Assistência odontológica para idosos durante a pandemia da COVID-19: Uma perspectiva brasileira
Keywords:COVID-19; Dental care for aged; Dentistry.
Aim: This study evaluated the need for dental assistance of elderly people during the COVID-19 outbreak. Methodology: This online observational survey included Brazilian elderly aged ≥ 60 years, with internet access from all Brazil's regions. They completed questionnaires regarding sociodemographic characteristics, general health, COVID fear (scale FCV-19S), and dental assistance. Data were tabulated and analyzed using descriptive and inferential analysis (α = 5%). Results: Overall, 705 elderly people completed the questionnaire. Most volunteers needed dental assistance (58.6%) although only 31.3% visited a dental office, reporting a dental urgency. Elderly had elective appointments (96.3%) in private dental services (95.9%), mostly accompanied during dental assistance (81.6%), without the need to wait (50.7%). Prosthodontic and restorative interventions were the most required procedures. In the dental office, the fear of being contaminated by COVID-19 existed in 53.9%, while the risk of being contaminated was considered medium (46%). Elderly from Northern, Northeastern, and Central-Western, with low educational level, previous COVID-19 diagnosis, and with highest FCV-19S scores had more fear of contamination in the dental office (all p <0.05). In Northern, Northeastern, and Southeastern Brazil, elderly with worse educational levels, and those with greatest FCV-19S scores (all p <0.05) considered the risk of being contaminated in dental offices. Conclusions: Finally, Brazilian elderly people still need dental assistance during the outbreak. Low-educational levels, previous COVID-19 diagnosis, fear of COVID-19, and highly affected Brazilian regions exhibited increased fear of being contaminated in the dental office, which may prevent them from seeking help.
Ahorsu, D. K., Lin, C.-Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The Fear of COVID-19 Scale: Development and Initial Validation. International Journal of Mental Health and Addiction.
American Dental Association. (2020). Summary of ADA guidance during the COVID-19 crisis. Ada, 19–20. https://www.ada.org/en/press-room/news-releases/2020-archives/april/summary-of-ada-guidance-during-the-covid-19-crisis?utm_source=mouthhealthy&utm_medium=covid-19-mh&utm_content=cv-gov—interim-statement&utm_campaign=covid-19
Aquilanti, L., Santarelli, A., Mascitti, M., Procaccini, M., & Rappelli, G. (2020). Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review. International Journal of Environmental Research and Public Health, 17(23), 9053.
Barbieri, A. A., Feitosa, F., Ramos, C. J., & Teixeira, S. C. (2019). Biosafety measures in dental practice: Literature review. Brazilian Dental Science, 22(1), 9–16.
Bhanushali, P., Katge, F., Deshpande, S., Chimata, V. K., Shetty, S., & Pradhan, D. (2020). COVID-19: Changing Trends and Its Impact on Future of Dentistry. International Journal of Dentistry, 2020, 1–6.
Brasil. Ministério da Saúde. Boletins Epidemiológicos coronavírus. (2021). https://coronavirus.saude.gov.br/boletins-epidemiologicos
Brasil. Ministério da Saúde. Conselhos Nacionais de Secretários de Saúde. Painel CONASS COVID-19. (2020). https://www.conass.org.br/painelconasscovid19/
Brasil. Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal SB BRASIL 2010. (2012).
Cavalheiro, F. R. S., & Sticca, M. G. (2020). Adaptation and Validation of the Brazilian Version of the Fear of COVID-19 Scale. International Journal of Mental Health and Addiction.
Coulthard, P. (2020). Dentistry and coronavirus (COVID-19) - moral decision-making. British Dental Journal, 228(7), 503–505.
Faccini, M., Ferruzzi, F., Mori, A. A., Santin, G. C., Oliveira, R. C., Oliveira, R. C. G. de, Queiroz, P. M., Salmeron, S., Pini, N. I. P., Sundfeld, D., & Freitas, K. M. S. (2020). Dental Care during COVID-19 Outbreak: A Web-Based Survey. European Journal of Dentistry, 14(S 01), S14–S19.
Ge, Z., Yang, L., Xia, J., Fu, X., & Zhang, Y. (2020). Possible aerosol transmission of COVID-19 and special precautions in dentistry. Journal of Zhejiang University-SCIENCE B, 21(5), 361–368.
Guo, H., Zhou, Y., Liu, X., & Tan, J. (2020). The impact of the COVID-19 epidemic on the utilization of emergency dental services. Journal of Dental Sciences, 15(4), 564–567.
Instituto Brasileiro de Geografia e Estatística (IBGE). (2019). Pesquisa Nacional por Amostra de Domicílios Contínua - PNAD. https://www.ibge.gov.br/estatisticas/sociais/populacao/17270-pnad-continua.html?edicao=30362&t=o-que-e
Jiang, Y., Tang, T., Mei, L., & Li, H. (2020). COVID-19 affected patients’ utilization of dental care service. Oral Diseases, 0–3.
Khanagar, S. B., Al-Ehaideb, A., Vishwanathaiah, S., Maganur, P. C., Naik, S., & Siddeeqh, S. (2021). Exposure Risks and Preventive Strategies Considered in Dental Care Settings to Combat Coronavirus Disease (COVID-19). HERD: Health Environments Research & Design Journal, 14(1), 278–289.
Meng, L., Hua, F., & Bian, Z. (2020). Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. Journal of Dental Research, 99(5), 481–487.
Passarelli, P. C., Rella, E., Manicone, P. F., Garcia-Godoy, F., & D’Addona, A. (2020). The impact of the COVID-19 infection in dentistry. Experimental Biology and Medicine, 245(11), 940–944.
Perrin, P. C., McCabe, O. L., Everly, G. S., & Links, J. M. (2009). Preparing for an influenza pandemic: Mental health considerations. Prehospital and Disaster Medicine, 24(3), 223–230.
Perrotta, F., Corbi, G., Mazzeo, G., Boccia, M., Aronne, L., D’Agnano, V., Komici, K., Mazzarella, G., Parrella, R., & Bianco, A. (2020). COVID-19 and the elderly: insights into pathogenesis and clinical decision-making. Aging Clinical and Experimental Research, 32(8), 1599–1608.
Raphael, C. (2017). Oral Health and Aging. American Journal of Public Health, 107(S1), S44–S45.
Siles-Garcia, A. A., Alzamora-Cepeda, A. G., Atoche-Socola, K. J., Peña-Soto, C., & Arriola-Guillén, L. E. (2020). Biosafety for dental patients during dentistry care after COVID-19: A review of the literature. Disaster Medicine and Public Health Preparedness, 1–6.
Spagnuolo, G., De Vito, D., Rengo, S., & Tatullo, M. (2020). COVID-19 Outbreak: An Overview on Dentistry. International Journal of Environmental Research and Public Health, 17(6), 2094.
World Health Organization. (2002). The world health report 2002 - Reducing Risks, Promoting Healthy Life. https://www.who.int/whr/2002/en/
Zhou, P., Yang, X.-L., Wang, X.-G., Hu, B., Zhang, L., Zhang, W., Si, H.-R., Zhu, Y., Li, B., Huang, C.-L., Chen, H.-D., Chen, J., Luo, Y., Guo, H., Jiang, R.-D., Liu, M.-Q., Chen, Y., Shen, X.-R., Wang, X., … Shi, Z.-L. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798), 270–273.
How to Cite
Copyright (c) 2021 Talita Malini Carletti; Ingrid Andrade Meira; Lorena Tavares Gama; Mariana Marinho Davino de Medeiros; Yuri Wanderley Cavalcanti; Renata Cunha Matheus Rodrigues Garcia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.