Evidence map›Paper›PMID 33253213›Full record

ArticlePloS one2020

COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil.

Rafael R Moraes, Marcos B Correa, Ana B Queiroz, Ândrea Daneris, João P Lopes, Tatiana Pereira-Cenci, Otávio P D'Avila, Maximiliano S Cenci, Giana S Lima, Flávio F Demarco

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 105 citations in OpenAlex.

  1. Article
  2. Observational
  3. Analysis of Dental Specialty Center target achievement and associated factors, Brazil, 2019-2022: a cross-sectional study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Observational
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Assessing Google Searches for Toothache during COVID-19 Lockdowns.Medical journal of the Islamic Republic of Iran · 2023
    Article
  16. The Use of Instagram Among Dental Patients in Saudi Arabia.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023
    Article
  17. Psychological Impact of COVID-19 in the Setting of Dentistry: A Review Article.International journal of environmental research and public health · 2022
    Review
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Rafael R MoraesFederal University of Pelotas, Pelotas, RS, Brazil.ORCID 0000-0003-1358-5928
Marcos B CorreaFederal University of Pelotas, Pelotas, RS, Brazil.
Ana B QueirozFederal University of Pelotas, Pelotas, RS, Brazil.ORCID 0000-0001-5773-2745
Ândrea DanerisFederal University of Pelotas, Pelotas, RS, Brazil.
João P LopesFederal University of Pelotas, Pelotas, RS, Brazil.ORCID 0000-0003-2073-475X
Tatiana Pereira-CenciFederal University of Pelotas, Pelotas, RS, Brazil.
Otávio P D'AvilaFederal University of Pelotas, Pelotas, RS, Brazil.
Maximiliano S CenciFederal University of Pelotas, Pelotas, RS, Brazil.
Giana S LimaFederal University of Pelotas, Pelotas, RS, Brazil.
Flávio F DemarcoFederal University of Pelotas, Pelotas, RS, Brazil.
Universidade Federal de Pelotas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A nationwide survey of dentists was carried out in Brazil, a new pandemic epicenter, to analyze how dental care coverage has been affected in public versus private networks, changes in routine and burdens, and how local prevalence of COVID-19 affects dental professionals. Dentists were recruited via email and Instagram®. Responses to a pre-tested questionnaire were collected May 15-24, 2020. COVID-19 case/death counts in the state where respondents work was used to test associations between contextual status and decreases in weekly appointments, fear of contracting COVID-19 at work, and current work status (α = 0.05). Over 10 days, 3,122 responses were received (response rate ~2.1%) from all Brazilian states. Work status was affected for 94%, with less developed regions being more impacted. The pandemic impact on clinical routine was high/very high for 84%, leading to varied changes to clinic infrastructure, personal protective equipment use, and patient screening, as well as increased costs. COVID-19 patients had been seen by 5.3% of respondents; 90% reported fearing contracting COVID-19 at work. Multilevel models showed that greater case and death rates (counted as 1000 cases and 100 deaths per million inhabitants) in one's state increased the odds of being fearful of contracting the disease (18% and 25%). For each additional 1000 cases/100 deaths, the odds of currently not working or treating only emergencies increased by 36% and 58%. The reduction in patients seen weekly was significantly greater in public (38.7±18.6) than in private clinics (22.5±17.8). This study provides early evidence of three major impacts of the pandemic on dentistry: increasing inequalities due to coverage differences between public and private networks; the adoption of new clinical routines, which are associated with an economic burden for dentists; and associations of regional COVID-19 incidence/mortality with fear of contracting the disease at work.

Indexed as

PandemicsBrazilCOVID-19Dental CareDentistryFemaleHumansMaleSurveys and Questionnaires

Identifiers

PMID33253213
PMCPMC7703993
OpenAlexW3107234539

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.