How Have Recent Pandemics Affected Oral Health: A Systematic Review using Narrative Synthesis of the Literature from 2011-2021
Article Main Content
Introduction: Pandemics have affected and will continue to affect humankind. Historically the Human Immunodeficiency Virus changed the way dental clinics operate and the COVID-19 pandemic led to an unprecedented closure of dental clinics leading to short- and long-term impact on oral health.
Aim: To assess the impact on oral health and related behaviours related to modern pandemics.
Method: A literature search across eighteen electronic databases was conducted. Three reviewers screened 2029 articles against inclusion criteria and assessed quality. Included articles underwent thematic analysis, followed by narrative synthesis to describe the results.
Results: Forty-eight articles were included that identified themes: (i) oral health related quality of life, (ii) stress and pandemics, (iii) oral health behaviours, (iv) social capital, (v) access to oral healthcare, (vi) fear as a barrier to accessing oral healthcare and (vii) teledentistry.
Conclusion: Pandemics present multiple challenges to both individuals and oral health professionals that impact on oral health and these challenges disproportionately affect the most vulnerable communities. However, with the right support, these impacts can be mitigated through social capital and support to establish healthy routines. The use of digital technologies should be promoted to reach all communities before the next pandemic arrives.
References
-
th and 21st century’s major pandemics. [Internet] 2020 [cited 2021 Mar 31]. Available from: https://atlas-mag.net/en/article/20th-and-21st-century-s-major-pandemics
Google Scholar
1
-
Abbafati C, Machado DB, Cislaghi B, Salman OM, Karanikolos M, McKee M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020; 396(10258): 1204–22.
Google Scholar
2
-
Watt RG. Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol. 2012; 40: 44–8.
Google Scholar
3
-
Anaya‐Saavedra G. Oral manifestations accompanying and related to COVID-19: Overlooking the obvious. Oral Dis. 2021.
Google Scholar
4
-
Svitlana AS. Management of HIV induced oral lesions - A Review. 2021.
Google Scholar
5
-
Arnold C. Covid-19: How the lessons of HIV can help end the pandemic. BMJ. 2021; 372: n216.
Google Scholar
6
-
Brondani M, Donnelly L. The HIV and SARS-CoV-2 Parallel in Dentistry from the Perspectives of the Oral Health Care Team. JDR Clin Transl Res. 2021; 6(1): 40–6.
Google Scholar
7
-
Whole years’ worth of dentistry missed since start of Covid – Dentistry. [Internet]. 2022 [cited 2022 Mar 7]. Available from: https://dentistry.co.uk/2022/02/10/the-system-is-rotten-a-whole-years-worth-of-dental-treatments-missed-since-start-of-covid-pandemic/
Google Scholar
8
-
Bissett G. 1 in 4 attempt DIY dentistry during COVID-19 lockdown – Dentistry Online [Internet]. 2020. Available from: https://www.dentistry.co.uk/2020/09/02/one-quarter-attempted-diy-dentistry/
Google Scholar
9
-
Massarente DB, Domaneschi C, Marques HHS, Andrade SB, Goursand D, Antunes JLF. Oral health-related quality of life of paediatric patients with AIDS. BMC Oral Health. 2011; 11: 2.
Google Scholar
10
-
Kikuchi K, Yi S, Yasuoka J, Tuot S, Okawa S, Murayama M, et al. Oral health among HIV-positive and HIV-negative children in Phnom Penh, Cambodia: A cross-sectional study. BMJ Paediatr Open. 2021; 5(1).
Google Scholar
11
-
Samuel SR, Kuduruthullah S, Khair AMB, Shayeb MA, Elkaseh A, Varma SR. Dental Pain, Parental SARS‐Cov2 Fear and Distress on Quality of Life of 2‐6‐Year‐Old Children During COVID‐19. International Journal of Paediatric Dentistry. 2020; 31(3): 436-441.
Google Scholar
12
-
Samuel SR, Kuduruthullah S, Khair AMB, Al Shayeb M, Elkaseh A, Varma SR, et al. Impact of pain, psychological-distress, SARS-CoV2 fear on adults’ OHRQOL during COVID-19 pandemic. Saudi J Biol Sci. 2021; 28(1): 492–4.
Google Scholar
13
-
Knorst JK, Brondani B, Tomazoni F, Vargas AW, Cósta MD, da Silva Godois L, et al. COVID-19 pandemic reduces the negative perception of oral health-related quality of life in adolescents. Qual Life Res. 2021; 30(6): 1685-1691.
Google Scholar
14
-
Brondani B, Knorst JK, Tomazoni F, Dutra Cósta M, Vargas AW, Noronha TG, et al. Effect of the COVID-19 pandemic on behavioral and psychosocial factors related to oral health in adolescents: a cohort study. Int J Paediatr Dent. 2021; 31(4): 539-646.
