Same-day emergencies in endodontic specialists' practice: Before, during and after the COVID-19 pandemic

IF 7.1 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE International endodontic journal Pub Date : 2025-03-20 DOI:10.1111/iej.14228

Ali Nosrat, Yuke Tian, Prashant Verma, Nardin Mossad, Di Wu, Ashraf F. Fouad

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Abstract

Aim

The COVID-19 pandemic affected practice in endodontic offices. Same-day endodontic emergencies are cases with moderate or severe self-reported pain who request an unscheduled visit on the day they contact the office. The aims of this observational study were to: (A) analyse the rate of same-day endodontic emergencies in two endodontists' private offices, with respect to their demographic, aetiologic, diagnostic and procedural data; and (B) investigate the changes in characteristics of same-day emergencies between March 16 and May 31 annually over five years: 2019–2023.

Methodology

Records of 5795 patients were reviewed and 892 same-day emergencies were identified. Overall and year-to-year comparisons of proportions of same-day emergencies, as well as demographic, aetiologic, diagnostic and procedural data were performed using chi-square test of independence followed by adjustments for multiple testing using the Benjamini-Hochberg method.

Results

The rate of same-day endodontic emergencies significantly increased during the initial outbreak of COVID-19 in 2020 and remained high in 2021 (p < .05; Q < .05). The rate of same-day emergencies in 2022 subsided to levels comparable to 2019 (p > .05). Year-to-year comparisons of aetiologic factors (caries, restorative, persistent infection and cracks) showed a significant increase only in the rate of cracks in 2020, 2021and 2022 compared with 2019 (p < .05), but this increase did not reach the significance level after adjusting for multiple comparisons throughout the 5 years (Q > .05).

Conclusions

The COVID-19 pandemic was associated with a significant increase in the rate of same-day endodontic emergencies for 2 years. The spike in endodontic emergencies associated with the COVID-19 pandemic lasted well beyond the initial period of the outbreak. Further national and international studies are recommended to better understand the long-term impacts of pandemics of respiratory diseases on the public's oral health.

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在2019冠状病毒病大流行之前、期间和之后，牙髓专科医生的同一天急诊情况。

目的：新型冠状病毒肺炎疫情对牙髓治疗的影响。同日牙髓急诊是指自我报告有中度或重度疼痛的病例，他们在联系办公室的当天要求进行计划外的就诊。这项观察性研究的目的是：(A)分析两家牙髓医生私人诊所当天牙髓急诊的发生率，包括人口统计学、病因学、诊断和程序数据；(B)调查2019-2023年五年间每年3月16日至5月31日当天突发事件的特征变化。方法：回顾了5795例患者的记录，确定了892例同日突发事件。采用卡方独立性检验对当天突发事件的总体和年度比例以及人口统计学、病因学、诊断和程序数据进行比较，然后使用Benjamini-Hochberg方法对多重检验进行调整。结果：2020年冠状病毒病暴发初期，当日牙髓急诊发生率显著上升，2021年仍保持较高水平（p < 0.05）。病因因素（龋齿、恢复性、持续性感染和裂缝）的年度比较显示，与2019年相比，只有2020年、2021年和2022年的裂缝率显著增加（p .05）。结论：2019冠状病毒病大流行与2年内同日牙髓急诊发生率显著增加有关。与COVID-19大流行相关的牙髓紧急情况的激增持续了很久，远远超出了疫情的最初阶段。建议进一步开展国家和国际研究，以更好地了解呼吸系统疾病大流行对公众口腔健康的长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International endodontic journal 医学-牙科与口腔外科

CiteScore

10.20

自引率

28.00%

发文量

195

审稿时长

4-8 weeks

期刊介绍： The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted. The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.