Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan
Abstract
1. Introduction
2. Materials and Methods
2.1. Data Collection
2.2. Statistical Methods
3. Results
3.1. Overview of Changes in MDEPP, DEPT and NTPM after the First Declaration of a State of Emergency
3.2. Changes in the MDEPP during the COVID-19 Pandemic
3.3. Changes in the DEPT during the COVID-19 Pandemic
3.4. Changes in the NTPM during the COVID-19 Pandemic
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Morita, I.; Sakuma, S.; Kondo, K. Impact of the Coronavirus Disease 2019 Pandemic on Dental Visits in Japan. Oral Health Prev. Dent. 2023, 21, 179–184. [Google Scholar] [PubMed]
- Oshima, K.; Miura, H.; Tano, R.; Fukuda, H. Factors Associated with Regular Dental Checkups’ Discontinuation during the COVID-19 Pandemic: A Nationwide Cross-Sectional Web-Based Survey in Japan. Int. J. Environ. Res. Public Health 2022, 19, 2917. [Google Scholar] [CrossRef] [PubMed]
- Iwasaki, M.; Usui, M.; Ariyoshi, W.; Nakashima, K.; Nagai-Yoshioka, Y.; Inoue, M.; Kobayashi, K.; Nishihara, T. Interruption of regular dental visits during the COVID-19 pandemic due to concerns regarding dental visits was associated with periodontitis in Japanese office workers. J. Periodontal Res. 2021, 56, 1091–1098. [Google Scholar] [CrossRef] [PubMed]
- Izzetti, R.; Gennai, S.; Nisi, M.; Barone, A.; Giuca, M.R.; Gabriele, M.; Graziani, F. A perspective on dental activity during COVID-19: The Italian survey. Oral Dis. 2021, 27 (Suppl. S3), 694–702. [Google Scholar] [CrossRef]
- Kranz, A.M.; Gahlon, G.; Dick, A.W.; Stein, B.D. Characteristics of US Adults Delaying Dental Care Due to the COVID-19 Pandemic. JDR Clin. Trans. Res. 2021, 6, 8–14. [Google Scholar] [CrossRef] [PubMed]
- Lee, Y.L.; Hu, H.Y.; Yen, Y.F.; Chu, D.; Yang, N.P.; Chou, S.Y.; Lin, S.Y.; Chu, C.M.; Huang, S.J. Impact of the COVID-19 pandemic on the utilization of medical and dental services in Taiwan: A cohort study. J. Dent. Sci. 2021, 16, 1233–1240. [Google Scholar] [CrossRef] [PubMed]
- Maupome, G.; Scully, A.C.; Yepes, J.F.; Eckert, G.J.; Downey, T. Trends in dental insurance claims in the United States before and during the SARS-CoV-2 pandemic in 2020. J. Public Health Dent. 2022, 82, 352–357. [Google Scholar] [CrossRef]
- Meisha, D.E.; Alsolami, A.M.; Alharbi, G.M. Social determinants of seeking emergency and routine dental care in Saudi Arabia during the COVID-19 pandemic. BMC Oral Health 2021, 21, 212. [Google Scholar] [CrossRef] [PubMed]
- Rodriguez, P.A.; Gatti, P.; Cabirta, M.L.; Baquerizo, N.R.; Prada, S.; Gualtieri, A.; Puia, S.; Squassi, A. Dental Emergency Admissions in Emergency Oral Health Care Centers during COVID-19 Pandemic in Buenos Aires, Argentina. Int. J. Environ. Res. Public Health 2022, 19, 1528. [Google Scholar] [CrossRef] [PubMed]
- Woolley, J.; Djemal, S. Traumatic Dental Injuries During the COVID-19 Pandemic. Prim. Dent. J. 2021, 10, 28–32. [Google Scholar] [CrossRef] [PubMed]
- Japanese Government of the Ministry of Health, Labor, and Welfare. The Medical Insurance Medical Expense Database. Available online: https://www.mhlw.go.jp/bunya/iryouhoken/iryouhoken14/ (accessed on 24 August 2023).
