Mental health in the dental profession during the COVID-19 pandemic / Oral Hygiene Survey: Breaking down consumer perceptions and behaviours in the UAE and KSA markets / Infection control and prevention in the dental office
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DTMEA_No.4. Vol.10_HT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
Published in Dubai
July-August 2020 | No. 4, Vol. 10
Mental health in the dental profession
during the COVID-19 pandemic
By Monique Mehler, Dental Tribune
International
LEIPZIG, Germany: Even though
millions of people suffer from anxiety and depression, according to the
World Health Organization, psychiatric disorders often remain underrecognised and underdiagnosed. The
persisting stigma around mental
health issues exacerbates the problem, since those suffering feel shame
and guilt on top of their existing condition and may therefore fail to seek
the appropriate help. Because of the
chronic stress associated with their
profession, dentists are especially
prone to occupational burn-out and
depression, as studies have shown.
Now, with the spread of SARS-CoV-2,
there is an even greater physical and
psychological burden among dental
professionals.
The profession of dentistry has long
been claimed to have a high suicide
rate owing to a range of physical and
mental stressors. A feature article by
orthodontist Dr Randy Lang from
2007 sums up statistics which he
collected from several studies that
indicate that dental professionals are
indeed at higher risk of stress-related
mental and physical illnesses. For
example, Lang stated that “dentists
suffer psycho-neurotic disorders at
a rate of 2.5 times greater than physicians” and “coronary disease and
high blood pressure are over 25%
more prevalent among dentists than
in the general population”.
In a more recent investigation, a feature article by Vice Media reported
on the significant occupationally
linked pressure in the form of “money trouble, physical and emotional
stress, isolation, and the unfavourable public perception of dentists in
general”.
Consequences of
the coronavirus pandemic
In addition to the pre-existing
stressors of their jobs, dental
professionals have been particularly
burdened by the challenges arising
from SARS-CoV-2. Dentistry has
been reported to be one of the most
high-risk occupations regarding
infection potential, since the virus
is airborne and dentists work in very
close proximity to their patients.
Furthermore, practices have been
forced to close during lockdowns in
many countries, adding immense
financial pressure and leading to the
retrenchment of staff in some cases.
In a recently published paper, Dr Andrea Vergara Buenaventura and her
research team from the Universidad
Cientifica del Sur in Lima in Peru
have provided a comprehensive
review of the consequences of past
epidemics for mental health and
have assessed possible aspects that
might be associated with mental im-
plications for dentists owing to the
COVID-19 pandemic.
In an interview with Dental Tribune
International, Vergara Buenaventura
shared that the idea for the article
came up during a video call with
colleagues who all shared similar
worries and fears. “In the beginning,
when we started with the literature
review, we only had few references
on COVID-19 and mental health and
much less about mental health in
dentists. We just found data about
past epidemics, but it was precisely
the same; the same feelings were
reported,” she explained. Surveys
conducted in India and Israel, for
example, confirm the psychological
distress being experienced by dental professionals in response to the
COVID-19 pandemic.
Despite the challenges, Vergara
Buenaventura is hopeful that this
pandemic “will strengthen us as individuals and as a system”. “In my
country, Peru, this pandemic has
brought out the weaknesses of the
Peruvian health system and has
shown that dentists have to be part
of the healthcare system. Dentists
must be prepared to play a more critical role and to fight against emerg-
ing life-threatening diseases,” she
concluded.
The challenges so far
Dr Sujata Basawaraj runs a private
practice in Lewisville in Texas in the
US and has first-hand experience of
the challenges posed by SARS-CoV-2.
“Mentally, working during a pandemic has been very stressful and tiring owing to the number of additional tasks that go into creating a safe
environment for myself, employees
and patients in my practice. We have
to treat every patient with the possibility that he or she may have contracted SARS-CoV-2,” she explained
to Dental Tribune International. She
continued: “I feel like a level of communication that was imperative for
dentists has been removed owing to
the new gear we need to wear. It isn’t
as easy to talk to patients, but at the
end of the day, I believe that everyone’s safety should come first.”
