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Impact of COVID-19 on dental education- a scoping review



A new corona virus called COVID-19 and its epidemic has affected health care systems in many ways. There have also been significant changes in dental education. The present study summarizes the findings about dental education resulting from a scoping review of COVID-19 and dentistry.


First, a comprehensive search of five databases (Google Scholar, Medline through PubMed, Embase, Scopus, and Cochrane Central) was conducted with the keywords: COVID-19 and its equivalent terms, dentistry, education, oral, students, curriculum, and academics. Articles related to oral health and COVID-19 were searched. Then articles on the subject of dental education were screened and reviewed.


Of the 1389 articles investigating COVID-19 and dentistry, 135 articles were related to dental education and its relationship with COVID-19. The most articles in this field were from the United States, India, and Saudi Arabia. Most of the articles were cross-sectional and then review articles. Based on the review the articles were divided into two main categories of changes and concerns, and opportunities and solutions. Moreover, the following themes were extracted: teaching-learning quality and methods, study career and how students are prepared, infection control policies, theses, exams and assessments, financial and economic security, students and staff’s mental health, school’s policies and curricula, knowledge of students and staff about COVID-19.


Dental education now faces big challenges, some of which have never been experienced before. On the other hand, the epidemic has created opportunities for dental education as well. Most of these challenges and opportunities are the same around the world, and the findings of the present study can be a good help to overcome the challenges ahead as well as a good reference to find the right questions to be answered in future studies.

Peer Review reports


The emergence of the new Corona Virus called SARS-Cov-2 or COVID-19 in December 2019, and the announcement of its widespread infection as pandemic in March 11, 2020 by WHO, has prominently affected the pattern of health care systems in several aspects [1]. The risk of infection transmission in health care settings has led to substantial changes in the pattern of both delivery and utilization of health care services [2]. While many patients refrain from seeking necessary health care due to fear of being infected [3], health care system has focused on essential preparation to minimize the risk of infection transmission [4].

Despite some other health care services, most dental services can be delivered only through close contact with patients. Since it is not possible for the patients to wear a mask during dental treatment, the whole responsibility of protection relies on the shoulder of oral health professionals [5]. Thus, dentistry has been affected wildly by the pandemic in its all aspects. Among these changes, the use of tele-dentistry (TD) can be mentioned as one of the suggestions. TD is a branch in which the internet and communication technology are used to remotely exchange patient information between specialists [6, 7].

Experts have identified both strengths and challenges for TD. Benefits such as saving time, reducing costs, the possibility of consulting with colleagues, easier decision making to refer patients and the possibility of using it in primary health care system are among its strengths. On the other hand, low motivation, limited use in the dental emergency, reluctance of some specialists for the use of technology and electronic tools, and the lack of appropriate infrastructure can be considered as some of the most challenging items of tele-dentistry [8, 9].

Significant changes have also occurred in dental education. The most popular change in the education in many disciplines has been restriction of education to virtual teaching and learning. Virtual learning could be in the form of online theory and practical classes and assessments. Various methods could be used in this area, such as PowerPoint presentation, live or recorded lectures, video-based or case-based learning, inter-active learning, online whiteboard teaching, and virtual models [10]. However, many of these methods are of limited use in dental education because of its practical and skill-based nature [11].

It is true that vaccination has been done in different countries, but students from many colleges around the world have not been vaccinated [12], and with regard to the various mutations of the virus, students and faculty members are still exposed to the risk of getting infected by the virus [13].

With regard to the large number of articles in the field of COVID-19 and dentistry, it seems necessary to have an overview of the studies conducted, the topics covered, and the details of studies conducted in this field, which will help to do further studies and to determine the correct direction of future research on this topic. Specifically, a comprehensive review of the reports and studies on dental education will facilitate knowledge and experience sharing, and will help dental education system to overcome the challenges of the pandemic as much as possible. Scoping reviews are a form of knowledge synthesis, which incorporate a range of study designs to comprehensively summarize and synthesize evidence with the aim of informing practice, programs, and policy and providing direction to future research priorities [14].

The present study summarizes the findings on the dental education resulted from a scoping review on COVID-19 and dentistry.


