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Investigation of Turkish periodontists’ attitudes and behaviors during COVID-19 pandemic: A questionnaire survey

Year 2024, Volume: 8 Issue: 3, 122 - 129, 31.12.2024
https://doi.org/10.29228/erd.82

Abstract

Aim: The aim of this study was to investigate the possible COVID-19 changes in the attitudes and behaviors of Turkish periodontists in clinical practice during the pandemic.
Materials and methods: A 21-question survey form created on Google Form was used as a collection tool. 126 volunteer periodontists, to whom survey link was sent, gave a full response between January and March, 2021. While number and percentage values were calculated for descriptive statistics, chi-square test was used to compare categorical between groups.
Results: This online study included 126 Turkish periodontists. Regarding the frequency of use of protective equipment in clinical procedures during the COVID-19 pandemic, an increase of 100 % in the use of FFP/3 and FFP/2 masks, 60.32 % in the use of goggles was observed. The group of periodontists with 20 years or more of professional experience increased the use of goggles compared to both the groups of periodontists with 0-5 years and 5-10 years of experience (p<0.05). The frequency of antibiotic, anti-inflammatory and analgesic prescription did not change during COVID-19 pandemic. However, male periodontists reported prescribing antibiotics more often than female periodontists in the presence of pus outflow and in the treatment of periodontal abscess (p<0.05).
Conclusion: Despite the implementation of enhanced personal protection measures by Turkish periodontologists in response to the ongoing pandemic, there has been a persistence in the frequency of medication prescription, which is guided by scientific knowledge and clinical experience.

