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SARS-CoV-2—the virus that causes the novel pneumonia named coronavirus disease 19 (COVID-19)—resulted in the closing of most dental offices throughout the world to all treatment other than emergent care. As dental practitioners begin to resume normal elective care, one challenge has been trying to convince dental staff and patients that treatment is safe and professional oral care is necessary.
A recent survey showed that 71% of dental patients had concerns about going to the dental office during the COVID-19 pandemic due to fear of transmission. Many of these COVID-19 fears continue to prevent patients from seeking medical and dental care, even though offices have now reopened for elective care.
The increase in periodontal tissue destruction arising from delayed professional care has been well documented in the literature. This article will briefly examine three aspects of periodontal disease as it relates to COVID-19 so clinicians can have a better understanding when explaining the importance of periodontal therapy to patients.
Stress-related factors
The COVID-19 pandemic has caused a tremendous amount of stress for the average individual, both financially and psychologically. In one survey, 70% of respondents stated that the months during this pandemic have been the most stressful time in their entire lives. Many studies have demonstrated a correlation between stress and an increased risk of developing periodontal disease and clinical attachment loss. Both financial stresses and psychological stresses have been shown to double and even quadruple the risk of developing periodontal attachment loss.
