Universidade Federal da Paraíba (UFPB), João Pessoa, Paraíba, Brasil.
Faculdade Nova Esperança, João Pessoa, Paraíba, Brasil.
J Appl Oral Sci. 2023 Feb 3;31:e20220374. doi: 10.1590/1678-7757-2022-0374. eCollection 2023.
This systematic review and meta-analysis aimed to analyze the impact of the COVID-19 pandemic on dental trauma patient attendance. The study was registered in the PROSPERO system, using the CRD42021288398 protocol. Searching was performed in PubMed, Scopus, Web of Science, Embase, Lilacs, and OpenGrey databases, using the following keywords: "Tooth injuries," "Dental trauma," "Traumatic Dental injury," and "COVID-19". We included observational studies evaluating dental trauma in the context of the COVID-19 pandemic. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. Meta-analysis was performed in RevMan 5.4 software with Odds Ratios as a pooled measure of effect, with a 95% confidence interval, and using random-effects modeling. After applying the eligibility criteria, 32 studies were included for qualitative analysis, in which 10 were used to assess the frequency of dental trauma diagnoses in dental emergencies. Despite the decrease of visits during COVID-19, the analysis revealed no difference between the pandemic and pre-pandemic periods. Regarding the type of dental trauma, two of the studies revealed no differences for the periods before and during the pandemic. This study revealed that the COVID-19 pandemic has not impacted the frequency or type of dental trauma compared to previous periods.
本系统评价和荟萃分析旨在分析 COVID-19 大流行对牙科创伤患者就诊的影响。该研究在 PROSPERO 系统中注册，使用 CRD42021288398 方案。在 PubMed、Scopus、Web of Science、Embase、Lilacs 和 OpenGrey 数据库中使用以下关键词进行搜索：“牙齿损伤”、“牙科创伤”、“创伤性牙损伤”和“COVID-19”。我们纳入了评估 COVID-19 大流行背景下牙科创伤的观察性研究。使用 Joanna Briggs 研究所横断面研究批判性评估清单对质量进行评估。使用 RevMan 5.4 软件进行荟萃分析，以 Odds Ratio 作为汇总效应的衡量指标，置信区间为 95%，并使用随机效应模型。在应用入选标准后，有 32 项研究纳入定性分析，其中 10 项用于评估牙科急诊中牙科创伤诊断的频率。尽管 COVID-19 期间就诊人数减少，但分析显示大流行期间和大流行前期间没有差异。关于牙科创伤的类型，有两项研究显示大流行前后两个时期没有差异。本研究表明，与前几个时期相比，COVID-19 大流行并未影响牙科创伤的频率或类型。
