AlHaj Muhanad Abdul Kareem, Baseer Mohammad Abdul, AlSaffan Abdulrahman Dahham, Ingle Navin Anand
Preventive Dentistry Department, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.
Risk Manag Healthc Policy. 2023 Aug 30;16:1679-1691. doi: 10.2147/RMHP.S420859. eCollection 2023.
BACKGROUND: The COVID-19 lockdown affected oral health behaviors. This study aims to assess and compare the oral health attitudes and behaviors of first-time and previous patients undergoing dental extractions during the COVID-19 pandemic at private dental clinics in Riyadh City, Saudi Arabia. METHODS: This cross-sectional study was conducted among patients aged 18-65 years undergoing dental extractions at private dental clinics in Riyadh City, Saudi Arabia. Four hundred and eighty patients were selected using a convenient sampling methodology. A structured, close-ended questionnaire investigated demographic information, tooth extraction attendance, and oral health attitudes and behaviors using 20 items Hiroshima University Dental Behavioral Inventory (HUDBI). RESULTS: A total of 480 exodontia patients [282 (58.8%) males and 198 (41.2%) females] participated in this study. All patients used a stiff-bristled toothbrush and were concerned about their teeth' color and bad breath. Similarly, all the participants did not feel brushed unless they used strong strokes, and the dentist told them to brush very well. An overall mean HUDBI score of 6.34±1.12 was observed. Patients with a primary education (5.61±0.79), income ≤5000 SAR (6.00±0.92), residing in rural areas (5.84±0.93), and government employees (5.62±0.96) exhibited lower HU-DBI scores compared to their counterparts. The study revealed a significant variation in HUDBI scores across different demographic factors, including education, income, residence, occupation, and reason for extraction (p<0.001). The HUDBI score of first-time attendees to dental extraction (5.88±1.03) was found to be significantly poorer than to those of previous attendees (6.63±1.09), (p<0.001). CONCLUSION: Patients who underwent dental extractions at private dental clinics in Riyadh City, Saudi Arabia, during the post-lockdown COVID-19 pandemic exhibited average oral health attitudes and behaviors. Oral health attitudes and behaviors differed by socioeconomic status. Patients undergoing dental extractions for reasons other than dental caries and periodontal diseases and first-time attendees demonstrated poor oral health attitudes and behaviors.
背景：新冠疫情封锁措施影响了口腔健康行为。本研究旨在评估和比较沙特阿拉伯利雅得市私立牙科诊所中，在新冠疫情期间首次拔牙患者和既往拔牙患者的口腔健康态度及行为。 方法：本横断面研究在沙特阿拉伯利雅得市私立牙科诊所中，对年龄在18至65岁之间的拔牙患者开展。采用便利抽样法选取了480名患者。一份结构化的封闭式问卷使用包含20个条目的广岛大学牙科行为量表（HUDBI），调查了人口统计学信息、拔牙就诊情况以及口腔健康态度和行为。 结果：共有480名拔牙患者[282名（58.8%）男性和198名（41.2%）女性]参与了本研究。所有患者都使用硬毛牙刷，且关注牙齿颜色和口臭问题。同样，所有参与者除非用力刷牙，否则感觉没刷干净，并且牙医告知他们要好好刷牙。观察到HUDBI总体平均得分为6.34±1.12。与其他患者相比，小学文化程度患者（5.61±0.79）、收入≤5000沙特里亚尔患者（6.00±0.92）、居住在农村地区患者（5.84±0.93）以及政府雇员患者（5.62±0.96）的HU-DBI得分较低。研究显示，HUDBI得分在不同人口统计学因素（包括教育程度、收入、居住地、职业和拔牙原因）之间存在显著差异（p<0.001）。首次拔牙就诊者的HUDBI得分（5.88±1.03）显著低于既往拔牙就诊者（6.63±1.09），（p<0.001）。 结论：在沙特阿拉伯利雅得市私立牙科诊所，疫情解封后的新冠疫情期间接受拔牙的患者，其口腔健康态度和行为处于中等水平。口腔健康态度和行为因社会经济地位而异。因龋齿和牙周疾病以外原因拔牙的患者以及首次拔牙就诊者，其口腔健康态度和行为较差。
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