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Trend Analysis of Pediatric Dentistry Patients at Seoul National University Dental Hospital: a Study on the Impact of the COVID-19 Outbreak

  • Hee-Sun Choi (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hyuntae Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Ji-Soo Song (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Teo Jeon Shin (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hong-Keun Hyun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Jung-Wook Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Ki-Taeg Jang (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Young-Jae Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
  • Received : 2023.08.20
  • Accepted : 2023.10.09
  • Published : 2023.11.30

Abstract

This study aims to investigate changes in dental service use among pediatric patients during the COVID-19 pandemic. The analysis was performed by collecting information about the number of visits, age, gender, diagnoses, and treatments for patients at the Pediatric Dentistry Department of Seoul National University Dental Hospital from January 2017 to December 2022. Compared with the period from 2017 to 2019, the total number of visits decreased during the COVID-19 pandemic, with a substantial decline in 2020. Patients in all age groups, except those aged 10 - 14, experienced decreased visits, and there was no significant gender difference. Z29.8 (need for other specified prophylactic measures) declined in all age groups, especially among those aged 0 - 4, except for those 20 years and older. K02.1 (caries of dentine) was sought by the age groups in the following order: 10 - 14, 15 - 19, 5 - 9, and 0 - 4 years, with the most significant decrease in the 0 - 4 years age group compared to others. K07.4 (malocclusion, unspecified) decreased in younger groups aged 9 and below but increased in older groups aged 10 and above. During the period from 2020 to 2022, preventive, restorative, pulp, and trauma treatments decreased, but surgical and orthodontic treatments increased compared with the previous three years. The use of sedation decreased and general anesthesia increased during COVID-19 compared to pre-pandemic. This study describes the impact of the COVID-19 pandemic on pediatric dentistry, making it a valuable reference for future pandemics.

Keywords

References

  1. Phelan AL, Katz R, Gostin LO : The novel coronavirus originating in Wuhan, China: challenges for global health governance. JAMA, 323:709-710, 2020. https://doi.org/10.1001/jama.2020.1097
  2. Mahase E : China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ, 368:m408, 2020.
  3. Baloch S, Baloch MA, Zheng T, Pei X : The coronavirus disease 2019 (COVID-19) pandemic. Tohoku J Exp Med, 250:271-278, 2020. https://doi.org/10.1620/tjem.250.271
  4. Wise J : Covid-19: WHO declares end of global health emergency. BMJ, 381:1041, 2023.
  5. Torner N : The end of COVID-19 Public Health Emergency of International Concern (PHEIC): and now what? Vacunas, 2023 May 18. doi: 10.1016/j.vacun.2023.05.002. Online ahead of print.
  6. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B : Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci, 12:9, 2020.
  7. An N, Yue L, Zhao B : Droplets and aerosols in dental clinics and prevention and control measures of infection. Zhonghua Kou Qiang Yi Xue Za Zhi, 55:223-228, 2020.
  8. World Health Organization : Considerations for the provision of essential oral health services in the context of COVID-19: interim guidance, 3 August 2020. Available from URL: https://apps.who.int/iris/handle/10665/333625 (Accessed on August 7, 2023).
  9. Kim J : Guidelines for dental clinic infection prevention during COVID-19 pandemic. J Korean Acad Dent Admin, 8:1-7, 2020.
  10. ustun N, Akgol BB, Bayram M : Influence of COVID-19 pandemic on paediatric dental attendance. Clin Oral Investig, 25:6185-6191, 2021. https://doi.org/10.1007/s00784-021-03917-5
  11. Guo H, Zhou Y, Liu X, Tan J : The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci, 15:564-567, 2020. https://doi.org/10.1016/j.jds.2020.02.002
  12. Ren YF, Rasubala L, Malmstrom H, Eliav E : Dental care and oral health under the clouds of COVID-19. JDR Clin Trans Res, 5:202-210, 2020.
  13. Schwendicke F, Krois J, Gomez J : Impact of SARSCoV2 (Covid-19) on dental practices: Economic analysis. J Dent, 99:103387, 2020.