Google Scholar
15
-
Susanto A, Wahyuni I, Balafif F. Relationship among perceived stress, oral health status, stomatitis, and xerostomia in the community during the COVID-19 pandemic: A cross-sectional survey. J Int Oral Health. 2020; 12(8): 106–106.
Google Scholar
16
-
Wu Y, Xiong X, Fang X, Sun W, Yi Y, Liu J, et al. Psychological status of TMD patients, orthodontic patients and the general population during the COVID-19 pandemic. Psychol Health Med. 2021; 26(1): 62–74.
Google Scholar
17
-
Wu I, Chang T, Hwang S, Chen M. Effects of oral hygiene programme and home phone counselling for hepatitis C patients receiving antiviral treatment. J Adv Nurs John Wiley Sons Inc. 2019; 75(5): 1010–7.
Google Scholar
18
-
Masiga MA, Machoki JM. Correlation of oral health home-care practices, snacking habits and dental caries experience among hiv-positive children in Nairobi, Kenya. East Afr Med J. 2012; 89(7): 217–23.
Google Scholar
19
-
Vernon LT, Demko CA, Webel AR, Mizumoto RM. The feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults. AIDS Care. 2014; 26(6): 763–8.
Google Scholar
20
-
Liu C, Zhang S, Zhang C, Tai B, Jiang H, Du M. The impact of coronavirus lockdown on oral healthcare and its associated issues of pre-schoolers in China: an online cross-sectional survey. BMC Oral Health. 2021; 21(1): 1–6.
Google Scholar
21
-
Brescia AV, Bensi C, Di Gennaro G, Monda M, Docimo R. Impact of lockdown on children’s lifestyle and their collaboration during dental sessions. Eur J Paediatr Dent. 2021; 22(1): 61–5.
Google Scholar
22
-
Blumer S, Dagon N, Peretz B, Ratson T, Kharouba J. Function of the Family Unit, Oral Hygiene Rules and Attitudes to Dental Health in Children During First-Wave 2020 COVID-19 Lockdown. J Clin Pediatr Dent. 2021; 45(1): 1–7.
Google Scholar
23
-
Fox JE, Tobias CR, Bachman SS, Reznik DA, Rajabiun S, Verdecias N. Increasing Access to Oral Health Care for People Living with HIV/AIDS in the U.S.: Baseline Evaluation Results of the Innovations in Oral Health Care Initiative. Public Health Rep. 2012; 127: 5-16.
Google Scholar
24
-
Jeanty Y, Cardenas G, Fox JE, Pereyra M, Diaz C, Bednarsh H, et al. Correlates of unmet dental care need among HIV-positive people since being diagnosed with HIV. Public Health Rep Wash DC. 2012; 127 Suppl 2: 17–24.
Google Scholar
25
-
Parish C, Siegel K, Pereyra M, Liguori T, Metsch L. Barriers and facilitators to dental care among HIV-Infected adults. Spec Care Dent. 2015; 35(6): 294–302.
Google Scholar
26
-
Adedigba MA, Adekanmbi VT, Asa S, Fakande I. Pattern of Utilisation of Dental Health Care Among HIV-positive Adult Nigerians. Oral Health Prev Dent. 2016; 14(3): 215–25.
Google Scholar
27
-
Samuel SR, Muragaboopathy V, Patil S. Transgender HIV status, self-perceived dental care barriers, and residents’ stigma, willingness to treat them in a community dental outreach program: Cross-sectional study. Spec Care Dent. 2018; 38(5): 307–12.
Google Scholar
28
-
Bachman SS, Walter AW, Umez-Eronini A. Access to oral health care and self-reported health status among low-income adults living with HIV/AIDS. Public Health Rep Wash DC. 2012; 127 Suppl 2: 55–64.
Google Scholar
29
-
Üstün N, Akgöl BB, Bayram M. Influence of COVID-19 pandemic on paediatric dental attendance. Clin Oral Investig. 2021; 25(11): 6185-6191.
Google Scholar
30
-
Kamalova MK, Fomenko IV, Dmitrienko DS, Matvienko NV, Arjenovskaya EN, Gevorkyan AG, et al. Reasons for 1-17-year-old children to visit A dentist during the covid-19 pandemic. Eur J Mol Clin Med. 2020; 7(7): 546–58.
Google Scholar
31
-
Eggmann F, Haschemi AA, Doukoudis D, Filippi A, Verna C, Walter C, et al. Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine. Clin Oral Investig. 2021; 25(10): 5711-5721.
Google Scholar
32
-
Petrescu NB, Aghiorghiesei O, Mesaros AS, Lucaciu OP, Dinu CM, Campian RS, et al. Impact of COVID-19 on dental emergency services in Cluj-Napoca metropolitan area: A cross-sectional study. Int J Environ Res Public Health. 2020; 17(21): 1–11.
