduction remained ≥ 88%. The biggest decrease was observed in collective preventive procedures (reduction ≥99%) between April and August. Procedures that were less likely to generate aerosols (tooth extraction and prosthetic) and emergencies showed the smallest reduction. The reduction was not mediated by the restrictions imposed by state governments (p>0.05). The impact of the COVID-19 pandemic was noteworthy in terms of the decrease in the number of dental procedures carried out in the Brazilian Public Dental Service. The lack of access, the delay of elective procedures and the lack of preventive collective procedures could result in an overburdened system, post-Pandemic.
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Affiliation(s)
- Luiz Alexandre Chisini
- Universidade do Vale do Taquari - Univates, Center of Biological Sciences and Health, Lajeado, RS, Brazil
| | - Francine Dos Santos Costa
- Universidade do Vale do Taquari - Univates, Center of Biological Sciences and Health, Lajeado, RS, Brazil
| | | | - Marcos Britto Corrêa
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Restorative Dentistry, Pelotas, RS, Brazil
| | - Otávio Pereira D'Avila
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Social and Preventive Dentistry, Pelotas, RS, Brazil
| | - Flávio Fernando Demarco
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Department of Restorative Dentistry, Pelotas, RS, Brazil
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Farshidfar N, Jafarpour D, Hamedani S, Dziedzic A, Tanasiewicz M. Proposal for Tier-Based Resumption of Dental Practice Determined by COVID-19 Rate, Testing and COVID-19 Vaccination: A Narrative Perspective. J Clin Med 2021; 10:2116. [PMID: 34068858 PMCID: PMC8153624 DOI: 10.3390/jcm10102116] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Revised: 05/08/2021] [Accepted: 05/11/2021] [Indexed: 12/23/2022] Open
Abstract
Since the emergence of the new coronavirus disease (COVID-19), profound alterations in general and specialist dental practice have been imposed to provide safe dental care. The guidelines introduced in response to the COVID-19 pandemic to mitigate healthcare disruption are inconsistent regarding the dental practice re-installation, particularly during a transitional time. Despite the successful mass vaccination campaigns rolled out in 2021, the presence of more than 80 genotypes of COVID-19, rapid neutralisation of antibodies within a short period of seropositivity, and the likelihood of recurrent infection raise some doubts on whether vaccination alone will provide long-term immunity against COVID-19 and its variants. Here, from this perspective, we aim to provide an initial proposal for dental services reinstallation, easily applicable in various care settings. We discuss the potential options for the transition of dental services, as well as challenges and opportunities to adapt to new circumstances after mass COVID-19 vaccination. The proposal of the universal three-tier system of dental services resumption, determined by regional COVID-19 rates, testing accessibility, and vaccination rollout has been presented. Following herd COVID-19 immunity enhancement, it would be prudent to confer various preventative measures until virus spread naturally diminishes or becomes less virulent. Based on modelling data, dental practices may not return to normal, routine operation even after global vaccination as there would still be a significant risk of outbreaks of infection. Variable, multi-level measures will still be required, depending on the local COVID-19 cases rate, to secure safe dental care provision, despite predicted success of vaccination agendas. This approach can be implemented by achievable, practical means as a part of risk assessment, altered work pattern, and re-arrange of dental surgery facilities. The adequate standard operating procedure, with the support of rapid point-of-care testing at workplace, would vastly intensify the uninterrupted recovery of the dental care sector.
