The Impact of the COVID-19 Pandemic and Vaccination on Dental Restorative Practices in the Geriatric Population

Abstract

Objective: Vaccines were considered as one of the most important public health measures during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to quantify and compare restorative dental practices of geriatric patients during pre-pandemic, pre-vaccination, and post-vaccination periods.

Materials and Methods: Dental records of patients aged older than 65 who presented to Bursa Oral and Dental Health Training and Research Hospital were included in the study. Restorative dental practices during the three periods: pre-pandemic period (01.01.2019−10.03.2020), pre-vaccination period (11.03.2020−13.02.2021) and post-vaccination period (14.02.2021−01.09.2021) were reviewed according to the patient’s age (young-old, middle-old and old-old), sex, tooth number (anterior and posterior), restoration type (occlusal, proximal, or cervical) and the type of restoration material (amalgam or composite).

Results: Anterior restorations accounted for more than half (53%) of all restorations in the pre-COVID-19 pandemic period and 46.5% and 55.4% of restorations in the pre- and post-vaccination periods, respectively. The distribution of posterior amalgam restorations in the pre-pandemic period (31.5%) was higher than the pandemic period; in contrast, the composite restorations were higher during the pandemic pre-vaccination (73.9%) and post-vaccination (76.3%) periods (p<0.001). The males (odds ratio (OR): 1.17, 95% CI: 1.03-1.34, p=0.02) and middle-old (OR: 0.79, 95% CI: 0.64-0.96, p=0.019) were more likely to use restorative dental services as compared to females and young-old age, respectively.

Conclusion: Vaccination had a noticeable effect on increased admissions of geriatric patients and restorative dental treatments compared to the pre-vaccination period. In addition, in the post-COVID-19 vaccination period, composite restorations seem to have replaced amalgam restorations

Keywords

• COVID-19
• Geriatrics
• Dental Health Services

References

1. 1 . Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol 2020; 92(4): 401-2. [CrossRef] google scholar
2. 2 . Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID- 19). Int J Surg 2020; 76: 716. [CrossRef] google scholar
3. 3 . Ince F, Evcil F. The first three weeks of the COVID-19 in Turkey. Su-leyman Demirel Uni J Health Sci 2020; 11: 236-41. google scholar
4. 4 . Çelik H, Çelik ZC, Yanikoglu F Tağtekin D, Hıdıroğlu S. The Impor-tance of Novel Coronavirus 2019 (COVID-19) for Oral and Dental Professionals and Treatments. Turkiye Klinikleri J Dental Sci 2021; 27(2): 318-23. [CrossRef] google scholar
5. 5 . Sell S. How vaccines work: immune effector mechanisms and designer vaccines. Expert Rev Vaccines 2019; 18(10): 993-1015. [CrossRef] google scholar
6. 6 . Xing K, Tu XY, Liu M, Liang ZW, Chen JN, Li JJ, et al. Efficacy and safety of COVID-19 vaccines: a systematic review. Zhongguo Dang Dai Er Ke Za Zhi 2021; 23(3): 221-8. google scholar
7. 7 Kantrowitz-Gordon I A New Normal After the COVID-19 Pandem-ic J Midwifery Womens Health 2021; 66(3): 293-4 [CrossRef] google scholar
8. 8 Peskersoy C, Gurlek O Dental precautions and emergencies during COVID-19 outbreak: A review of the current literature EÜ Dişhek Fak Derg 2020; 41(1): 27-36 [CrossRef] google scholar

9. 9 Huang Y, Song B, Zhou X, Chen H, Wang H, Cheng L Dental re-storative materials for elderly populations Polymers (Basel) 2021; 13(5): 828 [CrossRef] google scholar
10. 10 Jablonski RY, Barber MW Restorative dentistry for the older pa-tient cohort Br Dent J 2015; 218(6): 337-42 [CrossRef] google scholar
11. 11 Saunders RH, Meyerowitz C Dental caries in older adults Dent Clin North Am 2005; 49(2): 293-308 [CrossRef] google scholar
12. 12 Allen PF, Da Mata C, Hayes M Minimal intervention dentistry for partially dentate older adults Gerodontology 2019; 36(2): 92-8 [CrossRef] google scholar
13. 13 Ahmadi H, Ebrahimi A, Ghorbani F The impact of COVID-19 pan-demic on dental practice in Iran: A questionnaire-based report BMC Oral Health 2020; 20(1): 354 [CrossRef] google scholar
14. 14 Farooq I, Ali S COVID-19 outbreak and its monetary implications for dental practices, hospitals and healthcare workers Postgrad Med J 2020; 96(1142): 791-2 google scholar
15. 15 Erdinç G, Yilmaz Çirakoğlu N COVID-19 pandemic and its effects on dentistry: A retrospective study Clin Exp Health Sci 2021; 11(4): 819-24 [CrossRef] google scholar
16. 16 LeSage BP Aesthetic anterior composite restorations: a guide to direct placement Dent Clin North Am 2007; 51(2): 359-78 [CrossRef] google scholar
17. 17 Khan S, Musekiwa A, Chikte UM, Omar R Differences in functional outcomes for adult patients with prosthodontically-treated and -untreated shortened dental arches: A systematic review PLoS ONE 2014; 9(7): e101143 google scholar
18. 18 Anguswamy S, Adeni KM Changing concepts and trends from dental amalgam to composites J Global Oral Health 2021; 4(1): 38-41 [CrossRef] google scholar
19. 19 . Demarco FF, Correa MB, Cenci MS, Moraes RR, Opdam NJ . Longev-ity of posterior composite restorations: Not only a matter of mate-rials. Dental Materials 2011; (28): 87-101. google scholar
20. 20 . Roeters FJ, Opdam NJ, Loomans BA. The amalgam-free dental school. J Dent 2004; (32): 371-7. google scholar
21. 21 . Opdam NJ, Bronkhorst EM, Loomans BA, Huysmans MC.12-year survival of composite vs. amalgam restorations. J Dent Res 2010; (89): 1063-7. google scholar
22. 22 . Rodrigues JA, Lussi A, Seemann R, Neuhaus KW. Prevention of crown and root caries in adults. Periodontol 2000 2011; 55(1): 23149. [CrossRef] google scholar
23. 23 . Gökalp S, Doğan BG, Tekçiçek M, Berberoglu A, Unluer S. The oral health profile of adults and elderly, Turkey-2004. J Hacettepe Fac Dent 2007; 31(4): 11-8. google scholar
24. 24 . Ozsoy HE, Atalay S, Azak AN. Assessment of oral and general health status in older adults. J Clin Med Kaz 2020; 3(57): 24-8. [CrossRef] google scholar
25. 25 . Razak PA, Richard KM, Thankachan RP, Hafiz KA, Kumar KN, Sameer KM. Geriatric oral health: a review article. J Int Oral Health 2014; 6(6): 110-6. google scholar