References

  • Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, Sun C, Sylvia S, Rozelle S, Raat H. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9:1-12.
  • Blandino G. Cancer at the time of the COVID-19 hurricane. Exp Clin Cancer Res. 2020;39:1-2.
  • Cole EC, Cook CE. Characterization of infectious aerosols in health care facilities: an aid to effective engineering controls and preventive strategies. Am J Infect Control. 1998;26(4):453-464.
  • Darquenne C. Aerosol deposition in health and disease. J Aerosol Med Pulm Drug Deliv. 2012;25(3):140-147.
  • Duruk G, Gümüşboğa ZŞ, Colak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020;34:e054.
  • Genco RJ, Sanz M. Clinical and public health implications of periodontal and systemic diseases: An overview. Periodontol 2000. 2020;83(1):7-13.
  • Guo Q, Xu J, Wei Y. Comment on the randomized clinical trial investigating the influence of wearing glasses on the risk of COVID-19 infection. Asian J Surg. 2023.
  • Guo X, Zhu Y, Hong Y. Decreased mortality of COVID-19 with renin-angiotensin-aldosterone system inhibitors therapy in patients with hypertension: a meta-analysis. J Hypertens. 2020;76(2):e13-e14.
  • Herrera D, Roldán S, González I, Sanz M. The periodontal abscess (I). Clinical and microbiological findings. J Periodontol. 2000;27(6):387-394.
  • Imai M, Iwatsuki-Horimoto K, Hatta M, Loeber S, Halfmann PJ, Nakajima N, et al. Syrian hamsters as a small animal model for SARS-CoV-2 infection and countermeasure development. Proc Natl Acad Sci USA. 2020;117(28):16587-16595.
  • Iwu CJ, Jordan P, Jaja IF, Iwu CD, Wiysonge CS. Treatment of COVID-19: implications for antimicrobial resistance in Africa. Pan Afr Med J. 2020;35(Suppl 2).
  • Izzetti R, Gennai S, Nisi M, Barone A, Giuca MR, Gabriele M, Graziani F. A perspective on dental activity during COVID‐19: The Italian survey. Oral Dis. 2021;27:694-702.
  • Kato M, Mehrotra S, Chowdhary Z, Mosang M, Waris A. Assessing the attitude and practices of dental surgeons towards periodontal health after the COVID-19 outbreak. Pesqui Bras Odontopediatria Clin Integr. 2024;24:e230014.
  • Kuldaş F, Durmazpınar PM, Kanmaz B. Evaluation of Turkish dentists’ anxiety levels according to the measures taken and working conditions during the COVID-19 pandemic. Int Dent Res. 2022;12(3):120-129.
  • Lai MM. Coronavirus: organization, replication and expression of genome. Annu Rev Microbiol. 1990;44(1):303-303. Leung NH. Transmissibility and transmission of respiratory viruses. Nat Rev Microbiol. 2021;19(8):528-545.
  • Lin SY, Sun JS, Hung MC, Chang JZC. Effectiveness of mouth rinses against COVID-19: a systematic review and network meta-analysis. J Hosp Infect. 2023;139:175-191. Available from: https://doi.org/10.1016/j.jhin.2023.06.022.
  • Liu Y, Ning Z, Chen Y, Guo M, Liu Y, Gali NK, et al. Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals. Nature. 2020;582(7813):557-560.
  • Mattheos N, Collier S, Walmsley A. Specialists' management decisions and attitudes towards mucositis and peri-implantitis. Br Dent J. 2012;212(1):E1.
  • Meister TL, Gottsauner JM, Schmidt B, Heinen N, Todt D, Audebert F, et al. Mouthrinses against SARS-CoV-2–high antiviral effectivity by membrane disruption in vitro translates to mild effects in a randomized placebo-controlled clinical trial. Virus Res. 2022;316:198791.
  • Navaratnam AM, O'Callaghan C, Beale S, Nguyen V, Aryee A, Braithwaite I, et al. Eyeglasses and risk of COVID-19 transmission—analysis of the Virus Watch Community Cohort study. Int J Infect Dis. 2024;139:28-33.
  • Nourah D, Aldahlawi S. Prescribing practice of systemic antibiotics by periodontists in Saudi Arabia. Int J Med Dent. 2022;25:533-543.
  • Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):1-6.
  • Rocha‐Gomes G, Flecha OD, Miranda TS, Duarte PM, Shaddox LM, Galvão EL, Gonçalves PF. Impact of the coronavirus disease 2019 pandemic on periodontal practice: a questionnaire survey. J Clin Periodontol. 2021;48(4):541-549.
  • Saglik.gov.tr. Drugs Used In COVID-19 Treatment Drug Interactions. Available from: https://covid19.saglik.gov.tr/Eklenti/37818/0/covid-19tedavisindekullanilanilaclar-ilacetkilesimleripdf.pdf. Accessed 29 Jul 2020.
  • Sculean A, Alessandri R, Miron R, Salvi GE, Bosshardt DD. Enamel matrix proteins and periodontal wound healing and regeneration. Clin Adv Periodontics. 2011;1(2):101-117.
  • Shah RA, Mitra DK, Lakade CH, Patil SP, Ghangrekar KP. Perception of infection control in COVID-19 times amongst periodontists-a cross-sectional/questionnaire study. J Indian Dent Assoc. 2021;15(11).
  • Soysal F, Isler SC, Peker I, Akca G, Ozmeric N, Unsal B. The impact of COVID-19 pandemic on dentistry practices. Klimik J. 2020;33(1):5-15.
  • Tuncer J, Karkaç A. Evaluation of dentists' attitudes towards the COVID-19 pandemic and vaccine. Van Dent J. 2021;2(2):11-20.
  • Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-1567.
  • Wahidi MM, Lamb C, Murgu S, Musani A, Shojaee S, Sachdeva A, et al. American Association for Bronchology and Interventional Pulmonology (AABIP) statement on the use of bronchoscopy and respiratory specimen collection in patients with suspected or confirmed COVID-19 infection. J Bronchology Interv Pulmonol. 2020;27(4):e52-e54.
  • WHO. Infection prevention and control of epidemic-and pandemic-prone acute respiratory diseases in health care: WHO interim guidelines. 2007.
  • Yiğit U, Karaaslan F, Dikilitaş A, Doğan B. Evaluation of systemic antibiotic usage in the treatment of periodontal diseases among dental professionals in Turkey: Cross-sectional epidemiological study. Balk J Dent Med. 2022;26(2):118-126.
  • Yıldız MS, Akgül Z, Günpınar Ş. Antibiotic prescription practices of periodontology specialists in Turkey: a cross-sectional web-based questionnaire study. Popul Med. 2023;5:1-9.

COVID-19 Pandemisi Döneminde Periodontologların Tutum ve Davranışlarının Değerlendirilmesi: Anket Çalışması

Year 2024, Volume: 8 Issue: 3, 122 - 129, 31.12.2024
https://doi.org/10.29228/erd.82

