DOI QR코드

DOI QR Code

Analysis of the Association between COVID-19 and Dental Visits in Children and Adolescents through Big Data

빅데이터를 이용한 소아청소년에서의 코로나 바이러스 감염증-19와 치과 방문의 연관성 분석

  • Son, Donghyun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jihun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University)
  • 손동현 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 김지훈 (연세대학교 원주세브란스기독병원 소아치과)
  • Received : 2021.03.18
  • Accepted : 2021.04.20
  • Published : 2021.08.31

Abstract

This study was conducted to investigate changes in dental visits in children and adolescents due to COVID-19. Based on the data provided by the Korea Health Insurance Review and Assessment Service, the number of dental visits among children and adolescents from January 2019 to August 2020, and the rate change according to Korean disease classification in 2019 and 2020 were analyzed by month and region. From January to August 2020, compared to the same period in 2019, the total number of visits to dental clinics and dental hospitals among children and adolescents decreased by 642,202 times (16.3%) in the 0 - 9 years old group, and 313,488 times (9.2%) in the 10 - 19 years old group. During the same period, the decreases due to Z29 (Need for other prophylactic measures) decreased by 118,219 times (34%) in the 0 - 9 years old group and 83,944 times (31%) in the 10 - 19 years old group, showing the greatest change. It is analyzed that overall dental service of children and adolescents has decreased due to COVID-19, and this may lead to deterioration of oral health of children and adolescents in the future, and this study can be used as a reference in case of an infectious disease such as COVID-19 in the future.

이 연구는 코로나 바이러스 감염증-19로 인한 소아청소년의 치과 방문에 대한 변화를 알아보기 위해 수행됐다. 한국 건강보험심사평가원에서 제공하는 자료를 기준으로 2019년 1월부터 2020년 8월까지 소아청소년의 치과 방문 횟수 및 치과주상병 변화를 월별, 지역별 분석하였다. 2020년 1월부터 8월까지의 소아청소년의 치과의원 및 치과병원 총 방문 횟수는 2019년 같은 기간과 비교시 0 - 9세 연령군에서는 642,202회(16.3%), 10 - 19세 연령군은 313,488회(9.2%) 감소하여 0 - 9세 연령군이 10 - 19세 연령군보다 더 큰 감소를 보였다. 같은 기간 상병별로는 Z29(기타 예방적 조치의 필요)로 인한 감소가 0 - 9세 연령군에서는 118,219회(34%), 10 - 19세 연령군에서는 83,944회(31%) 감소하여 가장 큰 변화를 보였다. 코로나 바이러스 감염증-19로 인한 전반적인 소아청소년의 치과 이용이 감소된 것으로 분석되며 이는 추후 소아청소년들의 구강 보건 악화로 이어질 가능성이 있으며, 이 연구는 이후 코로나 바이러스 감염증-19와 같은 전염병 발생 시 참고 자료가 될 수 있을 것이다.