- Bernal, J.L.; Cummins, S.; Gasparrini, A. Interrupted time series regression for the evaluation of public health interventions: A tutorial. Int. J. Epidemiol. 2017, 46, 348–355. [Google Scholar] [CrossRef]
- Danagoulian, S.; Wilk, T.A. Locking out prevention: Dental care in the midst of a pandemic. Health Econ. 2022, 31, 10. [Google Scholar] [CrossRef] [PubMed]
- Alkatout, I.; Biebl, M.; Momenimovahed, Z.; Giovannucci, E.; Hadavandsiri, F.; Salehiniya, H.; Allahqoli, L. Has COVID-19 Affected Cancer Screening Programs? A Systematic Review. Front. Oncol. 2021, 11, 675038. [Google Scholar] [CrossRef] [PubMed]
- Barsouk, A.; Saginala, K.; Aluru, J.S.; Rawla, P.; Barsouk, A. US Cancer Screening Recommendations: Developments and the Impact of COVID-19. Med. Sci. 2022, 10, 16. [Google Scholar] [CrossRef] [PubMed]
- Wdowiak-Szymanik, A.; Wdowiak, A.; Szymanik, P.; Grocholewicz, K. Pandemic COVID-19 Influence on Adult’s Oral Hygiene, Dietary Habits and Caries Disease-Literature Review. Int. J. Environ. Res. Public Health 2022, 19, 12744. [Google Scholar] [CrossRef] [PubMed]
- Adachi, K.; Kimura, F.; Takahashi, H.; Kaise, H.; Yamada, K.; Ueno, E.; Kawate, T.; Miyahara, K.; Ueda, A.; Sato, S.; et al. Delayed Diagnosis and Prognostic Impact of Breast Cancer During the COVID-19 Pandemic. Clin. Breast Cancer 2023, 23, 265–271. [Google Scholar] [CrossRef] [PubMed]
- Mizuno, R.; Ganeko, R.; Takeuchi, G.; Mimura, K.; Nakahara, H.; Hashimoto, K.; Hinami, J.; Shimomatsuya, T.; Kubota, Y. The number of obstructive colorectal cancers in Japan has increased during the COVID-19 pandemic: A retrospective single-center cohort study. Ann. Med. Surg. 2020, 60, 675–679. [Google Scholar] [CrossRef] [PubMed]
- Rossato, M.D.S.; Gregorio, D.; de Almeida-Pedrin, R.R.; Maia, L.P.; Poli, R.C.; Berger, S.B.; Fernandes, T.M.F. Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil. Eval. Health Prof. 2021, 44, 192–197. [Google Scholar] [CrossRef] [PubMed]
95% Confidence Interval | |||||
---|---|---|---|---|---|
Coefficient | Lower Limit | Upper Limit | p-Value 1 | ||
People aged 0–64 years | |||||
Monthly dental expenses per patient | Intercept | 11.749 | 11.626 | 11.871 | <0.001 |
(MDEPP; unit: JPY 1000 ) | Baseline trend | −0.004 | −0.008 | −0.001 | 0.022 |
Level change | 0.894 | 0.703 | 1.084 | <0.001 | |
Slope change | −0.007 | −0.015 | 0.00003 | 0.051 | |
Dental expenses per treatment | Intercept | 7.228 | 7.201 | 7.256 | <0.001 |
(DEPT; unit: JPY 1000) | Baseline trend | 0.011 | 0.010 | 0.012 | <0.001 |
Level change | 0.303 | 0.261 | 0.346 | <0.001 | |
Slope change | 0.006 | 0.005 | 0.008 | <0.001 | |
Number of treatments per month | Intercept | 1.622 | 1.606 | 1.638 | <0.001 |
(NTPM; unit: times) | Baseline trend | −0.003 | −0.004 | −0.003 | <0.001 |
Level change | 0.054 | 0.030 | 0.079 | <0.001 | |
Slope change | −0.002 | −0.003 | −0.001 | <0.001 | |
People aged ≥65 years | |||||
Monthly dental expenses per patient | Intercept | 13.365 | 13.176 | 13.555 | <0.001 |
(MDEPP; unit: JPY 1000) | Baseline trend | −0.010 | −0.015 | −0.004 | <0.001 |
Level change | 0.968 | 0.674 | 1.262 | <0.001 | |
Slope change | −0.002 | −0.014 | 0.009 | 0.670 | |
Dental expenses per treatment | Intercept | 7.324 | 7.282 | 7.367 | <0.001 |
(DEPT; unit: JPY 1000) | Baseline trend | 0.009 | 0.007 | 0.010 | <0.001 |
Level change | 0.402 | 0.337 | 0.468 | <0.001 | |
Slope change | 0.003 | 0.0004 | 0.005 | 0.024 | |
Number of treatments per month | Intercept | 1.822 | 1.801 | 1.843 | <0.001 |
(NTPM; unit: times) | Baseline trend | −0.004 | −0.004 | −0.003 | <0.001 |
Level change | 0.031 | −0.001 | 0.064 | 0.056 | |
Slope change | −0.0004 | −0.002 | 0.001 | 0.545 |
Individuals Aged 0–64 Years | Individuals Aged ≥65 Years | |||||
---|---|---|---|---|---|---|
From Regression Equation before Declaration 1 | From Regression Equation after Declaration 2 | Change 3 | From Regression Equation before Declaration 1 | From Regression Equation after Declaration 2 | Change 3 | |
MDEPP | 11,749 | 12,643 | 894 | 13,365 | 14,333 | 968 |
DEPT | 7228 | 7531 | 303 | 7324 | 7726 | 402 |
NTPM | 1.62 | 1.69 | 0.06 | 1.82 | 1.86 | 0.04 |
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Morita, I.; Sakuma, S.; Kondo, K. Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan. COVID 2024, 4, 1139-1146. https://doi.org/10.3390/covid4080079
Morita I, Sakuma S, Kondo K. Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan. COVID. 2024; 4(8):1139-1146. https://doi.org/10.3390/covid4080079
Chicago/Turabian StyleMorita, Ichizo, Shigemitsu Sakuma, and Kanae Kondo. 2024. "Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan" COVID 4, no. 8: 1139-1146. https://doi.org/10.3390/covid4080079
APA StyleMorita, I., Sakuma, S., & Kondo, K. (2024). Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan. COVID, 4(8), 1139-1146. https://doi.org/10.3390/covid4080079