Pattern and causes of oral and maxillofacial injuries presented to a tertiary care public dental hospital in strictly imposed COVID-19 lockdown scenario
Journal article
Surendra, Gayan, Perera, Irosha, Ranasinghe, Anura, Kumarapeli, Vindya, Tham, Rachel and Wickramaratne, Pujitha. (2021). Pattern and causes of oral and maxillofacial injuries presented to a tertiary care public dental hospital in strictly imposed COVID-19 lockdown scenario. Oral. 1(1), pp. 3-14. https://doi.org/10.3390/oral1010002
Authors | Surendra, Gayan, Perera, Irosha, Ranasinghe, Anura, Kumarapeli, Vindya, Tham, Rachel and Wickramaratne, Pujitha |
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Abstract | The unprecedented COVID-19 pandemic has indelibly impacted routine healthcare provision across the globe. Nevertheless, management of traumatic injuries has remained a priority patient care service of oral and maxillofacial (OMF) practice. This study aimed to explore the pattern and mechanisms of OMF injuries presenting at a major public dental hospital during a COVID-19 lockdown period in Sri Lanka. An enhanced OMF injury surveillance system was established at the National Dental Hospital (Teaching) Sri Lanka (NDHTSL) on 1 March 2020. OMF injury surveillance data from 1 March 2020 to 31 May 2020 were collated from the “enhanced injury surveillance form”. This period overlapped with the strictly imposed island-wide COVID-19 community lockdown. Pre-COVID-19 period (November 2017 to January 2020) OMF injury data were compared with this period. OMF injuries were categorized as hard tissue, extra-oral or intra-oral soft tissue, upper and middle face fractures and mandibular fractures. Data were analyzed with descriptive statistics, Fisher’s exact and Chi-square tests of significance. A total of 361 OMF injuries were identified among 208 patients who were predominantly males (71.6%); mean age was 24.95 ± 2.76 years. Injuries to gingivae and oral mucosa (26.9%) were the leading type, followed by extra-oral soft tissues (22.1%), periodontal injuries (20.7%) and hard tissue injuries (20.2%). Upper face and mandibular fractures accounted for 2.9% and 1.9%, respectively. Most patients sustained their injuries due to falls at their homes and surrounds. This was significantly increased compared to the pre-COVID-19 period (p = 0.0001). The significant increase in OMF injuries associated with falls around the home during the COVID-19 lockdown scenario in Sri Lanka compared to the pre-COVID-19 period may need further investigation in order to understand the how these injuries may be prevented. |
Keywords | COVID-19; falls; home; lockdown; oral and maxillofacial |
Year | 2021 |
Journal | Oral |
Journal citation | 1 (1), pp. 3-14 |
Publisher | Multidisciplinary Digital Publishing Institute (MDPI AG) |
ISSN | 2673-6373 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/oral1010002 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 3-14 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 24 Nov 2020 |
Publication process dates | |
Accepted | 20 Nov 2020 |
Deposited | 03 Jun 2021 |
https://acuresearchbank.acu.edu.au/item/8w27x/pattern-and-causes-of-oral-and-maxillofacial-injuries-presented-to-a-tertiary-care-public-dental-hospital-in-strictly-imposed-covid-19-lockdown-scenario
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Publisher's version
OA_Surendra_2020_Pattern_and_Causes_of_Oral_and.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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