Evaluation of Orthodontists' Clinical Approaches and Fear Levels in The Covid-19 Pandemic

Abstract

The purpose of this study was to evaluate the clinical approaches of orthodontists in Turkey during the Covid-19 pandemic and to evaluate the difference in the levels of fear before and after vaccination. In this study, a questionnaire form was sent to a total of 886 orthodontists working in Turkey via their e-mail addresses, and the data were collected in two stages. In the first stage, the data collected to evaluate the Covid-19 fear levels of orthodontists according to their professional approaches during the pandemic period were analyzed (n=176). In the second stage of the study, the Covid-19 fear levels of orthodontists before and after vaccination were evaluated (n=154). Of the clinicians who participated in the survey, 56.3% work in university hospitals. This was followed by physicians working in private clinics 35.2% and physicians working in hospitals affiliated with the Ministry of Health 8.5%. Only 0.6% of the orthodontists participating in the study were diagnosed with Covid-19 before the study, while 65.3% continued to practice emergency dentistry during the pandemic. When the professional attitudes of orthodontists were evaluated; 98.3% (n=172) of orthodontists took additional precautions during the Covid-19 period by wearing protective visors, 92.6% (n=162) by using N95 or equivalent masks, 92.2% (n=161) by wearing protective gowns and 83.4% (n=146) by wearing bonnets. When the answers given by the orthodontists participating in the study to the procedures avoided during the Covid-19 process were evaluated; 89.4% (n=152) of the orthodontists stated water treatment with aerator, 67.1% (n=114) bracket removal procedure and 61.2% (n=104) air-water spray. It was determined that the pre-vaccine coronavirus fears of the physicians in the study (19.56±5.44) were statistically significantly higher than the post-vaccine coronavirus fears (18.58±5.02) (p<0.001). According to the results of our study, it was observed that orthodontists, who are members of dentistry during the Covid-19 period, took special precautions in their clinical settings and it was determined that the Covid-19 vaccine reduced the fear level of orthodontists.

Keywords

• Korku seviyesi
• Ortodontist
• Yaklaşım
• Covid-19
• Aşı

Covid-19 Pandemisinde Ortodontistlerin Klinik Yaklaşımlarının ve Korku Seviyelerinin Değerlendirilmesi

Abstract

Bu çalışmanın amacı, Covid-19 pandemisi döneminde Türkiye’deki ortodontistlerin mesleki yaklaşımlarını saptamak ve aşı öncesi-sonrası korku seviyelerindeki farklılığı değerlendirmektir. Bu araştırmada Türkiye’de görev yapmakta olan toplam 886 ortodontiste hazırlanan anket formu e-posta adresleri üzerinden gönderilmiştir ve veriler iki aşamalı olarak toplanmıştır. İlk aşamada ortodontistlerin Covid-19 korku seviyelerini pandemi dönemindeki mesleki yaklaşımlarına göre değerlendirmeye yönelik olarak toplanan verilerin analizi yapılmıştır (n=176). Araştırmanın ikinci aşamasında ise ortodontistlerin aşı öncesi ve sonrası Covid-19 korku seviyeleri değerlendirilmiştir (n=154). Ankete katılan hekimlerin %56,3’ü üniversite hastanelerinde görev yapmaktadır. Bunu %35,2 ile özel klinikte çalışan hekimler ile %8,5 Sağlık Bakanlığı’na bağlı hastanelerde çalışan hekimler takip etmektedir. Çalışmaya katılan ortodontistlerden sadece %0.6’sına çalışma öncesi Covid-19 tanısı konmuştur, %65,3’ü ise pandemi süresinde acil diş hekimliği uygulamaları yapmaya devam etmiştir. Ortodontistlerin mesleki tutumları değerlendirildiğinde; ortodontistlerin %98,3’ü (n=172) koruyucu siperlik takarak, %92,6’sı (n=162) N95 veya muadili maske kullanarak, %92,2’si (n=161) koruyucu önlük giyerek ve %83,4’ü (n=146) bone takarak Covid-19 sürecinde ek tedbir almışlardır. Araştırmaya katılan ortodontistler tarafından Covid-19 sürecinde yapılmaktan kaçınılan işlemlere verdikleri cevaplar değerlendirildiğinde; ortodontistlerin %89,4’ü (n=152) aeratörle sulu işlem yapma, %67,1’i (n=114) braket söküm işlemi ve %61,2’si (n=104) hava- su spreyi kullanma olarak belirtmişlerdir. Araştırma kapsamındaki hekimlerin aşı öncesi koronavirüs korkularının ise (19,56±5,44), aşı sonrası koronavirüs korkularından (18,58±5,02) istatistiksel anlamlı olarak daha yüksek seviyede olduğu tespit edilmiştir (p<0,001). Çalışmamızın sonuçlarına göre, Covid-19 döneminde diş hekimliğinin mensuplarından olan ortodontistlerin klinik düzenlerinde özel önlemler aldığı görülmüş ve yapılan Covid-19 aşısının ortodontistlerin korku seviyesini azalttığı tespit edilmiştir.

Keywords

• Korku seviyesi
• Ortodontist
• Yaklaşım
• Covid-19
• Aşı

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