Shinde Omkar, Pawar Ajinkya M, Banga Kulvinder Singh, Atram Jatin, Wahjuningrun Dian Agustin
Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400034, Maharashtra, India.
Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlingga, Surabaya City 60132, Indonesia.
Int J Environ Res Public Health. 2021 Jul 8;18(14):7314. doi: 10.3390/ijerph18147314.
The present descriptive research focused on determining the traits of patients who required endodontic treatment during the COVID-19 lockdown and various stages of unlocking in Mumbai metropolitan region. The descriptive analysis was carried out by examining the patients who were registered at Nair Hospital Dental College, Mumbai during four phases of lockdown (25 March to 31 May 2020) and eight phases of unlock (1 June 2020 to 31 January 2021). The evaluation was performed by evaluating the number of days and the overall number of patients reported for endodontic treatment for the first and subsequent visits. Each patient underwent intensive triage, which included taking their body temperature, oxygen saturation level, and travel history. The sex, age, and endodontic diagnosis of the offending tooth were also reported. The pain parameters were analyzed using a verbal numerical rating score (VNRS). During the lockdown phases, 297 patients seeking endodontic treatment visited the hospital over a total of 26 working days, and during the unlock phases, 16,195 patients visited the hospital over 189 working days. The average age of the patients that visited were 31-40 years of age (57.23%). The mean VNRS score was 5.85 ± 1.62. For both the lockdown and unlock periods, a significantly higher percentage of males visited dental school ( < 0.001). When compared to other stages, the number of patients attending during lockdown phase 4 (55.56%) and unlock phase 8 (32.35%) was the highest. The majority of endodontic emergency diagnoses were reversible pulpitis (36.5%) and symptomatic irreversible pulpitis (33.14%), all of which had higher mean VNRS ( < 0.05). Of the 49 patients that reported with COVID-19 symptoms, 11 tested positive. During the lockdown and unlock periods, 12 of the 41 treating workers tested positive. Personal protective equipment and patient screening are critical in shielding clinicians during the COVID-19 pandemic.
本描述性研究聚焦于确定在新冠疫情封锁期间以及孟买大都市区解封各阶段需要接受牙髓治疗的患者特征。通过检查在孟买奈尔医院牙科学院登记的患者进行描述性分析，这些患者处于四个封锁阶段（2020年3月25日至5月31日）和八个解封阶段（2020年6月1日至2021年1月31日）。评估通过统计首次就诊和后续就诊报告牙髓治疗的天数及患者总数来进行。每位患者都接受了详细分诊，包括测量体温、血氧饱和度水平以及询问旅行史。还报告了患者的性别、年龄以及患牙的牙髓诊断情况。疼痛参数采用言语数字评定量表（VNRS）进行分析。在封锁阶段，297名寻求牙髓治疗的患者在总共26个工作日内前来就诊，在解封阶段，16195名患者在189个工作日内前来就诊。前来就诊患者的平均年龄为31至40岁（占57.23%）。VNRS平均得分是5.85±1.62。在封锁期和解封期，到牙科学院就诊的男性比例均显著更高（<0.001）。与其他阶段相比，封锁第4阶段（55.56%）和解封第8阶段（32.35%）就诊的患者数量最多。大多数牙髓急症诊断为可复性牙髓炎（36.5%）和症状性不可复性牙髓炎（33.14%），所有这些诊断的VNRS均值都更高（<0.05）。在报告有新冠症状的49名患者中，11人检测呈阳性。在封锁期和解封期，41名治疗人员中有12人检测呈阳性。在新冠疫情期间，个人防护装备和患者筛查对于保护临床医生至关重要。
