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MeSH Disease

Human Phenotype

Transmission

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    Changes in the Spectrum of Dental Emergencies Under the Influence of SARS-COV-2

    Authors: Kan Wu; Chunjie Li; Zheng Yang; Shangchun Yang; Wenbin Yang; Chengge Hua

    doi:10.21203/rs.3.rs-28103/v1 Date: 2020-05-08 Source: ResearchSquare

    BackgroundTo master the distribution and changing characteristics of dental diseases is of great significance for the dental emergency center in order to strengthen the treatment abilities of medical staff and the effective use of emergency resources in the face of public health emergencies of highly infectious respiratory diseases MESHD.MethodsThe medical records of 4260 cases of dental emergency patients from December 2019 to March 2020 were retrospectively analyzed, with patients being divided into the pre- Corona Virus Disease MESHD 2019 (SARS-COV-2) group and the during SARS-COV-2 group according to the date of their admittance to the dental emergency department. The patient demographics, occurrence of dental emergencies MESHD and treatment approaches were compared before and during the pandemic.ResultsDuring the pandemic period, the number of dental emergency visits increased by 25.56% compared with those before the pandemic. From the view of demographic, the proportion of patients aged TRANS 0 –17 years decreased by 10.6%, while the proportion of patients aged TRANS 46 – 65 years increased by 6.9%. The emergency patient amount reduced during the week and increased at the weekend, the distribution of the peak time of patient visits was 13:00 – 18:00, and the emergency patient amount at night decreased obviously compared with that before the outbreak of the epidemic.A major change is acute pulpitis/root periarthritis MESHD ratio increased by 9.2%, fell HP 17.9%, before the outbreak on dental and maxillofacial trauma stitch MESHD, the residual roots and residual crowns and other non-emergency diseases increased by 3.2%. Among the treatment methods, dental local drug irrigation, dental local hemostasis, and local treatment of pericoronitis MESHD were the main treatment approaches, accounting for 63.1% of the total cases. The use of local anesthesia decreased and the use of painkillers increased during the SARS-COV-2 pandemic.ConclusionSARS-COV-2 led to changes in the spectrum of dental emergency cases. The dental emergency department should optimize the treatment procedures, optimize the staffing and reasonably allocate materials according to the changes, to improve the on-site treatment capacity and provide adequate dental emergency care.

    Changes in the characteristics of dental emergencies under the influence of SARS-CoV-2 : A retrospective study

    Authors: Kan Wu; Chunjie Li; Zheng Yang; Shangchun Yang; Wenbin Yang; Chengge Hua

    doi:10.21203/rs.3.rs-28103/v2 Date: 2020-05-08 Source: ResearchSquare

    Background To master the distribution and changing characteristics of dental diseases is of great significance for the dental emergency center in order to strengthen the treatment abilities of medical staff and the effective use of emergency resources in the face of public health emergencies of highly infectious respiratory diseases MESHD. Methods The medical records of 4158 cases of dental emergency patients from 2019 to 2020 were retrospectively analyzed,with patients being divided into the pre-SARS-COV-2 group and the during SARS-COV-2 group according to the date of their admittance to the dental emergency center.The dental emergency patients demographicsn data,day and time,diagnoses,treatment approaches were compared before and during the SARS-COV-2. Results During the SARS-COV-2,the number of dental emergency visits increased by 29.7% compared with those before the SARS-COV-2.The peak of the number of patients at weekends and at night is not obvious compared with the pre-SARS-COV-2 group.Duing the SARS-COV-2 Male TRANS(n=286,58.1%) were more likely than female TRANS(n=206,41.9%) to visit the dental emergency center for trauma MESHD P<0.05, female TRANS(n=242,60.8%) were more likely than male TRANS(n=156,39.2%) to visit the dental emergency center for Acute gingivitis MESHD gingivitis HP and Acute pericoronitis P<0.05.A major diagnoses change is Acute Pulpitis MESHD (K04.0) and Acute apical periodontitis MESHD periodontitis HP (K04.4) increased by 9.2%,Acute gingivitis HP gingivitis MESHD (K05.0) and Acute pericoronitis MESHD(K05.2) increased by 3.5%,Open wound of lip MESHD and oral cavity (S01.5) fell HP 17.9%,others (non-emergency diseases) increased by 6.8%,compare with the pre-SARS-COV-2.Among the treatment methods,during the pre-SARS-COV-2,304(17.7%)received a prescription for Antibiotics and Analgesics,1485(86.5%) received a prescription for local treatment.During the SARS-COV-2,958(39.2%)received a prescription for Antibiotics and Analgesics,1636(67.0%) received a prescription for local treatment. Conclusion SARS-COV-2 led to changes in the characteristics of dental emergency patients. Trauma,Acute Pulpitis,Acute periodontitis Acute periodontitis MESHD periodontitis HP Acute periodontitis HP are the leading reason why patients go to the dental emergency.The dental emergency center should optimize the treatment procedures,optimize the staffing and reasonably allocate materials according to the changes,to improve the on-site treatment capacity and provide adequate dental emergency care. .

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MeSH Disease
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