  14. Noh K, Loke J, Kim K : Could we have prevented all this? A comparison of the British and South Korean primary dental care response to COVID-19. Br Dent J, 228:916-918, 2020. https://doi.org/10.1038/s41415-020-1705-5
  15. Coulthard P, Thomson P, Dave M, Coulthard FP, Seoudi N, Hill M : The COVID-19 pandemic and dentistry: the clinical, legal and economic consequences-part 1: clinical. Br Dent J, 229:743-747, 2020. https://doi.org/10.1038/s41415-020-2404-y
  16. Son D, Kim J : Analysis of the association between COVID-19 and dental visits in children and adolescents through big data. J Korean Acad Pediatr Dent, 48:324-332, 2021. https://doi.org/10.5933/JKAPD.2021.48.3.324
  17. Kim JH, Jung HI, Kim IH, Lee J, Kang CM : Impact of coronavirus disease 2019 on dental service utilization of Korean children and adolescents. J Korean Acad Pediatr Dent, 49:206-216, 2022. https://doi.org/10.5933/JKAPD.2022.49.2.206
  18. Son D, Lee Y, Kim J : Impact of COVID-19 on dental trauma in Korea. J Korean Acad Pediatr Dent, 49:76-84, 2022. https://doi.org/10.5933/JKAPD.2022.49.1.76
  19. Son YJ, Hyun HK, Kim YJ, Kim JW, Lee SH, Kim CC, Hahn SH, Jang KT : The changes in practice patterns for the last 8 years (2001-2008) in the department of pediatric dentistry, Seoul National University Dental Hospital. J Korean Acad Pediatr Dent, 37:97-101, 2010.
  20. Seo M, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, Lee SH, Kim YJ : Chronological trends in practice pattern of department of pediatric dentistry: 2006-2015. J Korean Acad Pediatr Dent, 45:215-224, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.215
  21. Korean Society of Infectious Diseases; Korean Society of Pediatric Infectious Diseases; Korean Society of Epidemiology; Korean Society for Antimicrobial Therapy; Korean Society for Healthcare-associated Infection Control and Prevention; Korea Centers for Disease Control and Prevention : Report on the epidemiological features of coronavirus disease 2019 (COVID-19) outbreak in the Republic of Korea from January 19 to March 2, 2020. J Korean Med Sci, 35:E112, 2020.
  22. Nguyen KH, Levisohn A, McChesney C, Vasudevan L, Bednarczyk RA, Corlin L : Disparities in child and adolescent COVID-19 vaccination coverage and parental intent toward vaccinations for their children and adolescents. Ann Med, 55:2232818, 2023.
  23. Jun KS : A Qualitative Study on the COVID-19 Experience of the vulnerable Children & Adolescents and Daily Recovery during Post-COVID-19. Korean J Urban Stud, 23:263-315, 2023.
  24. Choi JH : The Relationship between Daily Life Changes and Oral Symptoms experienced by Korean Adolescents due to the COVID-19 Pandemic: The 17th(2021) Korea Youth Risk Behavior Survey. JKAIS, 23:280-286, 2022.
  25. Kim K, Kim S, Lee D, Park CY : Impacts of social distancing policy and vaccination during the COVID-19 pandemic in the Republic of Korea. J Econ Dyn Control, 150:104642, 2023.
  26. Choi J : The effects of COVID-19 pandemic on the mental health of the general public and children and adolescents and supporting measures. J Korean Neuropsychiatr Assoc, 60:2-10, 2021. https://doi.org/10.4306/jknpa.2021.60.1.2
  27. Choi YJ, Lee SG : Changes in the Policy of the National Health Insurance of Korea during the COVID-19 Pandemic. HIRA Res, 3:92-101, 2023. https://doi.org/10.52937/hira.23.3.1.92
  28. Kim SH, Park CM, Kim SH, Oh JY, Kim HM : Trends in Transition of Major Countries' Epidemic Control Systems in Response to Omicron Variant Spread. PHWR, 15:632-637, 2022.
  29. Kim T : The impact of working hours on pregnancy intention in childbearing-age women in Korea, the country with the world's lowest fertility rate. PLoS ONE, 18:E0288697, 2023.
