Scientific article
Open access

Dental emergencies management in COVID-19 pandemic peak : a cohort study

Published inJournal of dental research, vol. 100, no. 4, p. 352-360
Publication date2021-04
First online date2021-02-04

Due to the global coronavirus disease 2019 pandemic, the high risk of cross-contamination and the overload of hospital facilities have resulted in a real urgency for restricting dental emergency patient flow. In this context, the objectives of the current work were to 1) measure the ability of a triage-based management strategy to limit patient admission and 2) evaluate the success rate of both on-site and remote emergency management regarding symptom relief and pain control over a 1-mo period. We included all patients contacting the dental medicine department for an emergency consultation during the lockdown, between April 1 and April 30, 2020 (N= 570). Following a telephone consultation and based on preestablished admission guidelines, a decision was made at baseline (T0) to either admit the patient for treatment or perform remote management by providing advice and/or drug prescription. Patients were then followed up systematically at 1 wk and 1 mo. Management failure was defined as the need for emergency admission for patients managed remotely since T0 and for new emergency admission for those admitted at T0. The global follow-up rate of patients with a complete data set was 91.4% (N= 521). Of included patients, 49.3% could be managed without admission for emergency reasons for 1 mo. The proportion of successful management was 71.8% and 90.2% at 1 mo for remote and on-site management, respectively. To conclude, the proposed triage-based emergency management strategy with systematic follow-up was a good compromise between limiting patient admission and ensuring effective symptom relief and pain control. The strategy can be useful in situations where regulation of the emergency patient flow is required.

  • Cross-contamination
  • Dental care
  • Dental emergency treatment
  • Pain measurement
  • Pain relief
  • Telemedicine
  • COVID-19
  • Cohort Studies
  • Communicable Disease Control
  • Emergencies
  • Humans
  • Pandemics
  • Referral and Consultation
  • SARS-CoV-2
  • Telephone
Affiliation Not a UNIGE publication
Citation (ISO format)
BEAUQUIS, J et al. Dental emergencies management in COVID-19 pandemic peak : a cohort study. In: Journal of dental research, 2021, vol. 100, n° 4, p. 352–360. doi: 10.1177/0022034521990314
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Article (Published version)
ISSN of the journal0022-0345

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