Abstract

Amaç: Periodontologların kendilerini, hastalarını ve yardımcılarını korumada ve böylece enfeksiyonun yayılmasını önlemedeki rolü kritiktir. Bu çalışmanın amacı, Türk periodontologlarının Corona virüs (CoV) pandemisi sürecinde klinik uygulamalardaki tutum ve davranışlarındaki değişiklikleri incelemektir.
Gereç ve Yöntem: Google Forms üzerinde oluşturulan 21 soruluk çevrimiçi anket formu veri toplama amacıyla kullanıldı. Anket linki gönderilen gönüllü periodontologların tamamı Ocak- Mart 2021 tarihleri arasında eksiksiz yanıt verdi. Sayı ve yüzde değerleri hesaplanarak tanımlayıcı istatistikler elde edildi, gruplar arasında kategorik verilerin karşılaştırılması için ki-kare testi uygulandı.
Bulgular: Bu çevrimiçi çalışmaya, Türkiye’de görev yapmakta olan 126 periodontolog dahil edildi. COVID-19 pandemisi döneminde katılımcıların klinik işlemlerde koruyucu ekipman kullanım sıklığı konusunda FFP/3 ve FFP/2 maske kullanımında % 100, gözlük kullanımında % 60.32’lık artış görüldü. 20 yıl ve üzeri mesleki tecrübe süresi sahip periodontolog grubu, hem 0-5 yıl hem de 5-10 yıl arası tecrübe süresine sahip periodontolog gruplarına kıyasla gözlük kullanımını artırdı (p<0.05). Ancak antibiyotik, antienflamatuvar ve analjezik reçete etme sıklığının değişmediği bildirildi. Pü çıkışı varlığı ve periodontal apse tedavisinde erkek periodontologlar, kadın periodontologlara göre daha fazla antibiyotik reçete ettiğini bildirdi (p<0.05).
Sonuç: Türk periodontologlar, COVID-19 pandemisi sırasında sürekli güncellenen tedbirlerle kişisel korunma önlemlerini arttırmış olsa da bilimsel birikim ve klinik tecrübeyle edinilen ilaç reçete etme sıklığı konusunda eski alışkanlıklarına olan bağlılıklarını devam ettirdi.

