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The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown

BACKGROUND: It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide. Aim: To report the international impact of COVID-19 lockdown on oral healthcare provision for people with disabilities before, during and after the firs...

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Autores principales: Mac Giolla Phadraig, Caoimhin, van Harten, Maria T, Diniz-Freitas, Márcio, Limeres Posse, Jacobo, Faulks, Denise, Dougall, Alison, Diz Dios, Pedro, Daly, Blánaid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601643/
https://www.ncbi.nlm.nih.gov/pubmed/34414999
http://dx.doi.org/10.4317/medoral.24742
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author Mac Giolla Phadraig, Caoimhin
van Harten, Maria T
Diniz-Freitas, Márcio
Limeres Posse, Jacobo
Faulks, Denise
Dougall, Alison
Diz Dios, Pedro
Daly, Blánaid
author_facet Mac Giolla Phadraig, Caoimhin
van Harten, Maria T
Diniz-Freitas, Márcio
Limeres Posse, Jacobo
Faulks, Denise
Dougall, Alison
Diz Dios, Pedro
Daly, Blánaid
author_sort Mac Giolla Phadraig, Caoimhin
collection PubMed
description BACKGROUND: It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide. Aim: To report the international impact of COVID-19 lockdown on oral healthcare provision for people with disabilities before, during and after the first lockdown (March to July 2020). MATERIAL AND METHODS: Cross-sectional online self-administered survey of dentists who treat people with disabilities completed 10th to 31st of July 2020. Responses allowed comparison from before, during and immediately after the first wave lockdowns of the COVID-19 pandemic. Data were analysed using McNemar’s test to compare reported practice before to during lockdown, and before to after lockdown. RESULTS: Four-hundred-thirty-six respondents from across global regions reported a significant reduction from before to during and from before to after lockdown regarding: the proportion of dentists treating people with all types of disability (p <0.001) and the number of patients with disabilities seen per week (p<0.0001). The proportion reporting no availability of any pharmacological supports rose from 22% pre-lockdown to 61% during lockdown (p < 0.001) and a persistent 44% after lockdown (p < 0.001). An increase in teledentistry was observed. CONCLUSIONS: During the first COVID-19 lockdown, there was a significant negative impact on the delivery of dental care to people with disabilities. Oral healthcare access was significantly restricted for people with disabilities with access to sedation and general anaesthesia particularly affected. There is now an increased need to ensure that no-one is left behind in new and existing services as they emerge post-pandemic. Key words:COVID-19, disability, dental care, access.
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spelling pubmed-86016432021-11-24 The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown Mac Giolla Phadraig, Caoimhin van Harten, Maria T Diniz-Freitas, Márcio Limeres Posse, Jacobo Faulks, Denise Dougall, Alison Diz Dios, Pedro Daly, Blánaid Med Oral Patol Oral Cir Bucal Research BACKGROUND: It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide. Aim: To report the international impact of COVID-19 lockdown on oral healthcare provision for people with disabilities before, during and after the first lockdown (March to July 2020). MATERIAL AND METHODS: Cross-sectional online self-administered survey of dentists who treat people with disabilities completed 10th to 31st of July 2020. Responses allowed comparison from before, during and immediately after the first wave lockdowns of the COVID-19 pandemic. Data were analysed using McNemar’s test to compare reported practice before to during lockdown, and before to after lockdown. RESULTS: Four-hundred-thirty-six respondents from across global regions reported a significant reduction from before to during and from before to after lockdown regarding: the proportion of dentists treating people with all types of disability (p <0.001) and the number of patients with disabilities seen per week (p<0.0001). The proportion reporting no availability of any pharmacological supports rose from 22% pre-lockdown to 61% during lockdown (p < 0.001) and a persistent 44% after lockdown (p < 0.001). An increase in teledentistry was observed. CONCLUSIONS: During the first COVID-19 lockdown, there was a significant negative impact on the delivery of dental care to people with disabilities. Oral healthcare access was significantly restricted for people with disabilities with access to sedation and general anaesthesia particularly affected. There is now an increased need to ensure that no-one is left behind in new and existing services as they emerge post-pandemic. Key words:COVID-19, disability, dental care, access. Medicina Oral S.L. 2021-11 2021-08-19 /pmc/articles/PMC8601643/ /pubmed/34414999 http://dx.doi.org/10.4317/medoral.24742 Text en Copyright: © 2021 Medicina Oral S.L. https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Mac Giolla Phadraig, Caoimhin
van Harten, Maria T
Diniz-Freitas, Márcio
Limeres Posse, Jacobo
Faulks, Denise
Dougall, Alison
Diz Dios, Pedro
Daly, Blánaid
The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title_full The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title_fullStr The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title_full_unstemmed The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title_short The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown
title_sort impact of covid-19 on access to dental care for people with disabilities: a global survey during the covid-19 first wave lockdown
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601643/
https://www.ncbi.nlm.nih.gov/pubmed/34414999
http://dx.doi.org/10.4317/medoral.24742
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