Replacement of Dental Restorations during COVID-19 Pandemics: A New Paradigm?


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Çelik Z. C., Elbek Çubukçu Ç., Batmaz S. G., Dinç Ata G., Özkaya G.

11th ConsEuro Congress, Antalya, Türkiye, 21 - 23 Nisan 2022, ss.72

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.72
  • Çukurova Üniversitesi Adresli: Evet

Özet

Aim: COVID-19 Pandemic became a challenge for dental services. Circulars and recommendations were published by international and local authorities in order to minimize the infected aerosols and droplets since the beginning of COVID-19 Outbreak. The aim of this study was to analyze the distribution of restoration replacements delivered to children, adults, and elderly before and after the COVID-19 pandemic.

Materials and Methods: A data of Bursa Oral and Dental Health Training and Research Hospital, between January 2016- September 2021 were extracted and reviewed by procedure codes, age (0-17; 35-44; 65-74) gender, restorative treatment types (amalgam, composite, replaced amalgam, replaced composite). The results were presented as frequency and percentages. Categorical variables were compared using Pearson’s chi-square test. Binary Logistic Regression was performed and the crude odds ratios (OR) along with their 95% Confidence Intervals (CIs) were reported. Statistical analyses were performed with IBM SPSS ver. 23.0 (IBM Corp. Armonk, NY)

Results: Total of 2.925.328 records were reviewed from Jan. 2016-Sept. 2021. Dental records (n=1.807.677) were filtered by type of treatment and final data consisted of 564.889 restorative treatments. A significant marked decrease detected during COVID-19 as the distributions of restoration replacements among all restorative treatments delivered to children, adults and elderly were 2.3%, 2.7%, 1.8% in 2016; 1.6%, 2.5%, 1.3% in 2017; 1.7%, 2.4%, 1.8% in 2018; 2.1%, 2.9%, 1.6% in 2019; %0.0, %0.1, %0.0 during COVID-19 before vaccination (2020) and %0.2, %0.5, %0.2 during COVID-19 after vaccination (2021) (p<0.001). According to the type of restoration and restorative materials, one-surface restorations (OR:1.54 95%CI 1.13-1.95; p=0.01) and amalgams (OR 1.96 95% CI 1.20-2.72; p=0.001) were more likely to be replaced.

Conclusion: As the distribution of replacements were consistent year by year, a sharp decrease during the COVID-19 pandemics may be explained by the paradigm shift for teeth with replacement indication.