G Campus1, M Diaz Betancourt2, M G Cagetti3, R A Giacaman4, D J Manton5, Gva Douglas6, T S Carvalho2, J C Carvalho7, A Vukovic8, F J Cortés-Martinicorena9, D Bourgeois10, V Machiulskiene11, R Sava-Rosianu12, J Krithikadatta13, N Sergeevna Morozova14, A M Acevedo15, A A Agudelo-Suarez16, G Aguirre17, K Aguirre17, I Alfonso15, H A Ghaffar18, R A El Fadl18, S A Al Maghlouth19, T Almerich-Torres20, F Amadori21, K Antia22, E Bajric23, D M Barbosa-Liz16, S Ben-Tanfous24, H Bieber25, S Bhusari26, S Birch6, G Bontà3, P Bottenberg27, J J Bruers28, L Bustillos29, P Bührens30, J Cai31, J L Cairoli32, Fca Carrer33, M B Correa33, B Cortés-Acha10, F Carrouel10, R de Carvalho Oliveira33, F Cocco34, F Crombie35, J I Csikar6, D Declerck36, M Denkovski36, J Deschner37, J Dopico-San Martin38, O Viktorovna Dudnik14, W Y Escobar17, A Elwishahy39, C E Fernandez4, M Fontana40, A Frattaroli Pericchi15, M Ghorbe24, E Gigineishvili22, A Garcia Quintana15, J Gray41, N Gugnani42, K Gambetta-Tessini4, A Haider43, M Hopcraft35, J Hüttmann30, N Hysenaj44, A Jalal43, M Jikia22, J John45, G Kaps-Richter30, T Kerber Tedesco33, S Leon4, K A Levin6, H Pau Lew46, M Aperecida Moreira Machado33, A Beneictovna MacLennan14, J Onome Mafeni47, M Minatel Braga33, J M Montiel-Company48, A Malerba3, S Mandić-Rajčević49, A Askerovich Mamedo14, S A Mani50, O Marouane24, D Markovic8, E Paredes Martinez20, N Maroufidis51, F Medeiros Mendes33, S Musa50, A Necibi24, N Azlida Mohd Nor50, B Tochukwu Ojukwu47, N Opdam52, L Ottolenghi53, J Owen6, A Pássaro33, I F Persoon54, T Peric8, E Pesaressi-Torres20, V Philippides55, S P Plaza-Ruiz56, D Procida Raggio33, Fj Rivas Cartagena17, F Ramos-Gomez57, M Sabashvili22, G Solis Sanchez20, R Villena Sarmiento20, H Schrader30, S Serban6, R Bairstow6, A Senna3, B Shi58, Cpc Sim46, S Slabsinskiene11, G Spagnulo59, O Olufemi Taiwo47, A Thodhorjani44, P Tietler30, Cmc Volgenant54, M H van der Veen54, Z Vlahovic60, A Visaria61, Y Romero Uzcategui62, E Xhajanka44, Q Yan58, O Zen58, O Zeyer63, A Zukanovic64, T G Wolf37. 1. Department of Restorative, Preventive and Paediatric Dentistry, University of Bern, Bern, Switzerland; Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Sassari, Italy; School of Dentistry Sechenov University, Moscow, Russia. Electronic address: guglielmo.campus@zmk.unibe.ch. 2. Department of Restorative, Preventive and Paediatric Dentistry, University of Bern, Bern, Switzerland. 3. Department of Biomedical, Surgical and Dental Science, University of Milan, Milan, Italy. 4. Cariology and Gerodontology Units, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile. 5. Cariology and Paediatric Dentistry, Centrum voor Tandheelkunde en Mondzorgkunde, University Medical Centre Groningen, Groningen, the Netherlands. 6. Department of Dental Public Health, School of Dentistry, University of Leeds, Leeds, UK. 7. Department of Oral Health Sciences, Faculty of Medicine and Dentistry, UCLouvain, Louvain, Belgium. 8. Department of Pediatric and Preventive Dentistry School of Dental Medicine University of Belgrade, Belgrade, Serbia. 9. Private Practitioner, Valencia, Spain. 10. University Claude Bernard Lyon 1, Laboratory "Systemic Health Care," University of Lyon, Lyon, France. 11. Clinic of Dental and Oral Pathology, Faculty of Odontology, Department of Pediatric and Preventive Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania. 12. Department of Preventive, Community Dentistry and Oral Health, Faculty of Dentistry, University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania. 13. Department of Conservative Dentistry & Endodontics, Saveetha Dental College and Hospitals, Chennai, India. 14. School of Dentistry Sechenov University, Moscow, Russia. 15. Universidad Central de Venezuela, Facultad de Odontología, Caracas, Venezuela. 16. Faculty of Dentistry, University of Antioquia, Colombia, Medellín, Antioquia. 17. Facultad de Odontologia, Universidad de El Salvador, El Salvador. 18. Faculty of Dentistry, Ain Shams University, Cairo, Egypt. 19. King Fahad Medical City, Riyadh, Saudi Arabia. 20. Facultad de Odontología - Universidad San Martin de Porres, Lima, Peru. 21. Dental Clinic, School of Pediatric Dentistry, University of Brescia, Brescia, Italy. 22. School of Health Sciences, University of Georgia, Tbilisi, Georgia. 23. Department of Preventive and Pediatric Dentistry, Faculty of Dentistry with Clinics of Sarajevo University, Sarajevo, Bosnia Hergevozina. 24. Faculty of Dental Medicine of Monastir, Monastir, Tunisia. 25. Bundeswehr Medical Service Headquarters, Koblenz, Germany. 26. Heidelberg Institute of Global Health (HIGH), Heidelberg, Germany. 27. Oral Health Research Cluster, VUB, Bruxelles, Belgium. 28. University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. 29. Universidad de Los Andes, Facultad de Odontología, Merida, Venezuela. 30. Freier Verband Deutscher Zahnärzte, Bonn, Germany. 