Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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The Trend of Change in Oral and Maxillofacial Injuries of Pediatric Patients in the COVID-19 Pandemic: a Regional Emergency Medical Center and Dental Hospital Study

COVID-19 팬데믹 상황에서 소아 환자의 구강악안면 외상의 변화 추이: 단일 기관 연구

  • Suebin Choi (Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University) ;
  • Chankue Park (Department of Radiology, Pusan National University Yangsan Hospital) ;
  • Jonghyun Shin (Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University) ;
  • Taesung Jeong (Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University) ;
  • Eungyung Lee (Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University)
  • 최수빈 (부산대학교 치의학전문대학원 소아치과학교실 및 치의생명과학연구소) ;
  • 박찬규 (양산부산대학교병원 영상의학과) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실 및 치의생명과학연구소) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실 및 치의생명과학연구소) ;
  • 이은경 (부산대학교 치의학전문대학원 소아치과학교실 및 치의생명과학연구소)
  • Received : 2023.05.14
  • Accepted : 2023.07.15
  • Published : 2023.08.31
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Abstract

The purpose of this study is to analyze changes in dental trauma in children under the age of 12 during the period of Coronavirus Disease 2019 (COVID-19). March 2020, when COVID-19 was officially declared a pandemic by the World Health Organization, was set as the starting point for COVID-19. From March 2018 to February 2020, subjects in the pre-COVID-19 period were classified as the Pre-COVID-19 group, and from March 2020 to March 2022, subjects in the post-COVID-19 period were classified as the COVID-19 group. Information related to trauma was collected through electronic medical records. The number of trauma patients before and after the outbreak of COVID-19 decreased significantly. During the COVID-19 period, there was no significant difference in the male-female ratio or the distribution order of age groups. In the COVID-19 group of permanent teeth, the ratio of trauma caused by personal mobility was higher than trauma caused by sports. In the COVID-19 group of permanent teeth, the ratio of crown fracture with pulp involvement was significantly higher than the ratio of crown fracture without pulp involvement. Changes in trauma patterns caused by COVID-19 were observed more clearly in school-aged children than in preschool children. In a pandemic situation such as COVID-19, it is expected to be used as a good educational basis for knowing that frequent diagnoses can change due to changes in the environment.

이 연구의 목적은 코로나 바이러스 감염증(Coronavirus Disease 2019, COVID-19) 시기의 12세 이하 아동에서 발생한 치과 외상의 변화 여부를 분석해 보는 것이다. 세계보건기구에서 COVID-19를 공식적으로 팬데믹으로 선포한 시점인 2020년 3월을 COVID-19의 기시점으로 설정하였다. 2018년 3월부터 2020년 2월까지를 COVID-19 이전 시기의 대상자를 Pre-COVID-19 군, 2020년 3월부터 2022년 3월까지를 COVID-19 이후 시기의 대상자를 COVID-19 군으로 분류하였다. 전자의무기록을 통해 외상과 관련한 정보들을 수집하였다. COVID-19 발생 전후 외상 환자 수는 유의미하게 감소하였다. COVID-19 기간 동안 남·여 비율과, 연령 구간의 분포 순서는 유의한 차이가 없었다. 영구치의 COVID-19 군에서 스포츠로 인한 외상 발생보다는 개인 이동 수단에 의한 외상의 비율이 높아졌다. COVID-19 군에서 치수 침범이 있는 치관 파절 비율이 치수 침범이 없는 치관 파절 비율보다 증가하였고 유의미하였다. 미취학 아동보다 학령기 아동에서 COVID-19에 의한 외상 패턴 변화가 뚜렷하게 관찰되었다. COVID-19와 같은 팬데믹 상황에서는 환경의 변화로 인해 호발하는 진단명이 변할 수 있다는 점을 알 수 있었다.

Keywords

Acknowledgement

This work was supported by a 2-Year Research Grant of Pusan National University.

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