AJOMS Vol One 2024
Australasian Journal of
ORAL AND MAXILLOFACIAL SURGERY Official journal of the Australian and New Zealand Association of
Editor
Oral and Maxillofacial Surgeons and the Oceania Region
Professor A Goss editorajoms@anzaoms.org Deputy Editors Professor A Heggie AM Professor D Wiesenfeld
+61 2 8091 0535 ISSN: 2982-0065
ajoms@anzaoms.org
Level 13, 37 York Street, Sydney NSW 2000
The Australasian Journal of Oral & Maxillofacial Surgery is the official scientific journal of the Australia & New Zealand Association of Oral &
F O U N D AT I O N E D I T O R
EDITORIAL BOARD
Alastair Goss
Business Manager Dieter Gebauer
• Emeritus Professor of Oral & Maxillofacial Surgery, The University of Adelaide • Emeritus Consultant Surgeon, The Royal Adelaide Hospital Adelaide, Australia
Perth, Australia
Maxillofacial Surgeons. DEPUTY EDITORS Aim & Scope The Australasian Journal of Oral & Maxillofacial Surgery is the premier forum for the exchange of information for new and significant research in oral and maxillofacial surgery, promoting the surgical discipline in the Oceanic region.
Oceania comprises 19 countries, spread over one sixth of the globe, but with Australia and New Zealand being the dominant developed countries.
The Journal comprises peer reviewed scientific reports, reviews, case reports of rare of unusual conditions, and perspective all of value for continuing professional development. Information for prospective authors, including author guidelines, publication ethics, malpractice statements and patient consent forms are available for download from the Australian & New Zealand Association Oral & Maxillofacial Surgery homepage. All correspondence with the Editor is via editorajoms@anzaoms.org.
Andrew Heggie, AM
• Clinical Professor, Department of Paediatrics, The University of Melbourne • Senior Consultant Oral & Maxillofacial Surgeon, Royal Children’s Hospital of Melbourne Melbourne, Australia
David Wiesenfeld
• Honorary Clinical Professor, The University of Melbourne • Lead in Head & Neck Research & Education, The Victorian Comprehensive Cancer Centre Melbourne, Australia
PRODUCTION MANAGEMENT Website and Distribution Belinda Mellowes • Executive Officer, Australian and New Zealand Association of Oral and Maxillofacial Surgeons Sydney, Australia
Production Editor Jac Taylor • Foundation Managing Director, Crucible Content Sydney, Australia
The Australasian Journal of Oral & Maxillofacial Surgery accepts paid advertisements from companies involved with the surgical discipline.
Graphic Design Daniel Sim • Managing Director, Daniel Sim Design (DSD)
For information on advertising guidelines and rates contact Ms Belinda Mellowes, Executive Officer, The Australian & New Zealand Association of Oral & Maxillofacial Surgeons: eo@anzaoms.org
Brisbane, Australia
Submit advertisements to ajoms@anzaoms.org
Catherine Offler
A D M I N I S T R AT I O N • Administrative Assistant to the Editor Adelaide, Australia
The Australasian Journal of Oral & Maxillofacial Surgery Editors and Editorial Board cannot be held responsible for error or consequence arising from the information contained in the Journal. The views and opinions expressed there do not necessarily reflect those of the Australian & New Zealand Association of Oral & Maxillofacial Surgeons, AJOMS Editor or Editorial Board. Neither does publication of advertisements constitute any endorsement of the products advertised. © Copyright 2024 ANZAOMS
Electronic Promotion Arun Chandu • Senior Consultant in Oral & Maxillofacial Surgery, Royal Dental Hospital of Melbourne • Clinical Associate Professor of Oral & Maxillofacial Surgery, The University of Melbourne Melbourne, Australia
Members Alexander Bobinskas • Consultant Oral & Maxillofacial Surgeon, The Canberra Hospital • Research Fellow, The John Curtin School of Medical Research Canberra, Australia
Advertising Information
Disclaimer
• Senior Consultant in Oral & Maxillofacial Surgery, Royal Perth Hospital • Clinical Associate Professor in Oral & Maxillofacial Surgery, The University of Western Australia
