The impact of the COVID-19 pandemic on dental trauma attendance: a systematic review and meta-analysis.

This systematic review and meta-analysis aimed to analyze the impact of the COVID-19 pandemic on dental trauma patient attendance. The study was registered in the PROSPERO system, using the CRD42021288398 protocol. Searching was performed in PubMed, Scopus, Web of Science, Embase, Lilacs, and OpenGrey databases, using the following keywords: "Tooth injuries," "Dental trauma," "Traumatic Dental injury," and "COVID-19". We included observational studies evaluating dental trauma in the context of the COVID-19 pandemic. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. Meta-analysis was performed in RevMan 5.4 software with Odds Ratios as a pooled measure of effect, with a 95% confidence interval, and using random-effects modeling. After applying the eligibility criteria, 32 studies were included for qualitative analysis, in which 10 were used to assess the frequency of dental trauma diagnoses in dental emergencies. Despite the decrease of visits during COVID-19, the analysis revealed no difference between the pandemic and pre-pandemic periods. Regarding the type of dental trauma, two of the studies revealed no differences for the periods before and during the pandemic. This study revealed that the COVID-19 pandemic has not impacted the frequency or type of dental trauma compared to previous periods.

Lesões bucais em idosos usuários de prótese dentária: uma revisão de escopo / Oral lesions in elderly dental prosthesis wearers: a scoping review / Lesiones orales en usuarios de prótesis dentales de edad avanzada: una revisión de alcance

Objetivo: Mapear as evidências científicas disponíveis acerca das lesões bucais prevalentes em idosos que fazem uso de próteses dentárias. Métodos: Trata-se de uma revisão de escopo na qual os estudos foram selecionados em abril de 2022, a partir de buscas nas bases Cochrane, Lilacs, PubMed, Scopus e Web of Science. Incluíram-se estudos publicados de 1997 a 2021 e não houve restrição de idioma. Resultados: Foram incluídos 18 artigos, sendo dezesseis (88,9%) estudos transversais e dois (11,1%) estudos de coorte, de diferentes países. A estomatite protética foi a lesão mais prevalente nos idosos na maior parte dos achados, seguida por úlceras, queilite angular, hiperplasias e candidíase eritematosa. Conclusões: Os estudos analisados apontam uma maior ocorrência da estomatite protética em mulheres, sendo o uso de próteses removíveis mais propício a lesões. Sugere-se que outros protocolos de pesquisa sejam desenvolvidos a fim de evidenciar novos achados sobre a temática, em diferentes regiões. (AU).

Objective: To identify the scientific evidence available on the prevalent oral lesions in the elderly who use dental prostheses. Methods: This is a scoping review in which studies were selected in April 2022, from searches in Cochrane, Lilacs, PubMed, Scopus and Web of Science databases. Studies published from 1997 to 2021 were included, and there was no language restriction. Results: Eighteen articles were included, of which sixteen (88.9%) were cross-sectional studies and two (11.1%) were cohort studies, from different countries. Prosthetic stomatitis was the most prevalent lesion in the elderly in most findings, followed by ulcers, angular cheilitis, hyperplasia and erythematous candidiasis. Conclusions: The studies analyzed point to a higher occurrence of prosthetic stomatitis in women, with the use of removable prostheses being more prone to lesions. It is suggested that other research protocols be developed in order to highlight new findings on the subject in different regions. (AU).

Objetivo: Mapear la evidencia científica disponible sobre las lesiones orales prevalentes en los ancianos que utilizan prótesis dentales. Métodos: Se trata de una revisión de la investigación en la que los estudios fueron seleccionados en abril de 2022, a partir de búsquedas en las bases Cochrane, Lilacs, PubMed, Scopus y Web of Science. Se incluyeron los estudios publicados entre 1997 y 2021 y no hubo restricción de idioma. Resultados: Se incluyeron dieciocho artículos, de los cuales dieciséis (88,9%) eran estudios transversales y dos (11,1%) eran estudios de cohortes, procedentes de diferentes países. La estomatitis fue la lesión más prevalente en los ancianos en la mayoría de los hallazgos, seguida de las úlceras, la queilitis angular, la hiperplasia y la candidiasis eritematosa. Conclusiones: Los estudios analizados señalan una mayor ocurrencia de estomatitis protésica en las mujeres, siendo el uso de prótesis removibles más propenso a las lesiones. Se sugiere que se desarrollen otros protocolos de investigación con el fin de evidenciar nuevos hallazgos sobre el tema, en diferentes regiones. (AU).

The impact of the COVID-19 pandemic on dental trauma attendance: a systematic review and meta-analysis

Abstract This systematic review and meta-analysis aimed to analyze the impact of the COVID-19 pandemic on dental trauma patient attendance. The study was registered in the PROSPERO system, using the CRD42021288398 protocol. Searching was performed in PubMed, Scopus, Web of Science, Embase, Lilacs, and OpenGrey databases, using the following keywords: "Tooth injuries," "Dental trauma," "Traumatic Dental injury," and "COVID-19". We included observational studies evaluating dental trauma in the context of the COVID-19 pandemic. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. Meta-analysis was performed in RevMan 5.4 software with Odds Ratios as a pooled measure of effect, with a 95% confidence interval, and using random-effects modeling. After applying the eligibility criteria, 32 studies were included for qualitative analysis, in which 10 were used to assess the frequency of dental trauma diagnoses in dental emergencies. Despite the decrease of visits during COVID-19, the analysis revealed no difference between the pandemic and pre-pandemic periods. Regarding the type of dental trauma, two of the studies revealed no differences for the periods before and during the pandemic. This study revealed that the COVID-19 pandemic has not impacted the frequency or type of dental trauma compared to previous periods.