Citation Information :
Goswami M, Gogia M, Bhardwaj S. From Lockdown to Slow Release: Pediatric Dental Services during COVID-19 Pandemic—Emergency Preparedness and Impact on Future. Int J Clin Pediatr Dent 2021; 14 (3):398-402.
Introduction: The emergence of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) has led to global pandemic raising significant challenges to the healthcare professionals due to its high transmission rate via droplet spread or direct contact. Pediatric dentists play an important role in the healthcare system by managing dental emergencies in children while taking special measures to practice universal infection control in this COVID-19 pandemic. However, data are limited pertaining to the prevalence, etiology, and treatment provided to children at pediatric dental emergency services during the COVID-19 lockdown period.
Aim and objective: To assess the effect of the COVID-19 pandemic lockdown period on Pediatric Dental Emergency Services.
Materials and methods: A retrospective study was conducted using data of patients aged 0–14 years who visited the Pediatric Dental Emergency Services, during the COVID-19 lockdown period from March 23, 2020, to August 31, 2020. Information regarding age, gender, time of presentation, chief complaint, and treatment were collected and analyzed.
Results: This study revealed that dental emergencies in the pediatric dental services were predominantly related to dental pain (54.49%) followed by an abscess (12.35%), traumatic dental injuries (8.42%), and swelling (8.42%). A 5-year-old was the most prevalent age-group who reported dental emergencies.
Conclusion: Dental pain was the most common chief complaint of patients reporting during the COVID-19 pandemic. However, the recent state of affairs obligates the need to strike a balance between the safety of the healthcare professionals and providing optimum dental care to the patients requiring emergency intervention. While dental emergencies are unforeseeable, increasing community awareness about proper at-home care routines and utilizing regular dental preventive measures can potentially reduce the number of emergency visits.
World Health Organization, Director-General's opening remarks at the media briefing on COVID-19 - March 11 2020. World Health Organisation. 2020 [Last accessed on September 26, 2020]. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
Patel B, Eskander MA, Ruparel NB. To drill or not to drill: management of endodontic emergencies and in-process patients during the COVID-19 pandemic. J Endod 2020;46(11):1559–1569. DOI: 10.1016/j.joen.2020.08.008.
ADA, Interim Guidance for Minimizing Risk of COVID-19. Transmission, American Dental Association, Chicago, IL, USA, 2020. [Last accessed on September 26, 2020]. Available from: https://www.ada.org/interimguidance.
Al-Halabi M, Salami A, Alnuaimi E, et al. Assessment of paediatric dental guidelines and caries management alternatives in the post COVID-19 period. A critical review and clinical recommendations. Eur Arch Paediatr Dent 2020;21(5):543–556. DOI: 10.1007/s40368-020-00547-5.
Advisory by ISPPD Head office to all the oral health professioanls & Pediatric Dentists. Indian Society of Pedodontics and Preventive Dentistry. 2020. [Last accessed on April 6, 2020]. Available from: http://www.isppd.org.in/pdfs/PHOTO-2020-03-25-13-23-30.pdf.
Goswami M, Sharma S, Kumar G, et al. Dealing with “Coronavirus Pandemic”: a dental outlook. Int J Clin Pediatr Dent 2020;13(3):269–278. DOI: 10.5005/jp-journals-10005-1757.
Campagnaro R, Collet GO, Andrade MP, et al. COVID-19 pandemic and pediatric dentistry: fear, eating habits and parent's oral health perceptions. Child Youth Serv Rev 2020;118:105469. DOI: 10.1016/j.childyouth.2020.105469.
Martens LC, Rajasekharan S, Jacquet W, et al. Paediatric dental emergencies: a retrospective study and a proposal for definition and guidelines including pain management. Eur Arch Paediatr Dent 2018;19(4):245–253. DOI: 10.1007/s40368-018-0353-9.
Rowley ST, Sheller B, Williams BJ, et al. Utilization of a hospital for treatment of pediatric dental emergencies. Pediatr Dent 2006;28(1):10–17.
Shqair AQ, Gomes GB, Oliveira A, et al. Dental emergencies in a university pediatric dentistry clinic: a retrospective study. Braz Oral Res 2012;26(1):50–56. DOI: 10.1590/s1806-83242012000100009.
IDA Preventive Guidelines for Dental Professionals on the Coronavirus Threat. Indian Dental Association. 2020. [Last accessed on April 6, 2020]. Available from: https://www.ida.org.in/pdf/IDA_Recommendations_for_Dental_Professionals_on_the_Coronavirus_Threat.pdf.
Dental Clinic Protocol DCI. [Last accessed on October 24, 2020] Available at: https://www.dciindia.gov.in/Admin/NewsArchives/Dental%20Clinics%20Protocols%20Final.pdf.
ADA recommending dentists postpone elective procedures. American Dental Association. 2020 [Last accessed on September 26, 2020]. Available from: https://www.ada.org/en/publications/ada-news/2020-archive/march/ada-recommending-dentists-postpone-elective-procedures.
ADHA COVID-19 Updates for Dental Hygienists. American Dental Hygienists’ Association. 2020 [Last accessed on September 26, 2020]. Available from: https://www.adha.org/covid19.
Blackhall K, Singh R. Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study. Br Dent J 2021. DOI: 10.1038/s41415-020- 2499-1.