A GLOBAL PERSPECTIVE IN SELF-REPORTED BRUSHING, BRUXISM AND TMD SYMPTOMS DURING COVID-19 LOCKDOWN
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Abstract
BACKGROUND: The COVID-19 pandemic led lockdowns has created enormous stress disrupting the daily habits and routines of the worldwide population. One might consider hand hygiene more important than brushing one’s teeth in these unprecedented times but it is prudent to keep in mind that oral health is a window to one’s general health. OBJECTIVES: To assess the general public’s perception of their oral hygiene habits and survey their self-reported brushing habits. METHODS: This is a descriptive, cross-sectional, self-administered structured questionnaire-based study. A questionnaire of 24 questions was shared online to which 1021 responses were received from different parts of the world. April, 1st 2020- April 14th 2020 during the period of lockdown. RESULTS: Regarding self-reported brushing our results indicate that a large portion of the population did not observe any major changes in their brushing habits during the quarantine period compared to their everyday routine before the lockdown for COVID19. Probing into TMD symptoms we found that a greater frequency of females compared to males reported an increased sensation of pain and discomfort in facial muscles. CONCLUSION: COVID-19 is here to stay. It is imperative to assess the general public’s perception of their oral hygiene practices and habits during the lockdown period of COVID-19 pandemic. An estimate of the population vulnerable of seeking dental treatment by the end of this pandemic depends on how long it lasts.
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References
Neher RA, Dyrdak R, Druelle V, Hodcroft EB, Albert J. Potential impact of seasonal forcing on a SARS-CoV-2 pandemic. Swiss Med Wkly. 2020;150:w20224. Published 2020 Mar 16. doi:10.4414/smw.2020.20224.
Khurshid Z, Asiri FYI, Al Wadaani H. Human Saliva: Non-Invasive Fluid for Detecting Novel Coronavirus (2019-nCoV). Int J Environ Res Public Health. 2020;17(7):2225. Published 2020 Mar 26. doi:10.3390/ijerph17072225.
Ibrahim NK, Alwafi HA, Sangoof SO, Turkistani AK, Alattas BM. Cross-infection and infection control in dentistry: Knowledge, attitude and practice of patients attended dental clinics in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. J Infect Public Health. 2017;10(4):438-445. doi:10.1016/j.jiph.2016.06.002.
Lauer SA, Grantz KH, Bi Q, et al. The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Ann Intern Med. 2020;172(9):577-582. doi:10.7326/M20-0504.
Backer JA, Klinkenberg D, Wallinga J. Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China, 20-28 January 2020. Euro Surveill. 2020;25(5):2000062. doi:10.2807/1560-7917.ES.2020.25.5.2000062.
Li Q, Guan X, Wu P, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med. 2020;382(13):1199-1207. doi:10.1056/NEJMoa2001316.
Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032.
Wu P, Hao X, Lau EHY, et al. Real-time tentative assessment of the epidemiological characteristics of novel coronavirus infections in Wuhan, China, as at 22 January 2020. EuroSurveill.2020;25(3):2000044.doi:10.2807/1560-7917.ES.2020.25.3.2000044.
Zhang L, Liu Y. Potential interventions for novel coronavirus in China: A systematic review. J Med Virol. 2020;92(5):479-490. doi:10.1002/jmv.25707.
Fazel M, Hoagwood K, Stephan S, Ford T. Mental health interventions in schools 1: Mental health interventions in schools in high-income countries. Lancet Psychiatry. 2014;1(5):377-387. doi:10.1016/S2215-0366(14)70312-8.
Coronavirus Disease 2019 (COVID-19) – Prevention & Treatment [Internet]. Centers for Disease Control and Prevention. 2020 [cited 1 November 2020]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html.
Dutch report improved hygiene habits during coronavirus lockdown | Food Safety News [Internet]. Food Safety News. 2020 [cited 1 November 2020]. Available from: https://www.foodsafetynews.com/2020/05/dutch-report-improved-hygiene-habits-during-coronavirus-lockdown/
Hygiene and Cleanliness in the U.S. [Internet]. Ipsos. 2020 [cited 1 November 2020]. Available from: https://www.ipsos.com/en-us/news-polls/Hygiene-and-Cleanliness.
Bish A, Michie S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 2010;15(Pt 4):797-824. doi:10.1348/135910710X485826.
Moran KR, Del Valle SY. A Meta-Analysis of the Association between Gender and Protective Behaviors in Response to Respiratory Epidemics and Pandemics. PLoS One. 2016;11(10):e0164541. Published 2016 Oct 21. doi:10.1371/journal.pone.0164541.
Glaros AG. Incidence of diurnal and nocturnal bruxism. J Prosthet Dent. 1981;45(5):545-549. doi:10.1016/0022-3913(81)90044-5.
National Institutes of Health Technology Assessment Conference on Management of Temporomandibular Disorders. Bethesda, Maryland, April 29-May 1, 1996. Proceedings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(1):49-183.
Mukhtar S. Mental Health and Psychosocial Aspects of Coronavirus Outbreak in Pakistan: Psychological Intervention for Public Mental Health Crisis. Asian J Psychiatr. 2020;51:102069. doi:10.1016/j.ajp.2020.102069
Ahlberg J, Rantala M, Savolainen A, et al. Reported bruxism and stress experience. Community Dent Oral Epidemiol. 2002;30(6):405-408. doi:10.1034/j.1600-0528.2002.00007.x
De La Torre Canales G, Câmara-Souza MB, Muñoz Lora VRM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. J Oral Rehabil. 2018;45(11):881-889. doi:10.1111/joor.12685.
Kindler S, Samietz S, Houshmand M, et al. Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the general population. J Pain. 2012;13(12):1188-1197. doi:10.1016/j.jpain.2012.09.004.
Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci. 2012;9(7):539-544. doi:10.7150/ijms.4474.
Miglis MG. Autonomic dysfunction in primary sleep disorders. Sleep Med. 2016;19:40-49. doi:10.1016/j.sleep.2015.10.001.
Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders?. J Appl Oral Sci. 2020;28:e20200263. doi:10.1590/1678-7757-2020-0263