PMID- 33387553
OWN - NLM
STAT- MEDLINE
DCOM- 20210330
LR  - 20210330
IS  - 1878-3554 (Electronic)
IS  - 0099-2399 (Print)
IS  - 0099-2399 (Linking)
VI  - 47
IP  - 4
DP  - 2021 Apr
TI  - Clinical Response to COVID-19 and Utilization of an Emergency Dental Clinic in an 
      Academic Institution.
PG  - 566-571
LID - S0099-2399(20)30931-6 [pii]
LID - 10.1016/j.joen.2020.11.025 [doi]
AB  - INTRODUCTION: The spread of coronavirus disease 2019 (COVID-19) in the spring of 
      2020 resulted in the temporary suspension of elective dental procedures and 
      clinical dental education in academic institutions. This study describes the use 
      of the Tufts University School of Dental Medicine emergency dental clinic during 
      the peak surge in COVID-19 cases in Massachusetts, highlighting the number of 
      endodontic emergencies. METHODS: Aggregate data from clinical encounters and call 
      records to an emergency triage phone line from March 30 through May 8, 2020, were 
      used to describe the characteristics of dental emergencies, clinical encounters, 
      and procedures performed. RESULTS: A total of 466 patient interactions occurred 
      during this period, resulting in 199 patients advised by phone and 267 clinical 
      encounters. The most common dental emergencies were severe dental pain from 
      pulpal inflammation (27.7% of clinical encounters) followed by a surgical 
      postoperative visit (13.1%). The most frequent procedures were extractions (13.9% 
      of clinical encounters) and surgical follow-up (13.5%); 50.2% of the clinical 
      encounters were categorized as aerosol generating, and 86.1% of encounters would 
      have required treatment in a hospital emergency department if dental care was not 
      available. There were no known transmissions of severe acute respiratory syndrome 
      coronavirus-2 among clinic providers, patients, or staff during this period. 
      CONCLUSIONS: These results highlight the importance of endodontic diagnosis and 
      treatment in the provision of emergency dental care during a pandemic and 
      demonstrate that dental treatment can be provided in a manner that minimizes the 
      risk of viral transmission, maintaining continuity of care for a large patient 
      population.
CI  - Copyright (c) 2020 American Association of Endodontists. Published by Elsevier Inc. 
      All rights reserved.
FAU - Langella, Jessica
AU  - Langella J
AD  - Department of Endodontics, Tufts University School of Dental Medicine, Boston, 
      Massachusetts. Electronic address: jessica.langella@tufts.edu.
FAU - Magnuson, Britta
AU  - Magnuson B
AD  - Department of Diagnostic Sciences, Tufts University School of Dental Medicine, 
      Boston, Massachusetts; Division of Biostatistics and Experimental Design, Tufts 
      University School of Dental Medicine, Boston, Massachusetts.
FAU - Finkelman, Matthew D
AU  - Finkelman MD
AD  - Division of Biostatistics and Experimental Design, Tufts University School of 
      Dental Medicine, Boston, Massachusetts; Department of Public Health and Community 
      Service, Tufts University School of Dental Medicine, Boston, Massachusetts.
FAU - Amato, Robert
AU  - Amato R
AD  - Department of Endodontics, Tufts University School of Dental Medicine, Boston, 
      Massachusetts.
LA  - eng
PT  - Journal Article
DEP - 20201230
PL  - United States
TA  - J Endod
JT  - Journal of endodontics
JID - 7511484
MH  - *COVID-19
MH  - Dental Clinics
MH  - *Emergencies
MH  - Emergency Service, Hospital
MH  - Humans
MH  - SARS-CoV-2
MH  - Schools
MH  - Universities
PMC - PMC7772583
OTO - NOTNLM
OT  - Access to care
OT  - atraumatic restorative techniques
OT  - coronavirus disease 2019
OT  - dental
OT  - dental emergencies
OT  - education
EDAT- 2021/01/03 06:00
MHDA- 2021/03/31 06:00
PMCR- 2020/12/30
CRDT- 2021/01/02 20:07
PHST- 2020/09/18 00:00 [received]
PHST- 2020/11/18 00:00 [revised]
PHST- 2020/11/24 00:00 [accepted]
PHST- 2021/01/03 06:00 [pubmed]
PHST- 2021/03/31 06:00 [medline]
PHST- 2021/01/02 20:07 [entrez]
PHST- 2020/12/30 00:00 [pmc-release]
AID - S0099-2399(20)30931-6 [pii]
AID - 10.1016/j.joen.2020.11.025 [doi]
PST - ppublish
SO  - J Endod. 2021 Apr;47(4):566-571. doi: 10.1016/j.joen.2020.11.025. Epub 2020 Dec 
      30.