The Trend of Change in Oral and Maxillofacial Injuries of Pediatric Patients in the COVID-19 Pandemic: a Regional Emergency Medical Center and Dental Hospital Study

Suebin Choi, Chankue Park, Jonghyun Shin, Taesung Kim, Eungyung Lee
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Abstract

The purpose of this study is to analyze changes in dental trauma in children under the age of 12 during the period of Coronavirus Disease 2019 (COVID-19). March 2020, when COVID-19 was officially declared a pandemic by the World Health Organization, was set as the starting point for COVID-19. From March 2018 to February 2020, subjects in the pre-COVID-19 period were classified as the Pre-COVID-19 group, and from March 2020 to March 2022, subjects in the post-COVID-19 period were classified as the COVID-19 group. Information related to trauma was collected through electronic medical records. The number of trauma patients before and after the outbreak of COVID-19 decreased significantly. During the COVID-19 period, there was no significant difference in the male-female ratio or the distribution order of age groups. In the COVID-19 group of permanent teeth, the ratio of trauma caused by personal mobility was higher than trauma caused by sports. In the COVID-19 group of permanent teeth, the ratio of crown fracture with pulp involvement was significantly higher than the ratio of crown fracture without pulp involvement. Changes in trauma patterns caused by COVID-19 were observed more clearly in school-aged children than in preschool children. In a pandemic situation such as COVID-19, it is expected to be used as a good educational basis for knowing that frequent diagnoses can change due to changes in the environment.
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新冠肺炎大流行期间儿科患者口腔颌面损伤变化趋势:一项地区急诊医疗中心和牙科医院的研究
本研究的目的是分析2019冠状病毒病(COVID-19)期间12岁以下儿童牙外伤的变化。世界卫生组织正式宣布新冠肺炎大流行的2020年3月是新冠肺炎疫情的起点。2018年3月至2020年2月,将处于COVID-19前期的受试者归类为COVID-19前期组,2020年3月至2022年3月,将处于COVID-19后期的受试者归类为COVID-19组。通过电子病历收集与创伤有关的信息。疫情前后创伤患者数量明显减少。在新冠肺炎疫情期间,男女比例和年龄组分布顺序无显著差异。在COVID-19恒牙组中,个人活动引起的创伤比例高于运动引起的创伤。COVID-19组恒牙冠断裂累及牙髓的比例明显高于不累及牙髓的比例。学龄儿童比学龄前儿童更清楚地观察到由COVID-19引起的创伤模式的变化。在新冠疫情等大流行情况下,它有望成为了解频繁诊断可能因环境变化而改变的良好教育基础。
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