Keywords

References

  1. Zhu N, Zhang D, Tan W, et al. : A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 382:727-733, 2020. https://doi.org/10.1056/NEJMoa2001017
  2. Lauer SA, Grantz KH, Lessler J, et al. : The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann intern Med, 172:577-582, 2020. https://doi.org/10.7326/M20-0504
  3. Kim NS : Coronavirus Infectious Disease-19 Status and Tasks. Korea Institute for Health and Social affairs, 373:1-13, 2020.
  4. Lee SH, Kim JM : Coronavirus Disease 2019 (COVID-19): Pandemic and the Challenge of Public Health. Korean J Fam Pract, 10:87-95, 2020. https://doi.org/10.21215/kjfp.2020.10.2.87
  5. Lee GY, Jeon JE : Factors Affecting COVID-19 Economic Loss to Dental Institutions: Application of multilevel analysis. J Korean Dent Assoc, 58:627-638, 2020. https://doi.org/10.22974/JKDA.2020.58.10.003
  6. Seo KH, Kim SY, Kim KH, et al. : Estimating financial loss to medical clinics resulting from the Middle East respiratory syndrome coronavirus outbreak in Korea. J Korean Med Assoc, 58:1171-1178, 2015. https://doi.org/10.5124/jkma.2015.58.12.1171
  7. To KK, Tsang OT, Yuen KY, et al. : Consistent detection of 2019 novel coronavirus in saliva. Clin Infect Dis, 71:841-843,2020. https://doi.org/10.1093/cid/ciaa149
  8. Liu L, Wei Q, Chen Z, et al. : Epithelial cells lining salivary gland ducts are early target cells of severe acute respiratory syndrome coronavirus infection in the upper respiratory tracts of rhesus macaques. J Virol, 85:4025-4030, 2011. https://doi.org/10.1128/JVI.02292-10
  9. Ather A, Patel B, Hargreaves KM, et al. : Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod, 46:584-595, 2020. https://doi.org/10.1016/j.joen.2020.03.008
  10. An N, Yue L, Zhao B : Droplets and aerosols in dental clinics and prevention and control measures of infection. Zhonghua Kou Qiang Yi Xue Za Zhi, 55:223-228, 2020.
  11. Chen C, Zhao B, Quyang X, et al. : The effectiveness of an air cleaner in controlling droplet/aerosol particle dispersion emitted from a patient's mouth in the indoor environment of dental clinics. J R Soc Interface, 7:1105-1118, 2010. https://doi.org/10.1098/rsif.2009.0516
  12. Holshue ML, DeBolt C, Pillai SK, et al. : First case of 2019 novel coronavirus in the United States. N Eng J Med, 382:929-936, 2020. https://doi.org/10.1056/NEJMoa2001191
  13. Schwendicke F, Krois J, Gomez J : Impact of SARS-CoV2 (Covid-19) on dental practices: Economic analysis. J Dent, 99:103387, 2020. https://doi.org/10.1016/j.jdent.2020.103387
  14. Obeidat L, Masarwa N, AlWarawreh A, Naji WE : Dental Treatments During the COVID-19 Pandemic in Three Hospitals in Jordan: Retrospective Study. Interact J Res, 9:24371, 2020.
  15. Hopcraft M, Farmer G : Impact of COVID-19 on the provision of paediatric dental care: Analysis of the Australian Child Dental Benefits Schedule. Community Dent Oral Epidemiol, 2020.
  16. Chisini LA, Costa FDS, Demarco FF, et al. : COVID-19 pandemic impact on paediatric dentistry treatments in the Brazilian Public Health System. Int J Paediatr Dent, 31:31-34, 2020. https://doi.org/10.1111/ipd.12741
  17. Kalash DA : How COVID-19 deepens child oral health inequities. J Am Dent Assoc, 151:643-645, 2020. https://doi.org/10.1016/j.adaj.2020.05.015
  18. Medical newspaper : Children and adolescents department 'Corona19' direct hit. Available from URL: https://www.bosa.co.kr/news/articleView.html?idxno=2138430 (Accessed March 16, 2021).
  19. Kim HN, Lee NY, Lee SH : A Study on the Change of Patient Distribution and Treatment Pattern for the last 5 years in Pediatric Dental Practice of Gwangju. J Korean Acad Pediatr Dent, 39:348-356, 2012. https://doi.org/10.5933/JKAPD.2012.39.4.348
  20. Ryu HS, Kim HS, Lee CS, Lee SH : An Epidemiologic Study on the Pediactic Patients in Department of Pediatric Dentistry, Chosun University Dental Hospital for last 10 years (1990-1999). J Korean Acad Pediatr Dent, 28:345-354, 2001.
  21. Roso MBR, Padilha PDC, Davalos A, et al. : Changes of physical activity and ultra-processed food consumption in adolescents from different countries during COVID-19 pandemic: an observational study. Nutrients, 12:2289, 2020. https://doi.org/10.3390/nu12082289
  22. Storz MA : The COVID-19 pandemic: an unprecedented tragedy in the battle against childhood obesity. Clin Exp Pediatr, 63:477-482, 2020. https://doi.org/10.3345/cep.2020.01081
  23. Xiang M, Zhang Z, Kuwahara K : Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected. Prog Cardiovasc Dis, 63:531-532, 2020. https://doi.org/10.1016/j.pcad.2020.04.013
  24. Silva RDNMT, Duarte DA, Oliveira AMGD : The influence of television on the food habits of schoolchildren and its association with dental caries. Clin Exp Dent Res, 6:24-32, 2020. https://doi.org/10.1002/cre2.244