Abstract

In this study, we evaluated the knowledge, attitudes, and psychosocial impacts among Brazilian pediatric dentists during the COVID-19 pandemic. A cross-sectional study with primary data collection was carried out using an online structured questionnaire. Data were submitted to descriptive analysis by using absolute and relative frequencies. A chi-square test was used for association analysis and log-linear regression models to estimate the prevalence ratio (5%). The population comprised mostly women and knowledge regarding COVID-19 was satisfactory (above 80% in most items). N95 masks and faceshields were used, albeit 64.22% reported difficulty in providing dental care to children due to the need for extra Personal Protective Equipment. Thirty eight percent provided urgency/emergency dental care, 59.78% performed invasive procedures, 59.56% used high speed handpieces, 8.44% started using cariostatics, and 6.22% introduced the use of chemomechanical caries removal agents. Fear for the future (PR = 1.21) and use of medications (for anxiety, depression, or insomnia) increased (PR = 1.16) among the ones who had wage losses. Brazilian pediatric dentists have knowledge about COVID-19, and attitudes in their clinical routines changed due the pandemic. Financial life was harmed and a negative impact of the pandemic in psychosocial aspects of workers was found.

Highlights

  • IntroductionIn March 2020, the World Health Organization declared a pandemic due to COVID-19

  • Submitted: May 4, 2021 Accepted for publication: October 28, 2021 Last revision: November 23, 2021In March 2020, the World Health Organization declared a pandemic due to COVID-19

  • Most pediatric dentists were aware of the disease incubation period: from 1 to 14 days (62.44%), ways of transmission: coughing/sneezing (99.11%); handshake (82.44%); touching contaminated surface (91.33%), the symptoms: fever (99.78%); cough (96.44%); difficulty in breathing (99.33%); myalgia and fatigue (78.22%); sore throat (67.56%); red eyes (82.22%); vomiting (56%); and rashes (29.56%), and 69.33% understand that patients with COVID-19 may be asymptomatic

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Summary

Introduction

In March 2020, the World Health Organization declared a pandemic due to COVID-19. The Coronavirus Disease-2019, caused by the coronavirus (SARS-CoV-2), has been spreading exponentially, causing thousands of deaths worldwide.[1]. SARS-CoV-2 can be transmitted directly and indirectly. Aerosols and droplets are considered the main means of spreading and dissemination of the disease.[2]. These findings reinforce the need for effective preventive measures for biosafety in dental offices. In addition to the constant vigilance needed in implementing COVID-19 control measures, the pandemic has had a series of psychosocial implications, affected individuals of different social classes.[3]. Fear increases anxiety and stress levels in healthy individuals and intensifies the symptoms of pre-existing psychiatric disorders.[4].

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