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Affiliation(s)
- Nima Farshidfar
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz 71348-14336, Iran
| | - Dana Jafarpour
- Faculty of Dentistry, McGill University, Montreal, QC H3A 1G1, Canada;
| | - Shahram Hamedani
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz 71956-15878, Iran;
| | - Arkadiusz Dziedzic
- Department of Restorative Dentistry with Endodontics, Medical University of Silesia, 40-055 Katowice, Poland;
| | - Marta Tanasiewicz
- Department of Restorative Dentistry with Endodontics, Medical University of Silesia, 40-055 Katowice, Poland;
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Kumar G, Gugnani N, Rabea D, Odeh R, Rehman F, Mabrouk R. Severe Acute Respiratory Syndrome Coronavirus 2 and Dentistry: A Summative Review of Guidelines issued by National Health Authorities. J Indian Soc Pedod Prev Dent 2021; 39:120-131. [PMID: 34341230 DOI: 10.4103/jisppd.jisppd_453_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
COVID-19 was first reported in China, in November 2019 and since then the spread of this disease was so rapid that on March 11, 2020, it was declared a pandemic by the World Health Organization. Due to the high transmissibility of the COVID virus and the associated morbidity and mortality, various International and National health authorities released different guidelines for day-to-day living, laying down "new norms" which has impacted our lives enormously. Although these guidelines seem to be convoluted but owing to some differences in the guidelines, it raises an ambiguity in the minds of dentists. Hence, we felt the need of this review to summarize different guidelines issued by various National health authorities for catering emergency and routine dental care. We included guidelines from CDC, ADA, NHS, India, UAE, Egypt, and Tunisia and compared and consolidated to reach a consensus that teledentistry is a good alternative to face-to-face management for nonemergency patients. Triage should be done for all patients coming to the health-care facility. Temperature and other vital parameters should be recorded in our daily practice. Antibacterial mouth rinses before the dental procedure can reduce the microbial load and therefore can alleviate transmission. To reduce indirect transmission through fomites on inanimate objects various waiting area changes must be ensured. Air conditioners can be used in well-serviced conditions with due care given to ventilation of the operatory after each patient. Strict disinfection protocols and personal protective equipment for dentist safety are mandatory.
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Affiliation(s)
- Gyanendra Kumar
- Department of Pediatric Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Neeraj Gugnani
- Department of Pediatric Dentistry, DAV Dental College, Yamuna Nagar, Haryana, India
| | - Dina Rabea
- Department of Pediatric Dentistry, Faculty of Dentistry, AinShams University, Cairo, Egypt
| | - Ruba Odeh
- Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE
| | - Ferah Rehman
- Department of Pediatric Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Rihab Mabrouk
- Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Monastir, Monastir University, Monastir, Tunisia
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Pauli MA, Pereira LDM, Monteiro ML, de Camargo AR, Rabelo GD. Painful palatal lesion in a patient with COVID-19. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 131:620-625. [PMID: 33867304 PMCID: PMC8005255 DOI: 10.1016/j.oooo.2021.03.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 03/15/2021] [Accepted: 03/19/2021] [Indexed: 01/01/2023]
Affiliation(s)
- Monique Abreu Pauli
- Dentistry Department, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | - Maria Luiza Monteiro
- Medical School, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil
| | | | - Gustavo Davi Rabelo
- Dentistry Department, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
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Plaza-Ruíz SP, Barbosa-Liz DM, Agudelo-Suárez AA. Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry. JDR Clin Trans Res 2021; 6:268-278. [PMID: 33632011 DOI: 10.1177/2380084421998632] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION The coronavirus disease 2019 (COVID-19) pandemic has created a new scenario for dental practice, and teledentistry (TD) is a field of relevance for dentists. OBJECTIVE To evaluate the impact of the COVID-19 pandemic on the knowledge, practices, and expectations of dentists toward TD and its association with sociodemographic variables. METHODS A cross-sectional survey was administered to dentists in Colombia as part of global research on the impact of COVID-19 on dentistry. The core questionnaire included 5 additional questions on TD that were added by the Colombian research team in 5 domains about TD: Q1, knowledge; Q2, practices; Q3, expectations; Q4, usefulness; and Q5, reimbursement. Sociodemographic variables were also measured. The questionnaire was validated in a pilot test and administered via digital media. Descriptive and bivariate analysis for sociodemographic and TD variables were done. For the evaluation of the chances of a determined answer, an ordinal multinomial logistic regression (Q1 and Q2) and binomial logistic regression (Q3 and Q5) analyses were made. RESULTS In total, 5,370 dentists answered the survey (women: 3,878; mean age: 45 y). The response rate of the survey was 16.84%. Knowledge and practice of TD before the COVID-19 pandemic were both low (25.75% and 12.42%, respectively); however, since the beginning of the current pandemic, knowledge increased by 62.72% and practice by 42.53%. Some 93.1% of respondents considered that TD could be useful in their clinical practice, and 59.55% would consider practicing it after the pandemic. A high number of dentists (88.58%) did not charge for these services. Logistic regressions showed significant differences according to sociodemographic variables. CONCLUSIONS The COVID-19 pandemic has had a great impact on TD, increasing knowledge and practice significantly. Dentists expect to continue practicing TD in the future. However, some geographical, technological, and attitudinal barriers need to be broken down to increase daily use of TD. KNOWLEDGE TRANSFER STATEMENT This article provides an overview about the impact of COVID-19 pandemic in the knowledge and attitudes about teledentistry (TD) in general dentists and both clinical and nonclinical specialists. Although some barriers to the use of TD continue, this pandemic brought with it a new scenario for dental practice, which must be implemented through training for professionals to increase its use.
