Impact of COVID-19 Outbreak on Dental Services Utilisation Among Patients Visiting a Tertiary Health Facility in South-South, Nigeria
Main Article Content
Keywords
Impact, COVID-19, Dental services, Utilisation
Abstract
Background: COVID-19 caused significant disruption to dental services worldwide, with Nigeria restricting care to emergencies, which could have worsened existing access barriers. Empirical data from the South-South region remains limited. Objective: To evaluate the impact of COVID-19 on dental service utilisation, barriers, perceived oral health outcomes, and post-pandemic recovery among patients at a tertiary facility in South-South Nigeria.
Methodology: A descriptive cross-sectional study of 120 adults attending the University of Benin Teaching Hospital dental clinic from March 2020 to December 2021, using an interviewer-administered questionnaire. Data were analysed with SPSS v25.
Results: Utilisation sharply declined during the pandemic, with 53.3% not attending the clinic versus 35.8% before the pandemic. Major barriers included fear of infection (29.2%) and lack of information about services (16.7%). Post-pandemic attendance improved but remained slightly below pre-pandemic levels. While 40.8% reported improved oral health due to increased self-care, 17.5% reported deterioration. Most participants were satisfied with current service availability (58.3%) and perceived improved access (60.8%).
Conclusion: COVID-19 significantly reduced dental utilisation due to fear and restricted access. Although recovery is underway, preventive visits remain low. Public education, tele-dentistry, and enhanced emergency preparedness are recommended.
References
2.Coulthard P. Dentistry and coronavirus (COVID-19) – moral decision-making. Br Dent J. 2020;228(7):503–505.
3.Nigeria Centre for Disease Control (NCDC). Guidelines for dental practice during the COVID-19 outbreak in Nigeria. Abuja: NCDC; 2020.
4.Adeniyi AA, Sofola OO, Kalliecharan RV. An appraisal of the oral health care system in Nigeria. Int Dent J. 2012;62(6):292–300.
5.Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020;15(4):564–567.
6.Kranz AM, Gahlon G, Dick AW, Stein BD. Characteristics of US adults delaying dental care due to the COVID-19 pandemic. JDR Clin Trans Res. 2021;6(1):8–14.
7.Ahmed MA, Jouhar R, Ahmed N, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health. 2020;17(8):2821.
8.Quadri MFA, Jafer MA, Alqahtani AS, et al. Novel coronavirus disease (COVID-19) and dental practice: A review of recommendations and guidelines. J Int Soc Prev Community Dent. 2020;10(2):139–146.
9.Watt RG, Daly B, Allison P, et al. Ending the neglect of global oral health: time for radical action. Lancet. 2019;394(10194):261–272.
10.Estai M, Kanagasingam Y, Tennant M, Bunt S. A systematic review of the research evidence for the benefits of teledentistry. J Telemed Telecare. 2018;24(3):147–156.
11.Sun J, Xu Y, Qu Q, Luo W. Knowledge of and attitudes toward COVID-19 among parents of child dental patients during the outbreak. Braz Oral Res. 2020;34:e066.
12.World Health Organization. Considerations for the provision of essential oral health services in the context of COVID-19. Geneva: WHO; 2020.
13.Ghai S. Teledentistry during COVID-19 pandemic. Diabetes Metab Syndr. 2020;14(5):933–935.
14.Petersen PE, Kwan S. Equity, social determinants and public health programmes – the case of oral health. Community Dent Oral Epidemiol. 2011;39(6):481–487.
15.Alharbi A, Alharbi S, Alqaidi S. Guidelines for dental care provision during the COVID-19 pandemic. Saudi Dent J. 2020;32(4):181–186.
16.Campus G, Diaz-Betancourt M, Cagetti MG, et al. Study protocol for an online questionnaire survey on symptoms/signs, protective measures, level of awareness and perception regarding COVID-19 outbreak among dentists. Int J Environ Res Public Health. 2020;17(15):5598.
