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Oral Manifestations in the Post COVID-19 Condition: A Systematic Review With Meta-Analysis.
Letícia Simeoni Avais1,2, Elis Carolina Pacheco2, Luisa Pereira de Oliveira Zanetti Gomes3
1Department of Microbiology and Immunology, Georgetown University School of Medicine, Washington, District of Columbia, USA.
Post-COVID-19 condition, or Long COVID, frequently causes oral symptoms like taste loss. This review found taste dysfunction in 8% of patients beyond 12 weeks, highlighting the need for oral health professional awareness.
Area of Science:
- Oral Medicine
- Infectious Diseases
- Systematic Reviews
Background:
- Post-COVID-19 condition (Long COVID) presents diverse persistent symptoms.
- Oral manifestations, including taste loss and dry mouth, are recognized Long COVID symptoms.
- Understanding the prevalence and characteristics of these oral symptoms is crucial for patient management.
Purpose of the Study:
- To systematically review and report the frequency and characteristics of oral symptoms in adults with Post-COVID-19 condition.
- To estimate the prevalence of taste dysfunction and other oral manifestations using meta-analysis.
Main Methods:
- Systematic review adhering to PROSPERO and PRISMA guidelines.
- Included observational studies on COVID-19-positive adults with post-COVID oral symptoms.
- Searched six databases (Medline/PubMed, Embase, Web of Science, Cochrane, SCOPUS, LILACS) in January 2024.
- Assessed risk of bias (Joanna Briggs Institute) and certainty of evidence (GRADE).
- Conducted meta-analysis using the inverse variance method for prevalence estimation.
Main Results:
- 107 observational studies involving 4552 articles were included.
- Taste dysfunction persisted in 8% (95% CI 6%-10%) of patients beyond 12 weeks post-infection.
- Combined taste and smell alterations affected 17% (95% CI 13%-21%) of patients.
- Less frequent symptoms included hyposalivation, periodontitis, mouth ulcers, tongue changes, facial tingling, trigeminal nerve sensitivity, dysphagia, and hard palate lesions.
Conclusions:
- Taste alterations are the most prevalent oral symptom in Post-COVID-19 condition.
- Clinical recognition and management by oral health professionals are essential.
- Further research is necessary to elucidate the prevalence, mechanisms, and clinical implications of diverse oral manifestations in Long COVID.
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