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Affiliation(s)
- S P Plaza-Ruíz
- Orthodontic Postgraduate Program, Faculty of Dentistry, Fundación Universitaria CIEO-UniCIEO, Bogotá, Colombia
| | - D M Barbosa-Liz
- Orthodontic Postgraduate Program, Faculty of Dentistry, University of Antioquia, Medellin, Colombia
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Abstract
Objective:
The COVID-19 crisis has caused considerable disruption to medical education and has stimulated creative and rapid changes in the way technology is adopted and utilized for education. This change is accompanied by many challenges related to education, patient care, research, faculty development and collaboration, finances, and the psychological well-being of stakeholders.
Methods:
A review of the literature on dental education during the COVID-19 pandemic was conducted. Published articles addressing the challenges, solutions and opportunities in dental education during the COVID-19 era were assessed.
Results:
COVID-19 was a catalyst for a significant amount of change in dental education. Despite the magnitude of the challenges, this pandemic has influenced many positive solutions and opportunities in dental education.
Conclusion:
The COVID-19 pandemic forced dental educators to rethink models of curricular delivery, as it disrupted traditional delivery methods. The use of technology was adapted to ensure the continuity of education. With that, a number of challenges surfaced that were tackled creatively. Reflecting over the whole experience with COVID-19, the multiple opportunities that have been identified can improve the way we educate our students in the future.
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Chisini LA, Costa FDS, Demarco GT, da Silveira ER, Demarco FF. COVID-19 pandemic impact on paediatric dentistry treatments in the Brazilian Public Health System. Int J Paediatr Dent 2021; 31:31-34. [PMID: 33197102 PMCID: PMC7754557 DOI: 10.1111/ipd.12741] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 10/07/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Luiz Alexandre Chisini
- Center of Biological Sciences and HealthUniversity of Vale do TaquariLajeadoBrazil,School of DentistryFederal University of PelotasPelotasBrazil
| | - Francine dos Santos Costa
- Center of Biological Sciences and HealthUniversity of Vale do TaquariLajeadoBrazil,School of DentistryFederal University of PelotasPelotasBrazil
| | | | | | - Flávio Fernando Demarco
- Department of Restorative DentistrySchool of DentistryFederal University of PelotasPelotasBrazil
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Alawia R, Riad A, Kateeb E. Knowledge and attitudes among dental students about COVID-19 and its precautionary measures: a cross-sectional study. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2020. [DOI: 10.1051/mbcb/2020056] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Objective: This study aims to evaluate students' knowledge and attitudes about COVID-19 and its precautionary measures. Methods: A cross-sectional study was conducted among dental students in their clinical practice years in two Palestinian universities. An online questionnaire was sent out using students' in mid-May, 2020. The questionnaire assessed students self-reported knowledge about the COVID-19, and students' attitudes towards providing clinical care during the pandemic. Results: A total of 305 dental students completed the questionnaire. Fifty-nine percent (n = 180) reported having updated training on infection control measures in dental settings and 29% (n = 89) reported having attended a training course regarding COVID-19. Eighty-two percent of students (n = 250) preferred to avoid working with suspected COVID-19 patients. Almost 89% (n = 269) admitted fear of transmitting the virus to their families. This fear was related to their perception that using regular standard precautions is unsafe in dealing with COVID-19 patients and their perception of their schools' preparedness to update infection prevention measures (χ2 = 50.45, p < 0.001) (χ2 = 9.77, p = 0.021). Conclusion: Students in this sample are aware of COVID-19 and its precautionary measures. Adherence to new, stricter infection control protocols and periodic orientation of students to these protocols are ways to guarantee a safer environment for both patients and students.
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