Skip to main content
Top
Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | COVID-19 | Research article

Impact of COVID-19 on the oral health of adults in Wuhan and China: results of a nationwide online cross-sectional questionnaire survey

Authors: Shuang Zhang, Chang Liu, Chenzheng Zhang, Han Jiang, Baojun Tai, Minquan Du

Published in: BMC Oral Health | Issue 1/2021

Login to get access

Abstract

Background

COVID-19 has seriously threatened the health and lives of people. This study aimed to investigate the impact of COVID-19 on the oral health of adults in Wuhan and other places of China amid the epidemic and to evaluate attitudes towards dental care in the post-epidemic period.

Methods

An online cross-sectional survey based on a questionnaire of 22 questions was conducted.

Results

A total of 3352 valid questionnaires were collected. Participants from Wuhan tended to be relatively psychologically affected and more concerned about future dental treatment. Toothbrushing frequency did not differ significantly between participants from Wuhan and other places and was associated with the prevalence of oral problems people encountered. Gingival bleeding, bad breath and oral ulcers were the three most common oral problems amid the epidemic, and significantly more participants in Wuhan experienced oral problems than other places in China.

Conclusion

The three most common oral problems amid the epidemic were gingival bleeding, bad breath and oral ulcers. Adults in Wuhan tended to be more seriously affected and suffered more oral problems than people from other places in China. Maintaining good oral health behaviours plays an important role in preventing dental problems. It is crucial to establish and to follow the standard guidelines for the provision of dental care during and after the epidemic.
Appendix
Available only for authorised users
Literature
1.
go back to reference Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China Lancet. 2020;395(10223):497–506.CrossRef Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China Lancet. 2020;395(10223):497–506.CrossRef
2.
go back to reference Zarocostas J. What next for the coronavirus response? Lancet. 2020;395(10222):401.CrossRef Zarocostas J. What next for the coronavirus response? Lancet. 2020;395(10222):401.CrossRef
4.
go back to reference Ye Q, Wang B, Mao J, Fu J, Shang S, Shu Q, et al. Epidemiological analysis of COVID-19 and practical experience from China. J Med Virol. 2020;92(7):755–69.CrossRef Ye Q, Wang B, Mao J, Fu J, Shang S, Shu Q, et al. Epidemiological analysis of COVID-19 and practical experience from China. J Med Virol. 2020;92(7):755–69.CrossRef
7.
go back to reference Le Thanh T, Andreadakis Z, Kumar A, Gómez Román R, Tollefsen S, Saville M, et al. The COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(5):305–6.CrossRef Le Thanh T, Andreadakis Z, Kumar A, Gómez Román R, Tollefsen S, Saville M, et al. The COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(5):305–6.CrossRef
8.
go back to reference Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM Mon J Assoc Phys. 2020;113(5):311–2. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM Mon J Assoc Phys. 2020;113(5):311–2.
9.
go back to reference Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatry. 2020;33(2):e100213.CrossRef Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatry. 2020;33(2):e100213.CrossRef
10.
go back to reference Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481–7.CrossRef Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481–7.CrossRef
11.
go back to reference Izzetti R, Nisi M, Gabriele M, Graziani F. COVID-19 transmission in dental practice: brief review of preventive measures in Italy. J Dent Res. 2020;99(9):1030–8.CrossRef Izzetti R, Nisi M, Gabriele M, Graziani F. COVID-19 transmission in dental practice: brief review of preventive measures in Italy. J Dent Res. 2020;99(9):1030–8.CrossRef
13.
go back to reference Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061–9.CrossRef Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061–9.CrossRef
14.
go back to reference Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.CrossRef Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.CrossRef
16.
go back to reference Zucoloto ML, Maroco J, Campos JA. Impact of oral health on health-related quality of life: a cross-sectional study. BMC Oral Health. 2016;16(1):55.CrossRef Zucoloto ML, Maroco J, Campos JA. Impact of oral health on health-related quality of life: a cross-sectional study. BMC Oral Health. 2016;16(1):55.CrossRef
17.