References

  • Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, Sun C, Sylvia S, Rozelle S, Raat H. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9:1-12.
  • Blandino G. Cancer at the time of the COVID-19 hurricane. Exp Clin Cancer Res. 2020;39:1-2.
  • Cole EC, Cook CE. Characterization of infectious aerosols in health care facilities: an aid to effective engineering controls and preventive strategies. Am J Infect Control. 1998;26(4):453-464.
  • Darquenne C. Aerosol deposition in health and disease. J Aerosol Med Pulm Drug Deliv. 2012;25(3):140-147.
  • Duruk G, Gümüşboğa ZŞ, Colak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020;34:e054.
  • Genco RJ, Sanz M. Clinical and public health implications of periodontal and systemic diseases: An overview. Periodontol 2000. 2020;83(1):7-13.
  • Guo Q, Xu J, Wei Y. Comment on the randomized clinical trial investigating the influence of wearing glasses on the risk of COVID-19 infection. Asian J Surg. 2023.
  • Guo X, Zhu Y, Hong Y. Decreased mortality of COVID-19 with renin-angiotensin-aldosterone system inhibitors therapy in patients with hypertension: a meta-analysis. J Hypertens. 2020;76(2):e13-e14.
  • Herrera D, Roldán S, González I, Sanz M. The periodontal abscess (I). Clinical and microbiological findings. J Periodontol. 2000;27(6):387-394.
  • Imai M, Iwatsuki-Horimoto K, Hatta M, Loeber S, Halfmann PJ, Nakajima N, et al. Syrian hamsters as a small animal model for SARS-CoV-2 infection and countermeasure development. Proc Natl Acad Sci USA. 2020;117(28):16587-16595.
  • Iwu CJ, Jordan P, Jaja IF, Iwu CD, Wiysonge CS. Treatment of COVID-19: implications for antimicrobial resistance in Africa. Pan Afr Med J. 2020;35(Suppl 2).
  • Izzetti R, Gennai S, Nisi M, Barone A, Giuca MR, Gabriele M, Graziani F. A perspective on dental activity during COVID‐19: The Italian survey. Oral Dis. 2021;27:694-702.
  • Kato M, Mehrotra S, Chowdhary Z, Mosang M, Waris A. Assessing the attitude and practices of dental surgeons towards periodontal health after the COVID-19 outbreak. Pesqui Bras Odontopediatria Clin Integr. 2024;24:e230014.
  • Kuldaş F, Durmazpınar PM, Kanmaz B. Evaluation of Turkish dentists’ anxiety levels according to the measures taken and working conditions during the COVID-19 pandemic. Int Dent Res. 2022;12(3):120-129.
  • Lai MM. Coronavirus: organization, replication and expression of genome. Annu Rev Microbiol. 1990;44(1):303-303. Leung NH. Transmissibility and transmission of respiratory viruses. Nat Rev Microbiol. 2021;19(8):528-545.
  • Lin SY, Sun JS, Hung MC, Chang JZC. Effectiveness of mouth rinses against COVID-19: a systematic review and network meta-analysis. J Hosp Infect. 2023;139:175-191. Available from: https://doi.org/10.1016/j.jhin.2023.06.022.
  • Liu Y, Ning Z, Chen Y, Guo M, Liu Y, Gali NK, et al. Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals. Nature. 2020;582(7813):557-560.
  • Mattheos N, Collier S, Walmsley A. Specialists' management decisions and attitudes towards mucositis and peri-implantitis. Br Dent J. 2012;212(1):E1.
  • Meister TL, Gottsauner JM, Schmidt B, Heinen N, Todt D, Audebert F, et al. Mouthrinses against SARS-CoV-2–high antiviral effectivity by membrane disruption in vitro translates to mild effects in a randomized placebo-controlled clinical trial. Virus Res. 2022;316:198791.
  • Navaratnam AM, O'Callaghan C, Beale S, Nguyen V, Aryee A, Braithwaite I, et al. Eyeglasses and risk of COVID-19 transmission—analysis of the Virus Watch Community Cohort study. Int J Infect Dis. 2024;139:28-33.
  • Nourah D, Aldahlawi S. Prescribing practice of systemic antibiotics by periodontists in Saudi Arabia. Int J Med Dent. 2022;25:533-543.
  • Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):1-6.
  • Rocha‐Gomes G, Flecha OD, Miranda TS, Duarte PM, Shaddox LM, Galvão EL, Gonçalves PF. Impact of the coronavirus disease 2019 pandemic on periodontal practice: a questionnaire survey. J Clin Periodontol. 2021;48(4):541-549.
  • Saglik.gov.tr. Drugs Used In COVID-19 Treatment Drug Interactions. Available from: https://covid19.saglik.gov.tr/Eklenti/37818/0/covid-19tedavisindekullanilanilaclar-ilacetkilesimleripdf.pdf. Accessed 29 Jul 2020.
  • Sculean A, Alessandri R, Miron R, Salvi GE, Bosshardt DD. Enamel matrix proteins and periodontal wound healing and regeneration. Clin Adv Periodontics. 2011;1(2):101-117.
  • Shah RA, Mitra DK, Lakade CH, Patil SP, Ghangrekar KP. Perception of infection control in COVID-19 times amongst periodontists-a cross-sectional/questionnaire study. J Indian Dent Assoc. 2021;15(11).
  • Soysal F, Isler SC, Peker I, Akca G, Ozmeric N, Unsal B. The impact of COVID-19 pandemic on dentistry practices. Klimik J. 2020;33(1):5-15.
  • Tuncer J, Karkaç A. Evaluation of dentists' attitudes towards the COVID-19 pandemic and vaccine. Van Dent J. 2021;2(2):11-20.
  • Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-1567.
  • Wahidi MM, Lamb C, Murgu S, Musani A, Shojaee S, Sachdeva A, et al. American Association for Bronchology and Interventional Pulmonology (AABIP) statement on the use of bronchoscopy and respiratory specimen collection in patients with suspected or confirmed COVID-19 infection. J Bronchology Interv Pulmonol. 2020;27(4):e52-e54.
  • WHO. Infection prevention and control of epidemic-and pandemic-prone acute respiratory diseases in health care: WHO interim guidelines. 2007.
  • Yiğit U, Karaaslan F, Dikilitaş A, Doğan B. Evaluation of systemic antibiotic usage in the treatment of periodontal diseases among dental professionals in Turkey: Cross-sectional epidemiological study. Balk J Dent Med. 2022;26(2):118-126.
  • Yıldız MS, Akgül Z, Günpınar Ş. Antibiotic prescription practices of periodontology specialists in Turkey: a cross-sectional web-based questionnaire study. Popul Med. 2023;5:1-9.
There are 33 citations in total.

Details

Primary Language English
Subjects Periodontics
Journal Section Original Articles
Authors

Bensu Özen 0000-0002-2333-0358

Hatice Selin Güngörmek 0000-0001-5650-3107

Leyla Kuru 0000-0002-7599-2409

Early Pub Date December 29, 2024
Publication Date December 31, 2024
Submission Date September 19, 2024
Acceptance Date December 18, 2024
Published in Issue Year 2024 Volume: 8 Issue: 3

Cite

APA Özen, B., Güngörmek, H. S., & Kuru, L. (2024). Investigation of Turkish periodontists’ attitudes and behaviors during COVID-19 pandemic: A questionnaire survey. European Journal of Research in Dentistry, 8(3), 122-129. https://doi.org/10.29228/erd.82