IADR Abstract Archives

Odontogenic and Non-Odontogenic Maxillofacial Infections During COVID-19 Lockdown: Retrospective Analysis

Objectives: To evaluate the impact and effect of COVID-19 lockdown on the epidemiology of maxillofacial odontogenic and non-odontogenic infections at Vilnius University Hospital Zalgiris Clinic.
Methods: Retropective data analysis of patients, presented with odontogenic and non-odontogenic oral and maxillofacial infections during COVID-19 lockdown in 2020 from 03.17-04.17 was performed and compared with the same period in 2019. The followong data were collected from the patients medical records: type and cause of infection, duration of symptoms prior to hospital admission, treatment provided, onset of disease. Data analysis was performed using IBM SPSS software, Mann Whitney U test, Student's t test, Pearson’s Chi Square test were used to analyse data, the threshold for statistical significance for all tests was set at p<0.05.
Results: There was a total of 1000 patients included in the analysis (n=703 in 2019 and n=297 patients in 2020). The frequency of maxillofacial infections have significantly decreased during a lockdown period (p<0.05). Significantly less patients were hospitalized during lockdown period (p>0.05), but the hospital stay was significantly longer (2.8days-2019, 4.7days-2020, p<0.05).The most common cause of infection was periapical pathology, as a complication of untreated caries lesion (78.8%, n=788). The waiting time after the onset of symptoms was significantly longer during lockdown (4 days compared to 2.4 days, p<0.05). In 2020, significantly more patients required advanced surgical treatment (2019 - n=244 (34.7%); 2020 - n=126 (42,4%), p<0.05).
Conclusions: A national lockdown caused a considerable decrease of patients presenting with odontogenic and non-odontogenic oral and maxillofacial infections. Delays in referral due to lockdown resulted in more severe infections requiring extensive surgical treatment and longer hospital stay.

2022 Pan European Region Oral Health Congress (Marseille, France)
Marseille, France
Oral & Maxillofacial Surgery Research
  • Raubaite, Radvile  ( Vilnius University , Vilnius , Lithuania )
  • Zaleckas, Linas  ( Vilnius University , Vilnius , Lithuania ;  Vilnius University Hospital Zalgiris Clinic , Vilnius , Lithuania )
  • Rasteniene, Ruta  ( Vilnius University , Vilnius , Lithuania )
  • NONE
    Oral Session
    Oral & Maxillofacial Surgery Research
    Thursday, 09/15/2022 , 01:30PM - 03:30PM