AGE AND SEX RELATED RISK FACTORS OF ORAL COMPLICATION AMONG COVID-19 PATIENTS

Mohammad Arifur Rahman*, Mohammad Zahidur Rahman Mazumder, Mohammad Mahiuddin Fazle Rabbi, Mohammed Abdur Rahim Bhuiyan, Mohammad Anayet Hossain and Ummay Salma

ABSTRACT

Background: Corona Virus Disease 2019 causes SARS-2019 (COVID-19). Coronavirus 2 (SARS-CoV-2) produces a deadly respiratory illness. According to the WHO, the overall number of confirmed cases by October 19, 2021 will reach 240 million, and the cumulative number of deaths would approach 4.8 million. Oral diseases are a global concern that may cause pain, tooth loss, deformity, progressive and persistent oral problems including death. Tooth decay affects young children but continues into adolescence, adulthood, and old life. Poor and underprivileged people suffer disproportionately from oral illnesses. Socioeconomic status affects the occurrence and severity of oral diseases. Oral issues may be a sensitive clinical marker of socioeconomic disadvantage, signaling deprivation-related health concerns. Oral diseases are a neglected health concern. Oral complications are induced by modifiable risk factors such sugar consumption, cigarette use, alcohol usage, and poor cleanliness, as well as societal and economic forces. COVID-19 has been linked to oral issues such as lesion, taste loss, and tooth loss. As of now, the confirmed case of COVID-19 in Bangladesh is 2000282 and death 29312. Various studies has been done in association with Covid 19 but there is not a single study of Covid-19 in relation to oral complication risk factors. The purpose of the study is to find the oral complication associated with risk factors of age and sex among Bangladesh population. Methods: This study was a Comparative study. This study comprised 25–90-year-olds diagnosed with mild COVID-19 and hospitalized Covid ICU at Comilla Medical College Hospital in Bangladesh. The assessment followed inclusion/exclusion criteria. Sample size of 132 was obtained using a calculator with a 0.05 standard error and 95% confidence. Chest x-ray and RT-PCR confirmed COVID-19. Comparing 100 patients with oral thrush and associated oral issues. Data entry will utilize SPSS and Excel. SPSS 23 will be used for data analysis. Excel and JASP will be available for any complications. Result: Oral thrush is the most prevalent, 98 (74.2%) and is mostly among the age group of 65-74 (20.5%) years of age. Most of the patient with oral thrush complication are found among male (57.6%). However, there was no significant association between oral thrush and ageand gender. There was significant association between dental pain and foul smell and age group, p=0.000. There is significant association between dental pain gender, p=0.014 where the prevalence of both genders is 4.5%. Conclusion: The most often reported concerns among COVID-19 patients with severe illness were oral thrush, dental movement, and irritated gums and male are mostly affected. In the ICU environment prolonged staticposture, poor oral care, mechanical artificial breathing and immunosuppressive status may lead to these oral issues. Therefore, it is strongly suggested that a multidisciplinary strategy be used for the monitoring and treatment of COVID-19, which necessitates the inclusion of nurses and oral health specialists on ICU teams.

Keywords: Oral complications, Age, Gender, COVID-19.