  30. Lim YW, Chae YK, Lee KE, Nam OH, Lee H, Choi SC, Kim MS : A Study on the Current State of Pediatric Dentists and the Adequacy of Supply and Demand Based on Covered Services. J Korean Acad Pediatr Dent, 50:360-372, 2023. https://doi.org/10.5933/JKAPD.2023.50.3.360
  31. Krishna Shree CH, Nagar P, Pooja HR, Mascarenhas AN : Parental knowledge, attitude, and perception toward dental treatment during COVID-19 pandemic: A cross-sectional survey. SRM J Res Dent Sci, 14:28-32, 2023. https://doi.org/10.4103/srmjrds.srmjrds_150_22
  32. Lee H, Park S, Shin J, Jeong T, Lee E : The Distribution of Pediatric Patients According to Accessibility to Dental Facilities in Pusan National University Dental Hospital. J Korean Acad Pediatr Dent, 49:368-378, 2022. https://doi.org/10.5933/JKAPD.2022.49.4.368
  33. An H, Kim S, Choi N : Trend Analysis and Prediction of the Number of Births and the Number of Outpatients using Time Series Analysis. J Korean Acad Pediatr Dent, 49:274-284, 2022. https://doi.org/10.5933/JKAPD.2022.49.3.274
  34. Kim N, Kim IH, Song JS, Lee J, Kang CM : National Oral Health Screening for Infants and Children: A Survey on its Perception, Requirements and Accuracy of Parents and Dentists. J Korean Acad Pediatr Dent, 49:217-227, 2022. https://doi.org/10.5933/JKAPD.2022.49.2.217
  35. Kang HM, Choi EH, Kim YJ : Updates on the coronavirus disease 2019 vaccine and consideration in children. Clin Exp Pediatr, 64:328-338, 2021. https://doi.org/10.3345/cep.2021.00696
  36. Kim KL, Joeng YS : A Study on the Direction of Distance Learning in the Post-pandemic Era. J Educ Stud, 54:1-19, 2023.
  37. Luzzi V, Ierardo G, Bossu M, Polimeni A : Paediatric Oral Health during and after the COVID-19 Pandemic. Int J Paediatr Dent, 31:20-26, 2021. https://doi.org/10.1111/ipd.12737
  38. Cho J, Oh S, Kim S, Kim N, Shin Y, Cho H, Yoon Y : COVID-19 Mobility Data Collection of Seoul, South Korea. Arxiv, 2006:08365, 2020.
  39. Koo YH, Hyun HK, Kim JW, Jang KT, Lee SH, Han SH, Kim CC : Characteristics of orthodontic patients in department of pediatric dentistry, Seoul National University Dental Hospital. J Korean Acad Pediatr Dent, 36:550-555, 2009.
  40. Cho Y, Kim S, Choi N : Characteristics of orthodontic patients in department of pediatric dentistry, Chonnam national university dental hospital. J Korean Acad Pediatr Dent, 42:136-143, 2015. https://doi.org/10.5933/JKAPD.2015.42.2.136
  41. Saccomanno S, Antonini G, D'Alatri L, D'Angeloantonio M, Fiorita A, Deli R : Case report of patients treated with an orthodontic and myofunctional protocol. Eur J Paediatr Dent, 15(2 Suppl):184-186, 2014.
  42. Saccomanno S, Saran S, Guercio E, Mastrapasqua RF, Pirino A, Scoppa F : The influence of the COVID-19 pandemic on orthodontic treatments: a survey analysis. Dent J, 10:15, 2022.
  43. Omran R, Dowie A : Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary. Br Dent J, 234:84-87, 2023. https://doi.org/10.1038/s41415-023-5451-3
  44. Yilanci H, Demirsoy KK, Canbaz B, Bozkurt S, Sevgi D : Evaluation of the Effect of COVID-19 on Patients Undergoing Orthodontic Treatment. Med Rec, 5:532-540, 2023.
  45. Chisini LA, dos Santos Costa F, Demarco GT, da Silveira ER, Demarco FF : COVID-19 pandemic impact on paediatric dentistry treatments in the Brazilian Public Health System. Int J Paediatr Dent, 31:31-34, 2021. https://doi.org/10.1111/ipd.12741
  46. Lyu W, Wehby GL : Effects of the COVID-19 pandemic on children's oral health and oral health care use. J Am Dent Assoc, 153:787-796, 2022. https://doi.org/10.1016/j.adaj.2022.02.008
  47. Hopcraft M, Farmer G : Impact of COVID-19 on the provision of paediatric dental care: Analysis of the Australian Child Dental Benefits Schedule. Community Dent Oral Epidemiol, 49:369-376, 2021. https://doi.org/10.1111/cdoe.12611
  48. Schulz-Weidner N, Schlenz MA, Kramer N, Boukhobza S, Bekes K : Impact and perspectives of pediatric dental care during the COVID-19 pandemic regarding unvaccinated children: A cross-sectional survey. Int J Environ Res Public Health, 18:12117, 2021.