Kathryn Steward • Advertising Sales and Administration - Membership and Administration Coordinator, Australian & New Zealand Association of Oral & Maxillofacial Surgeons Sydney, Australia
Nigel Johnson • Consultant Oral & Maxillofacial Surgeon, Princess Alexandra Hospital • Senior Lecturer in Oral & Maxillofacial Surgery, The University of Queensland Brisbane, Australia
Darryl Tong • Professor of Oral & Maxillofacial Surgery, The University of Otago • Senior Consultant in Oral & Maxillofacial Surgery, Dunedin Public Hospital Dunedin, New Zealand
Ex Officio Members Jasvir Singh • President, Australian & New Zealand Association of Oral and Maxillofacial Surgeons • Consultant in Oral & Maxillofacial Surgery, Prince of Wales Hospital Sydney Australia
Patrishia Bordbar • Immediate Past President, Australian & New New Zealand Association of Oral & Maxillofacial Surgeons • Consultant in Oral & Maxillofacial Surgery, The Royal Children’s Hospital of Melbourne • IAOMS Executive Representative – Oceania Region Melbourne, Australia
John Harrison • Regional Councillor for Oceania, International Association of Oral & Maxillofacial Surgery • Senior Consultant in Oral & Maxillofacial Surgery, Auckland City & Middlemore Hospital Auckland, New Zealand
Jocelyn Shand • Clinical Associate Professor, Department of Paediatrics, The University of Melbourne • Chair, Australian & New Zealand Association of Oral & Maxillofacial Surgeons Research & Education Foundation • Head of Section of Oral & Maxillofacial Surgery, The Royal Children’s Hospital of Melbourne • Vice President Elect, International Association of Oral & Maxillofacial Surgery Melbourne, Australia
C O V I D - 1 9 SCIENTIFIC ARTICLE
TRENDS IN ORAL AND MAXILLOFACIAL SURGERY DURING THE COVID-19 PANDEMIC
The Australian experience Mian M (MD, BDS, MPH)† Subhashaan Sreedharan S (MD, MPH)† Sklavos A (BDS, MD)† Austin S (MBBS, GdipDent, MPhil, FRACDS (OMS))‡ † The Royal Melbourne Hospital, Melbourne, Victoria, Australia
ABSTRACT Objectives: The aim of the study was to investigate the impact of COVID-19 on Medicare rebatable specialist OMS services (consultations and treatment) in Australia during the period January 2020 to December 2020.
‡ Department of Oral & Maxillofacial Surgery, Western Health, Melbourne, Victoria, Australia
Methods: A smoothing model was applied to public datasets between 2016 to
Corresponding author:
2019, in order to predict the number of quarterly consultations and
ANTON SKLAVOS
treatments between January 2020 and July 2021 with 95% confidence
The Royal Melbourne Hospital,
(p<0.05). Predicted and observed consultations and treatments were
Parkville, Victoria, Australia
compared.
Email: antonsklavos@hotmail.com
Results: There was a significant decrease in the number of consultations in the second quarter of 2020 (30.3%, 95% CI: 23.0% to 36.3%). This was followed by subsequent increases in third (13.7%, 95% CI: 2.0% to 28.4%) and fourth quarters of 2020 (16.6%, 95% CI: 0.8% to 38.4%). Telehealth consultations made up only 5.1% of total consultations during the pandemic. There was a significant decrease in the number of OMS treatments in the second quarter of 2020 for both dualqualified (33.8%, 95% CI: 27.9% to 38.9%) and single qualified surgeons (42.2%, 95% CI: 35.4% to 47.7%). Total treatments for dual-qualified rebounded in the third (7.9%, 95% CI: 0.2% to 16.9%) and fourth quarters of 2020 (9.5%, 95% CI: 1.7 to 18.6%). This was associated with a change in treatment types, including sustained reductions in orthognathic surgery and an increase in preprosthetic and implant surgery. Conclusion: These findings confirm that the most significant impact of COVID-19 Keywords:
on OMS services in Australia occurred early in the pandemic. Total
coronavirus | healthcare delivery |
services recovered during the second half of 2020 to reach pre-
healthcare systems | maxillofacial surgery |
pandemic levels. The relative proportion of treatments subtypes is
SARS-CoV-2
changing.
148 | AJOMS Volume 1 2024