Urgent Dental Care During Italian Lockdown: A Cross-sectional Survey

J Endod. 2021 Feb;47(2):204-214. doi: 10.1016/j.joen.2020.11.005. Epub 2020 Nov 18.

Abstract

Introduction: On March 9, 2020, the Italian government imposed a nationwide lockdown to contain the spread of coronavirus disease 2019. Oral health services were limited to only essential services. Nonurgent treatments were postponed. This study described the management of urgent dental care in northern Italy during the lockdown, with a particular focus on the province of Brescia.

Methods: A cross-sectional survey was administered to Italian dentists at the end of the lockdown (May 3, 2020). A total of 1407 dentists answered the survey.

Results: A total of 1205 dentists were included. Most of the respondents were dental owners (73.6%). About 79.7% of the dentists handled urgencies during the lockdown. The number of urgencies treated weekly was lower than that generally handled before the coronavirus disease 2019 outbreak (P < .001). Many dentists (81.2%) provided telephone consultations to evaluate symptoms. Pulpitis and abscesses were the most common urgencies (44.7% and 40.2%, respectively). Furthermore, 95% of dentists wore masks, protective eyewear, and surgical gloves while delivering nonpostponable treatments. The filtering facepiece 2 mask was used by 41.8% and 41.7% of owners and dental assistants, respectively. Financial concerns, risk of contagion, and personal protective equipment supply were indicated as the main current concerns.

Conclusions: Our survey showed that Italian dentists took protective measures during the lockdown, thus minimizing the risk of contagion for dental health care personnel and patients. Many precautionary guidelines are now available, but a high uncertainty persists about dental health delivery during the pandemic.

Keywords: Coronavirus disease 2019 lockdown; cross-sectional survey; endodontic urgencies; personal protective equipment; post–coronavirus disease 2019 concerns.

MeSH terms

  • COVID-19*
  • Communicable Disease Control
  • Cross-Sectional Studies
  • Dental Care
  • Dentists
  • Humans
  • Italy / epidemiology
  • SARS-CoV-2
  • Surveys and Questionnaires