The present review, according to Arksey & O’Malley’s guideline [14], was done through five steps: identifying the research question, identifying relevant studies, study selection, charting and collating the data, and summarizing and reporting the data. In order not to miss any article, it was decided to first search for all articles on oral (dental, dentistry) health and COVID-19.

Inclusion criteria to identify relevant studies were whether the articles are in English or not and whether the articles are related to COVID- 19 and dentistry. First, Google search engine was used to refine the review question and specify other popular names for COVID-19 being used in various articles. The following names were retrieved: COVID-19, Corona virus (including novel corona virus 2019: ncov-2019, and human corona virus 2019: Hcov-2019), and SARS cov-2.

We searched for articles that were published from January 2019 to March 1, 2021. The databases in which relevant studies were searched were Google Scholar, Medline through PubMed, Embase, Scopus, and Cochrane Central. The following search inquiries were used:

(COVID-19 virus AND Dentistry) OR (COVID-19 virus AND Oral health care) OR (COVID-19 virus AND Dental health) OR (COVID-19 virus AND Oral health) OR (COVID-19 virus AND Dental emergencies) OR (COVID-19 virus AND Oral emergencies) OR (COVID-19 virus AND Oral) OR (COVID-19 virus AND Dental) OR (COVID-19 virus AND Oral manifestation) OR (COVID-19 virus AND Dental health care) OR (COVID-19 virus AND Dental services) OR (COVID-19 virus AND dental education) OR (COVID-19 virus AND dental academics) OR (COVID-19 virus AND dental students) OR (COVID-19 virus AND dental curriculum) OR (Coronavirus AND Dentistry) OR (Coronavirus AND Oral health care) OR (Coronavirus AND Dental health) OR (Coronavirus AND Oral health) OR (Coronavirus AND Dental emergencies) OR (Coronavirus AND Oral emergencies) OR (Corona virus AND Oral) OR (Coronavirus AND Oral manifestation) OR (Coronavirus AND Dental health care) OR (Coronavirus AND Dental services) OR (Coronavirus AND Dental education) OR (Coronavirus AND dental academics) OR (Coronavirus AND dental students) OR (Coronavirus AND dental curriculum) OR (SARS-CoV-2 virus AND Dentistry) OR (SARS-CoV-2 virus AND Oral health care) OR (SARS-CoV-2 virus AND Dental health) OR (SARS-CoV-2 virus AND Oral health) OR (SARS-CoV-2 virus AND Dental emergencies) OR (SARS-CoV-2 virus AND Oral emergencies) OR (SARS-CoV-2 virus AND Oral) OR (SARS-CoV-2 virus AND Oral manifestation) OR (SARS-CoV-2 virus AND Dental health care) OR (SARS-CoV-2 virus AND Dental services) OR (SARS-CoV-2 virus AND dental education) OR (SARS-CoV-2 virus AND dental academics) OR (SARS-CoV-2 virus AND dental students) OR (SARS-CoV-2 virus AND dental curriculum)

In the next step, the articles focusing on dental education were screened. We screened the titles and the abstracts of the papers to exclude the irrelevant studies.

Preferred Reporting Items for Systematic reviews and Meta- Analysis (PRISMA) flow chart [15] was used to report the search results.

After selecting the studies that were in line with the objective of the study and removing duplicate articles, the data extraction process was performed and the data was entered into the table. The data presented in the table comprised: title of the article, country in which the study was conducted, date of publication, field of study, type of study, purpose of the study, number of samples participating in the study, duration of data collection, and conclusion. The process of data charting was done by a minimum of two authors. Any disagreement was discussed between the the reviewers. The selected articles were then categorized separately in to different categories using the same data from table. The data was reported narratively using the criteria set for the objectives of the study. The screening was done independently by MR. K and F. F.

As emphasized by Munn et al. [16] the researchers reviewed the titles and texts of the articles thoroughly and thematically analyzed the content.


The number of articles obtained from all data bases were 5178 (PubMed: 2186 articles, Embase: 2111 articles, Scopus: 341 articles, and Google Scholar 540 articles), which was reduced to 1532 articles by removing duplicate and unrelated articles, as well as those completely in the field of medicine.