Google Scholar
33
-
Turkistani KA. Impact of delayed orthodontic care during COVID-19 pandemic: Emergency, disability, and pain. J World Fed Orthod. 2020; 9(3): 106–11.
Google Scholar
34
-
Lundberg A, Anna‐Lena Hillebrecht, McKenna G, Srinivasan M. COVID‐19: Impacts on oral healthcare delivery in dependent older adults. Gerodontology. 2021; 38(2): 174-178.
Google Scholar
35
-
Pajpani M, Patel K, Robinson E, Suffern R, JOUR. Assessing the impact of an urgent dental care centre on the oral health-related quality of life of patients during the COVID-19 pandemic. Advances in Oral and Maxillofacial Srugery 2. 2021; 100040.
Google Scholar
36
-
Singer R, Cardenas G, Xavier J, Jeanty Y, Pereyra M, Rodriguez A, et al. Dental Anxiety and the Use of Oral Health Services Among People Attending Two HIV Primary Care Clinics in Miami. Public Health Rep. 2012; 127: 36–44.
Google Scholar
37
-
González-Olmo MJ, Delgado-Ramos B, Ortega-Martínez AR, Romero-Maroto M, Carrillo-Díaz M. Fear of COVID-19 in Madrid. Will patients avoid dental care? Int Dent J. 2022; 72(1): 76-82.
Google Scholar
38
-
Pasiga BD. Relationship knowledge transmission of covid-19 and fear of dental care during pandemic in South Sulawesi, Indonesia. Pesqui Bras Em Odontopediatria E Clin Integrada. 2020; 21: 1–12.
Google Scholar
39
-
André H, De Bock F, Huebl L, Kretzler B, Hans-Helmut K. Postponed Dental Visits during the COVID-19 Pandemic and their Correlates. Evidence from the Nationally Representative COVID-19 Snapshot Monitoring in Germany (COSMO). Healthcare. 2021; 9(1).
Google Scholar
40
-
Kranz AM, Gahlon G, Dick AW, Stein BD. Characteristics of US Adults Delaying Dental Care Due to the COVID-19 Pandemic. JDR Clin Transl Res. 2021; 6(1): 8–14.
Google Scholar
41
-
Setiawan AS, Zubaedah C. Application of Health Belief Model on Child’s Dental Visit Postponement during the COVID-19 Pandemic. Eur J Dent. 2020; 14: S7–13.
Google Scholar
42
-
Ostrc T, Pavlović K, Fidler A. Urgent dental care on a national level during the COVID‐19 epidemic. Clin Exp Dent Res. 2021; 7(3): 271-278.
Google Scholar
43
-
Kumar M, Priya L, Sah RP, Yadav GK, JOUR. Awareness and attitude of patients regarding teledentistry during the COVID 19 pandemic. International Journal of Health and Clinical Research. 2021; 4(4).
Google Scholar
44
-
Dusseja SH, Rao D, Panwar S. Patients’ Views Regarding Dental Concerns and Tele dentistry during COVID-19 Pandemic. Int J Sci Healthc Res. 2020; 5(4): 423–9.
Google Scholar
45
-
Sofi-Mahmudi A, Shamsoddin E, Ghasemi P, Mehrabi Bahar A, Shaban Azad M, Sadeghi G. Association of COVID-19-imposed lockdown and online searches for toothache in Iran. BMC Oral Health. 2021; 21(1).
Google Scholar
46
-
Gathece LW, Wang’ombe JK, Ng’ang’a PM, Wanzala PN. Effect of health education on knowledge and oral hygiene practices of persons living with HIV in Nairobi, Kenya. East Afr J Public Health. 2011; 8(3): 207–11.
Google Scholar
47
-
Zhang S, Liu C, Zhang C, Jiang H, Tai B, Du M. Impact of COVID-19 on the oral health of adults in Wuhan and China: results of a nationwide online cross-sectional questionnaire survey. BMC Oral Health. 2021; 21(1): 162.
Google Scholar
48
-
COVID Live - Coronavirus Statistics - Worldometer [Internet] 2022 [cited 2022 Mar 7]. Available from: https://www.worldometers.info/coronavirus/
Google Scholar
49
-
Social media & COVID-19: A global study of digital crisis interaction among Gen Z and Millennials [Internet] 2022 [cited 2022 Mar 7]. Available from: https://www.who.int/news-room/feature-stories/detail/social-media-covid-19-a-global-study-of-digital-crisis-interaction-among-gen-z-and-millennials
Google Scholar
50
-
Depoux A, Martin S, Karafillakis E, Preet R, Wilder-Smith A, Larson H. The pandemic of social media panic travels faster than the COVID-19 outbreak. J Travel Med. 2020; 27(3): taaa031.
Google Scholar
51
-
Ogunbodede EO, Rudolph MJ. Policies and protocols for preventing transmission of HIV infection in oral health care in South Africa. SADJ J South Afr Dent Assoc. 2002; 57(11): 469–75.
Google Scholar
52
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