Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study

Introduction: Oral and maxillofacial injuries can be defined as injuries involving soft and hard tissue structures of the facial region and oral cavity, including the teeth and vital structures of the head and neck area as a result of trauma. The maxillofacial injuries are multifactorial and vary fr...

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Main Authors: Ramakrishna Shenoi, Jignesh Rajguru, Simran Sangani, Vrinda Kolte, Ishani Bhave, Jui Karmarkar, Nimish Situt, Mayank Gajbhiye
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426822000902
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author Ramakrishna Shenoi
Jignesh Rajguru
Simran Sangani
Vrinda Kolte
Ishani Bhave
Jui Karmarkar
Nimish Situt
Mayank Gajbhiye
author_facet Ramakrishna Shenoi
Jignesh Rajguru
Simran Sangani
Vrinda Kolte
Ishani Bhave
Jui Karmarkar
Nimish Situt
Mayank Gajbhiye
author_sort Ramakrishna Shenoi
collection DOAJ
description Introduction: Oral and maxillofacial injuries can be defined as injuries involving soft and hard tissue structures of the facial region and oral cavity, including the teeth and vital structures of the head and neck area as a result of trauma. The maxillofacial injuries are multifactorial and vary from one country to another and even from region to region. Despite, societal restrictions imposed by the government in the form of lockdowns and curfews, patients still experienced trauma and required significant healthcare services for management. Methods: Patients of either gender reporting to the emergency department of Lata Mangeshkar Hospital with maxillofacial injuries, attended by residents of OMFS from October 2019 to August 2020 were included in the retrospective study. The demographic data about age, gender and status pertaining to under the influence of alcohol was recorded. The aim of this retrospective study was to evaluate the changing patterns of the maxillofacial injuries during the Covid-19 pandemic. Results: In the present study, the road traffic accidents were 72.50% pre-lockdown which reduced to 47.37% during the alcohol ban and nationwide lockdown and gradually increased to 63.83% post-lockdown. The second most common cause of maxillofacial injury was falls which showed a significant increase from 22.50% before the lockdown to 31.58% during the lockdown and decreased to 26.6% after lockdown during the pandemic. There was an increase in the number of assaults from 2.50% pre-lockdown to 15.79% during the lockdown and again a decrease to 6.38% post-lockdown. Discussion: Our study demonstrates the impact of nationwide lockdown in the month of April and May 2020, may have an association with the significant statistical decrease in the monthly average number of trauma admissions. There was a significant decrease in the number of road traffic collisions and falls during the “lockdown period”. Conclusion: The etiology and pattern of maxillofacial injuries reflect the trauma pattern within the community. We need more coordinated strategies of action to minimize maxillofacial injuries and its implication on physical and psychological wellbeing of patients.
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spelling doaj-art-6fcd581aa92845bf80c199412aa1b72d2025-08-20T02:01:58ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-09-0112565165510.1016/j.jobcr.2022.07.012Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective studyRamakrishna Shenoi0Jignesh Rajguru1Simran Sangani2Vrinda Kolte3Ishani Bhave4Jui Karmarkar5Nimish Situt6Mayank Gajbhiye7Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaCorresponding author. Dept. of Oral & Maxillofacial Surgery, VSPM Dental College & Research Centre, Nagpur, India.; Dept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaDept. of Oral and Maxillofacial Sugery, VSPM Dental College & Research Centre, Nagpur, IndiaIntroduction: Oral and maxillofacial injuries can be defined as injuries involving soft and hard tissue structures of the facial region and oral cavity, including the teeth and vital structures of the head and neck area as a result of trauma. The maxillofacial injuries are multifactorial and vary from one country to another and even from region to region. Despite, societal restrictions imposed by the government in the form of lockdowns and curfews, patients still experienced trauma and required significant healthcare services for management. Methods: Patients of either gender reporting to the emergency department of Lata Mangeshkar Hospital with maxillofacial injuries, attended by residents of OMFS from October 2019 to August 2020 were included in the retrospective study. The demographic data about age, gender and status pertaining to under the influence of alcohol was recorded. The aim of this retrospective study was to evaluate the changing patterns of the maxillofacial injuries during the Covid-19 pandemic. Results: In the present study, the road traffic accidents were 72.50% pre-lockdown which reduced to 47.37% during the alcohol ban and nationwide lockdown and gradually increased to 63.83% post-lockdown. The second most common cause of maxillofacial injury was falls which showed a significant increase from 22.50% before the lockdown to 31.58% during the lockdown and decreased to 26.6% after lockdown during the pandemic. There was an increase in the number of assaults from 2.50% pre-lockdown to 15.79% during the lockdown and again a decrease to 6.38% post-lockdown. Discussion: Our study demonstrates the impact of nationwide lockdown in the month of April and May 2020, may have an association with the significant statistical decrease in the monthly average number of trauma admissions. There was a significant decrease in the number of road traffic collisions and falls during the “lockdown period”. Conclusion: The etiology and pattern of maxillofacial injuries reflect the trauma pattern within the community. We need more coordinated strategies of action to minimize maxillofacial injuries and its implication on physical and psychological wellbeing of patients.http://www.sciencedirect.com/science/article/pii/S2212426822000902Changing patternsMaxillofacial traumaEtiologyCOVID-19
spellingShingle Ramakrishna Shenoi
Jignesh Rajguru
Simran Sangani
Vrinda Kolte
Ishani Bhave
Jui Karmarkar
Nimish Situt
Mayank Gajbhiye
Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
Journal of Oral Biology and Craniofacial Research
Changing patterns
Maxillofacial trauma
Etiology
COVID-19
title Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
title_full Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
title_fullStr Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
title_full_unstemmed Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
title_short Changing patterns of Oral & Maxillofacial injuries before and during COVID-19 pandemic: A retrospective study
title_sort changing patterns of oral amp maxillofacial injuries before and during covid 19 pandemic a retrospective study
topic Changing patterns
Maxillofacial trauma
Etiology
COVID-19
url http://www.sciencedirect.com/science/article/pii/S2212426822000902
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