COVID-19 and Personal Protective Equipment-Related Challenges Faced by Pediatric Dentists during patient care: A Qualitative Study
Keywords:Pediatric Dentistry, Personal Protective Equipment, Psychology, Anxiety
AbstractObjective: To describe the challenges pediatric dentists face while caring for their patients during the pandemic. Material and Methods: A descriptive qualitative study was conducted with purposefully sampled pediatric dentists. Data were collected through in-depth, semi-structured interviews until the content of the collected data reached theoretical saturation. Data were transcribed verbatim, coded, and analyzed using content analyses. Results: Seven participants (four females and three males) between 29 and 50 years participated in the study. Three themes emerged from the analyses: Anxiety and fear; PPE (Personal Protective Equipment) and its impact on care delivery; and 3) Behavior management. Conclusion: Dental care delivery was challenging for pediatric dentists. They experienced high anxiety levels and modified their services according to the recommended guidelines while making accommodations to lessen patients’ COVID-19-related anxiety. The additional mandated PPE use affected the communication between the dentists and their patients, affecting their dentist-patient bonding.
Chen J, Lu H. New challenges to fighting COVID-19: Virus variants, potential vaccines, and development of antivirals. Biosci Trends 2021; 15(2):126-128. https://doi.org/10.5582/bst.2021.01092
Kumar Mallineni S, Chandra Bhumireddy J, Nuvvula S. Dentistry for children during and post COVID-19 pandemic outbreak. Child Youth Serv Rev 2021; 120:105734. https://doi.org/10.1016/j.childyouth.2020.105734
Dave M, Seoudi N, Coulthard P. Urgent dental care for patients during the COVID-19 pandemic. Lancet 2020; 395(10232):1257. https://doi.org/10.1016/S0140-6736(20)30806-0
Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health 2020; 17(8):2821. https://doi.org/10.3390/ijerph17082821
Foo CC, Goon AT, Leow YH, Goh CL. Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome--a descriptive study in Singapore. Contact Dermatitis 2006; 55(5):291-294. https://doi.org/10.1111/j.1600-0536.2006.00953.x
Ong JJY, Bharatendu C, Goh Y, Tang JZY, Sooi KWX, Tan YL, et al. Headaches associated with personal protective equipment - A cross-sectional study among frontline healthcare workers during COVID-19. Headache 2020; 60(5):864-877. https://doi.org/10.1111/head.13811
Feigal RJ. Guiding and managing the child dental patient: A fresh look at old pedagogy. J Dent Educ 2001; 65(12):1369-1377.
Alsaleh MM, Sabbarini JM, Al-Batayneh OB, Khader YS. Changes in behavior management and treatment modalities in pediatric dentistry during COVID-19 pandemic. Int J Clin Pediatr Dent 2020; 13(Suppl 1):S125-31. https://doi.org/10.5005/jp-journals-10005-1885
Kamavaram Ellore VP, Mohammed M, Taranath M, Ramagoni NK, Kumar V, et al. Children, and parent's attitude and preferences of dentist's attire in pediatric dental practice. Int J Clin Pediatr Dent 2015; 8(2):102-107. https://doi.org/10.5005/jp-journals-10005-1293
Babaji P, Chauhan P, Chaurasia VR, Kaur T, Singh S, Augustine M. A cross-sectional evaluation of children preference for dentist attire and syringe-type in reduction of dental anxiety. Dent Res J 2018; 15(6):391-396.
Nirmala SV, Veluru S, Nuvvula S, Chilamakuri S. Preferences of dentist's attire by anxious and nonanxious Indian Children. J Dent Child 2015; 82(2):97-101.
Sarnat H, Arad P, Hanauer D, Shohami E. Communication strategies used during pediatric dental treatment: a pilot study. Pediatr Dent 2001; 23(4):337-342.
Hennink MM, Kaiser BN, Weber MB. What influences saturation? Estimating sample sizes in focus group research. Qual Health Res 2019; 29(10):1483-1496. https://doi.org/10.1177/1049732318821692
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19(6):349-357. https://doi.org/10.1093/intqhc/mzm042
Izzetti R, Gennai S, Nisi M, Gabriele M, Graziani F. How dental activity has changed following COVID-19: A single-center experience. Minerva Dent Oral Sci 2022; 71(2):71-78. https://doi.org/10.23736/S2724-6329.21.04548-4
Ustun N, Akgol BB, Bayram M. Influence of COVID-19 pandemic on paediatric dental attendance. Clin Oral Investig 2021; 25(11):6185-6191. https://doi.org/10.1007/s00784-021-03917-5
Sun J, Xu Y, Qu Q, Luo W. Knowledge of and attitudes toward COVID-19 among parents of child dental patients during the outbreak. Braz Oral Res 2020; 34:e066. https://doi.org/10.1590/1807-3107BOR-2020.vol34.0066
Falahchai M, Babaee Hemmati Y, Hasanzade M. Dental care management during the COVID-19 outbreak. Spec Care Dentist 2020; 40(6):539-548. https://doi.org/10.1111/scd.12523
Li G, Chang B, Li H, Wang R, Li G. Precautions in dentistry against the outbreak of coronavirus disease 2019. J Infect Public Health 2020; 13(12):1805-1810. https://doi.org/10.1016/j.jiph.2020.09.013
Maru V. The 'new normal' in post-COVID-19 pediatric dental practice. Int J Paediatr Dent 2021; 31(4):528-538. https://doi.org/10.1111/ipd.12764
Bahramian H, Gharib B, Baghalian A. COVID-19 considerations in pediatric dentistry. JDR Clin Trans Res 2020; 5(4):307-311. https://doi.org/10.1177/2380084420941503
Sprang G, Silman M. Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Med Public Health Prep 2013; 7(1):105-110. https://doi.org/10.1017/dmp.2013.22
BaniHani A, Gardener C, Raggio DP, Santamaria RM, Albadri S. Could COVID-19 change the way we manage caries in primary teeth? Current implications on Paediatric Dentistry. Int J Paediatr Dent 2020; 30(5):523-525. https://doi.org/10.1111/ipd.12690
Goswami M, Grewal M, Garg A. Attitude and practices of parents toward their children's oral health care during COVID-19 pandemic. J Indian Soc Pedod Prev Dent 2021; 39(1):22-28. https://doi.org/10.4103/jisppd.jisppd_478_20
O'Kelly E, Arora A, Pirog S, Ward J, Clarkson PJ. Comparing the fit of N95, KN95, surgical, and cloth face masks and assessing the accuracy of fit checking. PLoS One 2021; 16(1):e0245688. https://doi.org/10.1371/journal.pone.0245688
Pecoraro L, Carbonare LD, De Franceschi L, Piacentini G, Pietrobelli A. The psychophysical impact that COVID-19 has on children must not be underestimated. Acta Paediatr 2020; 109:1679-1680. https://doi.org/10.1111/apa.15347
Amorim LM, Maske TT, Ferreira SH, Santos RB, Feldens CA, Kramer PF. New post-COVID-19 biosafety protocols in pediatric dentistry. Pesqui Bras em Odontopediatria Clinica Integr 2020; 20:e0117. https://doi.org/10.1590/pboci.2020.117
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