  49. Acharya S, Singh B, Godhi B, Pandey S : How to deal and learn from the threat of COVID-19 in paediatric dentistry. Eur J Paediatr Dent, 21:173-175, 2020.
  50. Lee MJ, Song JH : Effects of Media Usage and Physical Activity on Children's School Adjustment during the COVID-19 Pandemic: Mediating Roles of "Cognitive" and "Emotional" Executive Functions. KJCCEP, 17:171-195, 2023.
  51. Han JH, Song JS, Shin TJ, Hyun HK, Kim YJ, Kim JW, Jang KT, Lee SH : A Study on Treatment under General Anesthesia in Pediatric Dentistry at Seoul National University Dental Hospital. J Korean Acad Pediatr Dent, 45:170-178, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.170
  52. Tewfik K, Peta C, De Giuli MC, Rossini M, Giampaoli G, Covelli C, Burlini D : Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy. Eur Arch Paediatr Dent, 24:133-138, 2023. https://doi.org/10.1007/s40368-022-00770-2
  53. Phadraig CMG, Van Harten MT, Diniz-Freitas M, Posse JL, Faulks D, Dougall A, Dios PD, Daly B : The impact of COVID-19 on access to dental care for people with disabilities: A global survey during the COVID-19 first wave lockdown. Med Oral Patol Oral Cir Bucal, 26:E770-E777, 2021.
  54. Posse JL, van Harten MT, Phadraig CMG, Freitas MD, Faulks D, Dougall A, Daly B, Dios PD : The impact of the first wave of the covid-19 pandemic on providing special care dentistry: A survey for dentists. Int J Environ Res Public Health, 18:2970, 2021.
  55. Checchi V, Bellini P, Bencivenni D, Consolo U : COVID-19 dentistry-related aspects: a literature overview. Int Dent J, 71:21-26, 2021. https://doi.org/10.1111/idj.12601
  56. Nuvvula S, Mallineni SK : Remote management of dental problems in children during and post the covid-19 pandemic outbreak: A teledentistry approach. Dent Med Probl, 58:237-241, 2021. https://doi.org/10.17219/dmp/133182
  57. Elalouf A, Moran R, Yaron B, Oman M : Pediatric dental emergency visits and treatment during lockdown in the COVID-19 pandemic: a retrospective study. Int J Environ Res Public Health, 19:3774, 2022.
  58. Angelopoulou MV, Seremidi K, Papaioannou W, Gizani S : Impact of the COVID-19 lockdown on the oral health status of paediatric dental patients in Greece. Int J Paediatr Dent, 33:246-253, 2023. https://doi.org/10.1111/ipd.13048
  59. Costa AL, Pereira JL, Franco L, Guinot F : COVID-19 lockdown: impact on oral health-related behaviors and practices of Portuguese and Spanish children. Int J Environ Res Public Health, 19:16004, 2022.
  60. Gernandt S, Perez A, Courvoisier DS, Scolozzi P : The lockdown effect: The impact of the COVID-19-related confinement on the nature of dental emergencies and the number of patients seen at the Geneva university hospital's dental clinic. J Stomatol Oral Maxillofac Surg, 123:E229-E232, 2022. https://doi.org/10.1016/j.jormas.2022.08.013
  61. Sinjari B, Rexhepi I, Santilli M, D Addazio G, Chiacchiaretta P, Di Carlo P, Caputi S : The impact of COVID-19 related lockdown on dental practice in Central Italy - outcomes of a survey. Int J Environ Res Public Health, 17:5780, 2020.
  62. Pereira LJ, Pereira CV, Murata RM, Pardi V, Pereira-Dourado SM : Biological and social aspects of Coronavirus Disease 2019 (COVID-19) related to oral health. Braz Oral Res, 34:E041, 2020.
  63. Rajput A, Kumar U, Sinha N, Kumar G, Vashisht R, Gauba K, Kanase A : Emergency pain management of untreated pulpitis during COVID-19 lockdown by telephonic communication. World J Dent, 13:358-361, 2022. https://doi.org/10.5005/jp-journals-10015-2067
  64. NHS Health England : COVID-19: Summary of infection prevention and control guidance and information for healthcare settings. Available from URL: https://www.england.nhs.uk/coronavirus/documents/covid-19-summary-of-infection-prevention-and-control-guidance-and-information-for-healthcare-settings (Accessed on September 10, 2023).