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The first six weeks - setting up a UK urgent dental care centre during the COVID-19 pandemic

Lookup NU author(s): Emily Carter, Dr Charlotte CurrieORCiD, Bis Asuni, Sarah Simpson, Dr Christopher Donnell, Professor Mark Greenwood, Dr Graham Walton, Dr Ben Cole, Professor Justin DurhamORCiD, Dr Richard HollidayORCiD

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This is the authors' accepted manuscript of an article that has been published in its final definitive form by Nature Publishing Group, 2020.

For re-use rights please refer to the publisher's terms and conditions.


Abstract

Introduction: The COVID-19 pandemic has posed many challenges, including provision of urgent dental care. This paper presents a prospective service evaluation during establishment of urgent dental care in the North-East of England over a six-week period. Aim: To monitor patient volumes, demographics and outcomes at the North-East urgent dental care service and confirm appropriate care pathways. Main Outcome Methods: Data were collected on key characteristics of patients accessing urgent care from 23rd March to 3rd May 2020. Analysis was with descriptive statistics. Results: There were 1746 patient triages, (1595 telephone and 151 face-to-face) resulting in 1322 clinical consultations. The most common diagnoses were: symptomatic irreversible pulpitis or apical periodontitis. 65% of clinical consultations resulted in extractions, 0.8% an aerosol generating procedure. Patients travelled 25km on average to access care, however this reduced as more urgent care centres were established. The majority of patients were asymptomatic of COVID-19 and to our knowledge no staff acquired infection due to occupational exposure. Conclusion: The urgent dental care centre effectively managed urgent and emergency dental care, with appropriate patient pathways established over the 6-week period. Dental preparedness for future pandemic crisis could be improved and informed by this data.


Publication metadata

Author(s): Carter E, Currie C, Asuni A, Goldsmith R, Toon G, Horridge C, Simpson S, Donnell C, Greenwood M, Walton G, Cole B, Durham J, Holliday R

Publication type: Article

Publication status: Published

Journal: British Dental Journal

Year: 2020

Volume: 228

Pages: 842–848

Print publication date: 12/06/2020

Online publication date: 12/06/2020

Acceptance date: 15/05/2020

Date deposited: 15/05/2020

ISSN (print): 0007-0610

ISSN (electronic): 1476-5373

Publisher: Nature Publishing Group

URL: https://doi.org/10.1038/s41415-020-1708-2

DOI: 10.1038/s41415-020-1708-2


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