Basawaraj went on to say that, as
medical professionals, she and her
colleagues are responsible for taking
care of their patients’ health, which
is something they have always been
accountable for. She added: “I hope
that people will continue to, or start
to if they do not already, follow safe-
“Dentists must be prepared to play a more
critical role and to fight against emerging
life-threatening diseases”
– Dr Andrea Vergara Buenaventura
ty and social distancing guidelines as
well as be patient with us doctors as
we work to provide care during the
pandemic.”
Despite the difficulties she has encountered, Basawaraj remains positive and takes care of her mental
health as well as possible: “At the
moment, spending time with my
family, cooking, going on walks in
the park while wearing a mask and
social distancing […] have been my
way of relieving some of the stress
that comes from working during this
pandemic. […] All we can do at this
point is hope for the best.”
Creating a healthier work
environment
A study by researchers from London
has investigated mental healthcare
for medical staff and affiliated
healthcare workers during the
COVID-19 pandemic and how they
can be supported. The authors report
that “rapid access to counselling,
psychiatry and contingency for
time off work” is important, but
“prevention and mitigation is far
more important than cure”.
Experts from several universities
across the US have published a review paper in which they report
that psychological flexibility and
self-care are fundamental aspects
of psychological health in general.
Also, exercising regularly has a positive influence on overall well-being,
according to researchers from Italy
who specifically looked at how activity levels among the population
changed during the pandemic. Owing to physical isolation and distancing, feelings of loneliness and anxiety may arise, and these should be
addressed. It is key to reach out to
family and friends in a safe manner,
for example by keeping in touch via
the phone or video calls.
© Tumisu/Pixabay
In the pursuit of psychological
health, it should be realised that the
COVID-19 pandemic is unprecedented and each individual experiences
and responds very differently. For
these reasons, going at one’s own
pace and taking care of oneself as
well as possible are absolutely crucial.
Dental professionals experience a great deal of stress in their day-to-day work. During a public health crisis such as the ongoing COVID-19 pandemic, it is more important than ever
to implement preventive measures to protect psychological well-being.
Many dental associations offer resources, support and advice for dental professionals who are affected
by work and personal stress. For instance, the British Dental Association
gives its members access to 24-hour
counselling and emotional support
via Health Assured’s helpline, and
the American Dental Association
offers COVID-19 mental health resources on its website. Another helpful tool is a platform called Confidental, which aims to provide emotional
first aid for UK dentists in distress.
[2] =>
DTMEA_No.4. Vol.10_HT.indd
E2
HYGIENE TRIBUNE
Dental Tribune Middle East & Africa Edition | 4/2020
Oral Hygiene Survey:
Breaking down consumer perceptions and
behaviours in the UAE and KSA markets
Interview with Markus Sebastian, SVP and MD of Align Technology EMEA
DUBAI, UAE: Align Technology, a
global medical device company, recently commissioned a PR survey
focused on consumer perceptions
around oral hygiene in the region,
and whether health insurance has
any impact on consumer behaviour
and sentiment. The survey reveals
that perceived high costs of dental
care and dentistry not being included in overall health insurance are
limiting access for residents in the
UAE and KSA to prompt oral care.
Dental Tribune MEA had the pleasure to interview Markus Sebastian,
SVP and MD of Align Technology
EMEA, to hear more about the topic.
What are the key highlights and
the takeaway from the PR report,
commissioned by Align Technology?
Before I delve into some of the key
findings from the report, I’d like to
give you a little bit of context as to
why we commissioned this research,
and our objectives behind launching
this PR campaign.
To date, across the whole GCC region, governments have made great
strides in extending the reach of
healthcare services for citizens. Here
in the UAE, in particular, the government has implemented a number
of important initiatives that have
made a real difference to peoples’
lives and health. An important factor
for this has been the introduction of
mandatory insurance programmes.
In spite of this steady progress however, dental cover is not currently
included within mandatory health
insurance plans.
We wanted to contribute to a public
debate by collecting objective insights into consumer sentiment that
could be leveraged to launch important conversations around accelerating better access to dental care.
One of the overarching findings was
that the majority (58%) of the respondents are not getting access to
dental care when they need it, with
nearly two-thirds of respondents in
the UAE citing high costs as the biggest barrier to getting timely care.
This is despite 71% of respondents in
the region reporting that they experienced a problem with their teeth or
gums over the past year.
