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Treatment Behaviors of Patients With Odontogenic Infections During the COVID-19 Pandemic
Eiji Iwata1,2,3, Yuriko Susukida1, Junya Kusumoto2
1Department of Oral and Maxillofacial Surgery, Kakogawa Central City Hospital, Kakogawa, JPN.
Objective:
Using a severity scale, this study aimed to investigate the treatment behavior of patients with odontogenic infections during the COVID-19 pandemic.
Materials And Methods:
This study included patients admitted for odontogenic deep neck infection (DNI) treatment at a single center in Japan between 2017 and 2022. Participants were divided into two groups: a pre-COVID group before 2019 and a COVID group after 2020. Patient characteristics, clinical data, and DNI severity were compared.
Results:
During the pandemic, the number of patients with mild DNIs decreased significantly, whereas the number of patients with severe DNIs did not change significantly, resulting in a significant increase in the latter proportion (42/101 (41.6%) vs. 26/43 (60.5%); p=0.045). In addition, the patients in the COVID group were significantly older than those in the pre-COVID group (median 66.0 years vs. 56.0 years; p=0.018).
Conclusions:
Our results suggest that patients with odontogenic infections, especially the elderly, may have avoided hospitals until their symptoms became severe during the COVID-19 pandemic.
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