31. The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, People's Republic of China. 32. Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy. 33. Universidade de Sao Paulo- School of Dentistry - Department of Community Dentistry, Sao Paulo, Brazil. 34. Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Sassari, Italy. 35. Melbourne Dental School, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Melbourne, Australia. 36. Private practioner, Skopje, Macedonia. 37. Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 38. Private Practitioner, Pamplona, Spain. 39. Heidelberg Institute of Global Health at Heidelberg University Hospital, Heidelberg, Germany. 40. University of Michigan School of Dentistry, Ann Arbor, USA. 41. King Fahad Medical City, Ryad, Saudi Arabia. 42. Department of Pediatric and Preventive Dentistry, Dental college, Haryana, India. 43. Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore, Pakistan. 44. Department of Prosthodontic, Faculty of Dental Medicine, University of Medicine, Tirana, Albania. 45. Faculty of Dentistry, University of Malaysia, Kuala Lumpur, Malaysia. 46. Department of Restorative Dentistry National Dental Centre Singapore, Singapore. 47. Intercountry Center for Oral Health for Africa, Jos, Nigeria. 48. School of Dentistry University of Valencia, Valencia, Spain. 49. School of Public Health and Health Management, Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Departmeny of Health Sciences; University of Milan, Milan, Italy. 50. Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia. 51. Private Practioner, Athens, Greece. 52. School of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands. 53. Department of Dental and Maxillo-Facial Sciences, Sapienza Rome University, Rome, Italy. 54. Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, Amsterdam, the Netherlands. 55. President Cyprus Dental Association, Nicosia, Cyprus. 56. Orthodontic Department, Fundación Universitaria CIEO-UniCIEO Bogotá, Colombia. 57. UCLA Center for Children's Oral Health (UCCOH) UCLA School of Dentistry, Los Angeles, USA. 58. The State Key Laboratory Breeding Base of Basic Science of Stomatology &Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, People's Republic of China. 59. Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy; School of Dentistry Sechenov University, Moscow, Russia. 60. Medical Faculty of Pristina - Kosovska Mitrovica, Pristina, Montenegro. 61. Duke-NUS Medical School, Singapore. 62. Universidad de Los Andes, Facultad de Odontología, Merida,Venezuela. 63. Schweizerische Zahnärzte-Gesellschaft SSO, Bern, Switzerland. 64. Department of Preventive and Pediatric Dentistry, Faculty of Dentistry with Clinics of Sarajevo University, Sarajevo; Bosnia Hergevozina.
Abstract
OBJECTIVES: A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE). METHODS: A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) working conditions and PPE adopted after the outbreak. Countries' data were grouped by the country positive rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. RESULTS: A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n=27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR=1.80 95%CI=1.60/2.82 and OR=5.20 95%CI=1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR=1.09 95%CI=0.97/1.60). The same significant associations were observed in the multivariate analysis. CONCLUSIONS: Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events.
OBJECTIVES: A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE). METHODS: A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) working conditions and PPE adopted after the outbreak. Countries' data were grouped by the country positive rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. RESULTS: A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n=27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR=1.80 95%CI=1.60/2.82 and OR=5.20 95%CI=1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR=1.09 95%CI=0.97/1.60). The same significant associations were observed in the multivariate analysis. CONCLUSIONS: Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events.
Keywords:
COVID-19; Dental professionals; Dentistry; Global Health; Infection control; Oral Health; Personal Protective Equipment (PPE); Public Health Dentistry; SARS-CoV-2
Authors: Joana Christina Carvalho; Dominique Declerck; Wolfgang Jacquet; Peter Bottenberg Journal: Int J Environ Res Public Health Date: 2021-08-08 Impact factor: 3.390
Authors: Thomas Gerhard Wolf; Adrian Barth; Joachim Hüttmann; Michael Lennartz; Ernst-Jürgen Otterbach; Christian Brendel; Maria Grazia Cagetti; James Deschner; Guglielmo Campus Journal: Int J Environ Res Public Health Date: 2022-05-28 Impact factor: 4.614
Authors: Diego Gómez-Costa; Juan Manuel Ramírez; Iván García Guerrero; Giovanni Giovannini; Rosa Rojo; Rafael Gómez-de Diego Journal: BMC Oral Health Date: 2022-04-12 Impact factor: 2.757