Another key finding was that access
to dental care within health insurance coverage, even the most basic
of allowances, would encourage
more people to visit their dentist
What are the plans of Align Technology for the MEA region?
Our vision is to make clear aligner
therapy a treatment available to the
masses. So far, we have successfully
treated over eight million patients
worldwide, including one million in
EMEA. We see a strong opportunity
for further expansion and investment in the Middle East, to allow us
to reach even more people.
more frequently. An overwhelming
majority of people here in the UAE
and KSA (89%) said they believe dental care should be mandatory within
their health insurance.
Over the past 18 years we have witnessed multiple similar programs,
trying to reach the market and
make a change. How confident are
you that these are directed towards
the proper target audience and
clearly will change the health care
service, in terms of oral health?
Our primary objective with this campaign was to gain deeper insight into
perceptions amongst people in the
GCC region with regards to their oral
health, with the aim of better understanding how to improve it from a
patient perspective.
This year, we launched the iTero Element 2 Scanner into the Middle East
region, expanding our portfolio. Together with the Invisalign system,
it provides an integrated, digital
platform to help dental professionals grow their practice, both for orthodontic treatment and broader
restorative workflows.
Our research indicates that offering UAE residents access to dental
insurance coverage will encourage
more people to regularly visit their
dentists and this may, in time, play
a critical role in a patient’s long-term
health. Our survey also confirmed
that we in the dental and healthcare
industry need to do more to educate
our communities about the potential dangers of such conditions and
habits, explaining their link to poor
oral health.
Markus Sebastian, SVP and MD of Align Technology EMEA
We know that primary-care physicians and general practitioners (GPs)
can, as part of their general health
care, promote and contribute to improved oral health care. Physicians
establish early relationships with
some dental patients and are considered a trustworthy source. We are
committed to continuing to support
practitioners in their efforts to help
serve patients better and achieve
more efficient outcomes for the region’s health and dental care service
in the long-term.
At Align Technology, we are dedicated to transforming lives by improving the journey to a healthy and
beautiful smile – and that includes
ensuring good oral health for all.
We are seeing steady progress in the
adoption of digital dentistry across
the region, with more doctors introducing clear aligners and intraoral
scanners into their practices, and
more consumers than ever visiting
doctors to get their teeth straightened.
What did this study contribute to
aligner treatment?
We know that crowded teeth present
a number of challenges in maintaining good oral hygiene. Overlapping
teeth and tight spaces often lead to
difficulty in reaching all of the tooth
surfaces when brushing and flossing,
as well as potential wear and tear of
protruding teeth.
If left untreated, the result is that
food is left behind resulting in the
growth of bacteria. Initially, this
leads to bad breath, whilst long-term
build-up may result in more serious
issues like accumulation of plaque,
cavities and even gum disease. Although proper hygiene techniques
can be maintained with crowded
teeth, it is much more difficult.
© Align Technology
By Dr Dobrina Mollova,
Dental Tribune MEA
By coupling our technology and digital solutions – including Invisalign
treatment and our iTero intraoral
scanners – with better awareness
about the important link between
oral health and one’s overall health,
we are supporting a future where
each and every person’s health and
happiness is prioritised.
Oral health and oral hygiene are
very important in orthodontic treatments, even in the conventional
treatment. This is also the same in
periodontology and prosthodontics.
Do you focus on educating dentists
in the Middle East in the area of
oral hygiene?
Besides providing ongoing clinical
education and support for dentists
and orthodontics on how to use our
products, we also provide a regular series of seminars, forums and
symposiums on a variety of topics
throughout the year. Our goal as a
company is to make our technology and solutions more accessible
and available to more doctors and
patients, and our clear aligner portfolio reflects that, with dedicated solutions for adults, teens and younger
patients.
What are the implications of health
insurance coverage and how does
having access to dental treatment
make a positive difference to people?
One of the most important findings of the research was that access
to dental care within health insurance coverage, even the most basic
of allowances, would encourage
more people to protect their health
through regular dental visits.
When dental cover is not included
in health insurance, or only covers
medical procedures, patients can potentially miss out on important regular check-ups that will ultimately
pick up on oral health issues and lead
to better habits that act as preventative measures for other diseases. We
must remember that the cure is often costlier than prevention.
