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2019年冠状病毒病大流行期间儿科牙科行为管理与治疗方式的变化

Changes in Behavior Management and Treatment Modalities in Pediatric Dentistry during COVID-19 Pandemic.

作者信息

Alsaleh Majd M, Sabbarini Jumana M, Al-Batayneh Ola B, Khader Yousef S

机构信息

Department of Developmental Sciences, Marquette University School of Dentistry, Milwaukee, Wisconsin, USA.

Private Practice, Irbid, Jordan.

出版信息

Int J Clin Pediatr Dent. 2020;13(Suppl 1):S125-S131. doi: 10.5005/jp-journals-10005-1885.

Abstract

OBJECTIVE

This study aims to assess the knowledge and confidence of dentists related to behavior management with extra personal protective equipment (PPE), non-aerosol-generating dental procedures in the course of the coronavirus disease-2019 (COVID-19) pandemic.

MATERIALS AND METHODS

A cross-sectional online survey was conducted among a sample of dentists who worked in Jordan and India in June 2020 during the COVID-19 pandemic.

RESULTS

This study included a total of 177 dentists in Jordan and India that were practicing during the early months of the pandemic. Most dentists were seeing <6 patients per day. The most common emergency treatments during the pandemic by Jordanian dentists were abscesses (51.8%) and cellulitis (44.6%) vs (44.6%) abscesses and (35.5%) pulpitis in India. There was a high adoption of all elements of the PPE protocol. Most participants never or rarely used NO sedation to manage their patients in Jordan and India (80.4 and 71.1%), respectively. Participants in Jordan and India that considered treatment non-aerosol-generating procedures (non-AGP) were (82.1 vs 97.5%, = 0.000), respectively.

CONCLUSION

Most of the surveyed dentists believe the extra PPE acts as a barrier to patient communication and child behavior management and would consider modifying the PPE to be more child-friendly. Most dentists consider non-AGP procedures and silver diamine fluoride (SDF) to be practical ways to practice safer dentistry, yet more training and information is needed for dentists treating children to provide a more confident safe environment for both dentists and their patients.

HOW TO CITE THIS ARTICLE

Alsaleh MM, Sabbarini JM, Al-Batayneh OB, Changes in Behavior Management and Treatment Modalities in Pediatric Dentistry during COVID-19 Pandemic. Int J Clin Pediatr Dent 2020;13(S-1):S125-S131.

摘要

目的

本研究旨在评估在2019冠状病毒病(COVID-19)大流行期间,牙医对使用额外个人防护装备(PPE)进行行为管理以及非产生气溶胶牙科操作的知识和信心。

材料与方法

2020年6月COVID-19大流行期间,对在约旦和印度工作的一组牙医进行了横断面在线调查。

结果

本研究共纳入了约旦和印度的177名在大流行初期执业的牙医。大多数牙医每天看诊的患者少于6名。约旦牙医在大流行期间最常见的急诊治疗是脓肿(51.8%)和蜂窝织炎(44.6%),而印度则是脓肿(44.6%)和牙髓炎(35.5%)。PPE方案的所有要素都有很高的采用率。在约旦和印度,大多数参与者从未或很少使用镇静剂来管理患者,分别为80.4%和71.1%。约旦和印度认为治疗为非产生气溶胶操作(non-AGP)的参与者分别为82.1%和97.5%(P = 0.000)。

结论

大多数接受调查的牙医认为额外的PPE对医患沟通和儿童行为管理起到了阻碍作用,并会考虑对PPE进行修改,使其对儿童更友好。大多数牙医认为non-AGP操作和氟化银氨(SDF)是实施更安全牙科治疗的实用方法,但对于治疗儿童的牙医来说,需要更多的培训和信息,以便为牙医及其患者提供更有信心的安全环境。

如何引用本文

Alsaleh MM, Sabbarini JM, Al-Batayneh OB, COVID-19大流行期间儿童牙科行为管理和治疗方式的变化。《国际临床儿科牙科学杂志》2020年;13(S-1):S125 - S131。

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