In the next step, we removed studies that had been conducted in common fields between medicine and dentistry, such as those on the olfactory and taste changes that occur in a person after being infected with the COVID-19, tracheotomy in patients with COVID-19 in the ICU, and medications administered orally to patients with COVID-19. After this step 1389 articles remained.

Out of 1389 articles obtained, 135 articles were related to dental education and its relationship with COVID-19 (Fig. 1).

Fig. 1

PRISMA flowchart

This 135 articles were from different countries including: Saudi Arabia, Malta, USA, Iraq, Brazil, Turkey, UK, Italy, Canada, Taiwan, Japan, Thailand, France, India, Australia, Palestine, Pakistan, UAE, Iran, Germany, Spain, China, New Zealand, Jordan, Singapore, Netherlands, Latvia, Sweden, Hungary, Ireland, Korea, Malaysia, Nigeria, Indonesia, Egypt, Greece, Nepal and Romania.

The most active country in this field was the United States with 24 articles, followed by India and Saudi Arabia with 23 and 16 articles, respectively.

Regarding study design and article type, various formats were identified: cross sectional, review articles (critical, narrative, descriptive), letter to the editor, editorial, commentary, qualitative, report, communication (special, brief, short), perspective, interventional (before/after), technical note and case study. Around half of the articles (64) were cross sectional, followed by review articles (21).

In cross-sectional articles, the maximum number of samples was 2669, in a study entitled “COVID-19 Related Experience, Knowledge, Attitude, and Behaviors Among 2,669 Orthodontists, Orthodontic Residents, and Nurses in China: A Cross-Sectional Survey” which were conducted in China, and were collected in 3 days. The article was published on 2020/08.

The next cross-sectional article with the largest number of samples was related to a study entitled “Knowledge of dental academics about the COVID-19 pandemic: a multi-country online survey” that was from different countries (Egypt, Nigeria, Iran, Germany, Jordan, Indonesia, India, Saudi Arabia, Yemen, UK, Bosnia and Herzegovina, Italy, France, Libya, Palestine, Myanmar, Thailand, Republic of Korea, Peru, United Arab Emirates, Serbia, Kenya). The number of samples in this study was 2045. Completion of questionnaires in this study took one month and this article was published on 2020/11.

The lowest number of samples in cross-sectional studies was related to the study entitled “A nationwide survey of online teaching strategies in dental education in China” which was conducted in China on September 9, 2020, and the number of samples were 39 and it took 21 days to collect this data.

The details of all 135 articles can be found in Appendix 1[See Additional file 1].

The content and outcome of 135 articles were reviewed and these articles were divided into two main categories: 1: changes and concerns; and 2: opportunities and solutions.

Changes and concerns imposed by COVID-19 pandemic on dental education

The articles in this category considered mainly the impact of COVID-19 pandemic and concerns raised either by experts or true surveys, on the followings:

Teaching-learning quality and methods

One of the issues mentioned in the articles was the problems that arose in the field of teaching and the quality of learning. These issues included complications in training the students on practical skills [17, 18], concerns on quality assurance of dental education [19], online and distance education and related considerations (both theoretically and practically) [20,21,22]. Learning challenges due to social distance and limitations [23], and the effects that COVID-19 has had on post-graduate education [24].

The main online and distance education and related concerns included difficulties in being prepared for online education [25, 26], the criticism that most of the online courses were in the form of lectures with a little practical training content [27], lack of motivation in students in online education, poor internet connection on both students and faculty sides, and lack of necessary interaction between professors and students [28, 29].

Future career and how students are prepared

The impact of COVID-19 on the academic resume and how students will be prepared was raised by several articles, as students’ educational activities as well as their practical skills have decreased [30,31,32], and students in the clinic and pre-clinic departments believed that COVID-19 would have a negative effect on their education [33, 34].

Among the challenges that will exist in the field of students’ academic and professional future were the followings: impacts on the future of dental practice [35, 36], concerns and uncertainty about employment and stability of the dental profession in the future [37], and concerns due to professional responsibility and impact on clinical performance [23, 38].

