Abstract：
BACKGROUND: There is insufficient data on orofacial pain related to the COVID-19 outbreak in Thailand.
OBJECTIVE: To investigate the incidence, diagnosis and management of orofacial pain among new patients over the last 6 years, before and during the COVID-19 outbreak.
METHODS: Medical records from new patients who first visited Chulalongkorn Dental Hospital between 2017 and 2022 were retrospectively investigated. The sample size was determined, and proportional stratified random sampling was employed to distribute the sample number proportionally across each year. The hospital number of each patient was randomised using online software as a sampling strategy. A data collection form was developed and used to gather information from the digital data system.
RESULTS: At the first visit, 770 out of 1359 patients (56.7/100 people, 95% CI: 54.0-59.3) reported orofacial pain defined as acute, chronic and unclassified pain. The most common chief complaints based on the AAOP classification were odontogenic pain (90.00%) and temporomandibular disorders (6.10%). The top three provisional modified ICD-10-TM diagnoses among these patients were pulp diseases (21.95%), impacted teeth (20.65%) and dental caries (9.09%). 81.87% of dental students\' provisional diagnoses matched the final diagnoses given by dental specialists. Only 63.38% of orofacial pain patients were completely managed during the COVID-19 pandemic with common procedures being surgical removal, extraction and root canal therapy.
CONCLUSIONS: Half of Thai dental patients seeking tertiary care at a university dental hospital reported orofacial pain, which was not impacted by the COVID-19 pandemic. In contrast, dysfunction-related problems in the orofacial area significantly increased during the pandemic.
OBJECTIVE: To investigate the incidence, diagnosis and management of orofacial pain among new patients over the last 6 years, before and during the COVID-19 outbreak.
METHODS: Medical records from new patients who first visited Chulalongkorn Dental Hospital between 2017 and 2022 were retrospectively investigated. The sample size was determined, and proportional stratified random sampling was employed to distribute the sample number proportionally across each year. The hospital number of each patient was randomised using online software as a sampling strategy. A data collection form was developed and used to gather information from the digital data system.
RESULTS: At the first visit, 770 out of 1359 patients (56.7/100 people, 95% CI: 54.0-59.3) reported orofacial pain defined as acute, chronic and unclassified pain. The most common chief complaints based on the AAOP classification were odontogenic pain (90.00%) and temporomandibular disorders (6.10%). The top three provisional modified ICD-10-TM diagnoses among these patients were pulp diseases (21.95%), impacted teeth (20.65%) and dental caries (9.09%). 81.87% of dental students\' provisional diagnoses matched the final diagnoses given by dental specialists. Only 63.38% of orofacial pain patients were completely managed during the COVID-19 pandemic with common procedures being surgical removal, extraction and root canal therapy.
CONCLUSIONS: Half of Thai dental patients seeking tertiary care at a university dental hospital reported orofacial pain, which was not impacted by the COVID-19 pandemic. In contrast, dysfunction-related problems in the orofacial area significantly increased during the pandemic.
摘要：
背景：关于与泰国COVID-19爆发相关的口面部疼痛的数据不足。
目的：调查发病率，在过去的6年中，新患者的口面部疼痛的诊断和管理，在COVID-19爆发之前和期间。
方法：对2017年至2022年首次到朱拉隆功牙科医院就诊的新患者的病历进行回顾性调查。确定了样本量，并采用比例分层随机抽样在每年按比例分配样本数。使用在线软件作为抽样策略随机分配每位患者的医院数量。开发了数据收集表格，并用于从数字数据系统收集信息。
结果：第一次就诊时，1359名患者中的770名（56.7/100人，95%CI：54.0-59.3)报告口面部疼痛定义为急性，慢性和未分类疼痛。根据AAOP分类，最常见的主诉是牙源性疼痛（90.00％）和颞下颌关节紊乱病（6.10％）。在这些患者中，前三名临时改良ICD-10-TM诊断为牙髓疾病（21.95％），阻生牙齿(20.65%)和龋齿(9.09%)。81.87％的牙科学生的临时诊断与牙科专家的最终诊断相符。在COVID-19大流行期间，只有63.38%的口面部疼痛患者得到了完全治疗，常见的手术是手术切除，拔除和根管治疗。
结论：一半在大学牙科医院寻求三级护理的泰国牙科患者报告口面疼痛，这不受COVID-19大流行的影响。相比之下,在大流行期间，口面区域的功能障碍相关问题显着增加。
目的：调查发病率，在过去的6年中，新患者的口面部疼痛的诊断和管理，在COVID-19爆发之前和期间。
方法：对2017年至2022年首次到朱拉隆功牙科医院就诊的新患者的病历进行回顾性调查。确定了样本量，并采用比例分层随机抽样在每年按比例分配样本数。使用在线软件作为抽样策略随机分配每位患者的医院数量。开发了数据收集表格，并用于从数字数据系统收集信息。
结果：第一次就诊时，1359名患者中的770名（56.7/100人，95%CI：54.0-59.3)报告口面部疼痛定义为急性，慢性和未分类疼痛。根据AAOP分类，最常见的主诉是牙源性疼痛（90.00％）和颞下颌关节紊乱病（6.10％）。在这些患者中，前三名临时改良ICD-10-TM诊断为牙髓疾病（21.95％），阻生牙齿(20.65%)和龋齿(9.09%)。81.87％的牙科学生的临时诊断与牙科专家的最终诊断相符。在COVID-19大流行期间，只有63.38%的口面部疼痛患者得到了完全治疗，常见的手术是手术切除，拔除和根管治疗。
结论：一半在大学牙科医院寻求三级护理的泰国牙科患者报告口面疼痛，这不受COVID-19大流行的影响。相比之下,在大流行期间，口面区域的功能障碍相关问题显着增加。