go back to reference Settineri S, Rizzo A, Liotta M, Mento C. Clinical psychology of oral health: the link between teeth and emotions. SAGE Open. 2017;7:2158244017728319.CrossRef Settineri S, Rizzo A, Liotta M, Mento C. Clinical psychology of oral health: the link between teeth and emotions. SAGE Open. 2017;7:2158244017728319.CrossRef
18.
go back to reference Schwarzer R, Antoniuk A, Gholami M. A brief intervention changing oral self-care, self-efficacy, and self-monitoring. Br J Health Psychol. 2015;20(1):56–67.CrossRef Schwarzer R, Antoniuk A, Gholami M. A brief intervention changing oral self-care, self-efficacy, and self-monitoring. Br J Health Psychol. 2015;20(1):56–67.CrossRef
19.
go back to reference Sun HY, Jiang H, Du MQ, Wang X, Feng XP, Hu Y, et al. The prevalence and associated factors of periodontal disease among 35 to 44-year-old chinese adults in the 4th national oral health survey. Chin J Dent Res Off J Sci Sect Chin Stomatol Assoc (CSA). 2018;21(4):241–7. Sun HY, Jiang H, Du MQ, Wang X, Feng XP, Hu Y, et al. The prevalence and associated factors of periodontal disease among 35 to 44-year-old chinese adults in the 4th national oral health survey. Chin J Dent Res Off J Sci Sect Chin Stomatol Assoc (CSA). 2018;21(4):241–7.
20.
go back to reference Sun H, Du M, Tai B, Chang S, Wang Y, Jiang H. Prevalence and associated factors of periodontal conditions among 55- to 74-year-old adults in China: results from the 4th National Oral Health Survey. Clin Oral Invest. 2020;24(12):4403–12.CrossRef Sun H, Du M, Tai B, Chang S, Wang Y, Jiang H. Prevalence and associated factors of periodontal conditions among 55- to 74-year-old adults in China: results from the 4th National Oral Health Survey. Clin Oral Invest. 2020;24(12):4403–12.CrossRef
21.
go back to reference Caton J, Bouwsma O, Polson A, Espeland M. Effects of personal oral hygiene and subgingival scaling on bleeding interdental gingiva. J Periodontol. 1989;60(2):84–90.CrossRef Caton J, Bouwsma O, Polson A, Espeland M. Effects of personal oral hygiene and subgingival scaling on bleeding interdental gingiva. J Periodontol. 1989;60(2):84–90.CrossRef
22.
go back to reference Kotsakis GA, Lian Q, Ioannou AL, Michalowicz BS, John MT, Chu H. A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation. J Periodontol. 2018;89(5):558–70.CrossRef Kotsakis GA, Lian Q, Ioannou AL, Michalowicz BS, John MT, Chu H. A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation. J Periodontol. 2018;89(5):558–70.CrossRef
23.
go back to reference Bollen CM, Beikler T. Halitosis: the multidisciplinary approach. Int J Oral Sci. 2012;4(2):55–63.CrossRef Bollen CM, Beikler T. Halitosis: the multidisciplinary approach. Int J Oral Sci. 2012;4(2):55–63.CrossRef
24.
go back to reference Siu A, Landon K, Ramos DM. Differential diagnosis and management of oral ulcers. Semin Cutan Med Surg. 2015;34(4):171–7.CrossRef Siu A, Landon K, Ramos DM. Differential diagnosis and management of oral ulcers. Semin Cutan Med Surg. 2015;34(4):171–7.CrossRef
25.
go back to reference Chiappelli F, Cajulis OS. Psychobiologic views on stress-related oral ulcers. Quintessence Int (Berlin, Germany: 1985). 2004;35(3):223–7. Chiappelli F, Cajulis OS. Psychobiologic views on stress-related oral ulcers. Quintessence Int (Berlin, Germany: 1985). 2004;35(3):223–7.
26.
go back to reference Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020;15(4):564–7.CrossRef Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020;15(4):564–7.CrossRef
27.
go back to reference Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endodont. 2020;46(5):584–95.CrossRef Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endodont. 2020;46(5):584–95.CrossRef
28.
go back to reference Dave M, Seoudi N, Coulthard P. Urgent dental care for patients during the COVID-19 pandemic. Lancet. 2020;395(10232):1257.CrossRef Dave M, Seoudi N, Coulthard P. Urgent dental care for patients during the COVID-19 pandemic. Lancet. 2020;395(10232):1257.CrossRef
29.
go back to reference Zimmermann M, Nkenke E. Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J Cranio-Maxillo-Facial Surg Off Publ Eur Assoc Cranio-Maxillo-Facial Surg. 2020;48(5):521–6.CrossRef Zimmermann M, Nkenke E. Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J Cranio-Maxillo-Facial Surg Off Publ Eur Assoc Cranio-Maxillo-Facial Surg. 2020;48(5):521–6.CrossRef
Metadata
Title
Impact of COVID-19 on the oral health of adults in Wuhan and China: results of a nationwide online cross-sectional questionnaire survey
Authors
Shuang Zhang
Chang Liu
Chenzheng Zhang
Han Jiang
Baojun Tai
Minquan Du
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01533-z

Other articles of this Issue 1/2021

BMC Oral Health 1/2021 Go to the issue