Our aim is to continue to build on
our strong doctor-supported channels in the Middle East, and to work
closely with Invisalign-trained doctors to make Invisalign their treatment of choice and become the market leader in orthodontics.
How is Align Technology using innovative technology to transform
the orthodontics industry in the
Middle East?
Technology and innovation are at
the core of our mission at Align, as
it enables the evolution of digital
dentistry. We are very proud of both
our Invisalign treatment and iTero
intraoral family of scanners, and the
results they are driving in moving
analogue practices into the digital
age.
Align Technology is home to one of
the largest dedicated 3D printing
production spaces in the world today? We produce almost 500,000
unique aligners each and every day.
Through these ongoing efforts in
digitised dentistry and the use of 3D
printing, we have helped dental professionals to create more beautiful
smiles and provide great treatment
outcomes to patients right across the
Middle East region.
We are committed to continuing to
support the UAE and wider region
on its journey to digitalisation. Our
mission is to continue to push the
boundaries and lead digital transformation in dentistry and orthodontics, making metal and analogue a
thing of the past.
For more information contact:
Align Technology, Inc.
2820 Orchard Parkway, San Jose
California, 95134
United States
Tel.: +1 408 470 1000
Fax: +1 408 470 1010
Web: www.aligntech.com/
[3] =>
DTMEA_No.4. Vol.10_HT.indd
E3
HYGIENE TRIBUNE
Dental Tribune Middle East & Africa Edition | 4/2020
Infection control and
prevention in the dental office
Dentsply Sirona would like to join forces to ensure that every visit
is a safe visit for you, your patients and team members
Now more than ever, it is important
to prioritize infection control within
your office to prevent transmission
of COVID-19 and all other infections.
Infection prevention strategies may
be found in guidance from the Centres for Disease Control and Prevention (CDC) and standards from the
Occupational Safety and Health Administration (OSHA).
Personal Protective
Equipment
Personal protective equipment (PPE)
should be selected based on risk assessment and tasks to be performed.
This may include the use of gowns/
jackets, surgical face masks, respirators, face shields, eye protection and
gloves.
These items are designed to provide
a protective barrier during dental
procedures and through the sterilization process.
Operatory
Dental procedures often expose patients and dental healthcare personnel (DHCP) to aerosols, splatter and
microorganisms which eventually
land on environmental surfaces.
Appropriate surface cleaning and
disinfecting and equipment preparation will minimize the risks of
cross-contamination providing a
safer working environment for the
dental office team and patients.
Instrument Reprocessing
“Instrument reprocessing requires
multiple steps using specialized
equipment to achieve sterilization.
Each dental practice should have
policies and procedures in place for
containing, transporting, and handling instruments and equipment
that may be contaminated with
blood or bodily fluids.”1
References
1. Centres for Disease Control and
Prevention. Summary of Infection
Prevention Practices in Dental Settings: Basic Expectations for Safe
Care. Atlanta, GA: Centres for Disease
Control and Prevention, US Dept of
Health and Human Services; October 2016.
Consider the use of single-use disposable items such as air/water syringe tips, surface barriers or prophylaxis angles to reduce the risk of
cross-contamination.
The Organization for Safety Asepsis
and Prevention (OSAP), provides
many resources for DHCP which
may be found on their website at
OSAP.org.
For more information and to find
out how Dentsply Sirona is here for
you visit www.dentsplysirona.com/
hereforyou.
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0) 4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
© Dentsply Sirona
By Dentsply Sirona
AD
PRINT
EVENTS
SERVICES
EDUCATION
DIGITAL
Dental Tribune International
The World's Dental Marketplace
www.dental-tribune.com
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[cover] => ![Hygiene Tribune Middle East & Africa No.4, 2020]()
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[title] => Mental health in the dental profession during the COVID-19 pandemic
[page] => 01
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[title] => Oral Hygiene Survey: Breaking down consumer perceptions and behaviours in the UAE and KSA markets
[page] => 02
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[title] => Infection control and prevention in the dental office
[page] => 03
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Table of contents
[toc_titles] => Mental health in the dental profession during the COVID-19 pandemic
/ Oral Hygiene Survey: Breaking down consumer perceptions and behaviours in the UAE and KSA markets
/ Infection control and prevention in the dental office
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