Infection control concerns and challenges

The reviewed articles raised the following issues regarding the challenges related to infection control:

Risk of COVID-19 infection and physical health concerns [20, 23, 24, 30,31,32, 38], concerns about infection control and aerosol production [35, 38], challenges related to changes in personal hygiene and social habits [39], concerns about the possibility of family members becoming infected with COVID-19 virus [30], uncertainty about adequate training in infection control and proper Personal Protective Equipment (PPE) sequencing, and feeling the need for training about COVID-19 infection [24, 34].

A negative attitude was also reported about the interest in faculty members volunteering to help the medical team during an emergency [40]. On the other hand, most of the students tended to work for patients whose COVID-19 was confirmed or suspected of having the disease [41]. Reluctant to work for a patient recovered from COVID-19 disease was more common among students in the clinical phase [34].

Theses, exams and assessments

The main challenges in this area include: problems in working on thesis [32], anxiety about exams [30], and concerns about completing clinical and graduation requirements [38, 42].

Financial and economic security

A number of articles have addressed student financial concerns [20], the economic impact of the pandemic [35], and financial deficiencies [17].

Students’ and staffs’ mental health

Regarding the important issue of mental health of students and staff, articles have referred to: reactions, psychological effects and stress related to COVID-19 [32, 35, 39, 43], concerns about mental health and its importance [20, 31], mental health and stress among students [17, 21, 38, 44], and the stress related to education delivery and course management [22].

School’s policies and curricula

In this area, the articles have discussed re-evaluating the school's policies and curricula [19, 45], and suspending classes, and postponing all patient-selected care [22] (Table 1).

Table 1 Changes and concerns imposed by COVID-19 pandemic on dental education (Results from 135 articles)

Opportunities, solutions and knowledge in dental education after facing COVID-19 challenges

A number of the articles have discussed solutions and opportunities after the COVID-19 challenges, mainly in the following areas:

Teaching-learning quality and methods

For quality and method-related challenges in teaching and learning, the following solutions have been suggested or primarily tested: further adaptation and modification of teaching methods, investment in virtual reality and the use of portable equipment (mannequins) [18, 46,47,48]; distance learning and virtual training as an alternative to face-to-face classes and technology acceptance to support clinical and theoretical education [17, 19, 25, 32, 42, 49, 50]; the use of information and communication technology platforms and online education methods (online and live lectures, lectures and notes sent in the virtual learning environment, receiving notes via email and content production on the website, Instagram and YouTube) [21, 28, 30, 51, 52]; inter-institutional training programs (such as the COVID program) [53]; patients data collection and discussion without the need for their presence, virtual computerized patients (VIPs), and clinical task simulations [38, 54, 55]; easier and more regular access to e-learning resources [56]; benefitting from intelligence technology for the learning process [57]; easy-to-use virtual reality (VR) device [57,58,59]; access to textbooks in PDF format on the faculty website [58, 60]; and using images and videos present in the ‘3D Tooth Atlas’ [61].

In the time when all face-to-face contacts such as training programs have been reduced and dental schools stopped their face-to-face, practical and clinical training under supervision [62,63,64] and only emergency treatments are provided in very few cases [59], it is believed that e-learning can probably be as effective as holding classes traditionally [62, 65, 66].

Study career and how students are prepared

The shape of the oral health workforce will change and public health education will play a role in dental education [67]. It seems that the time has come for the dental workforce to be fully integrated into primary health care, and this is only possible through the support of educational institutions and teaching to dental students [17].

Infection control policies

For this part, items can be divided in to three parts:

Positive effects of COVID-19 on infection control

There is an opportunity to improve infection control in dental education to increase preparedness for future infectious diseases [38]. The disease has helped students learn more about how the disease is transmitted and the efforts being made to combat the pandemic worldwide [50].

Protective measures and strategies suggested or implemented

These measures and strategies include:

Protecting the health of students and staff and social distance [19, 66]; proper observance of PTT standard [42]; screening of patients by telephone interview before their referral to the dental school clinic [48, 68]; continuous monitoring of staff and students, changing clothes with clean clothes when leaving school to prevent transmission of the disease to family members [68]; face shield usage, using 70% ethyl alcohol and sodium hypochlorite to disinfect surfaces between each dental visit, using rubber-dam to reduce virus transmission, using hand tools in cases of emergency treatment [69]; preoperative anti-microbial mouth rinse [70]; booking appointments for online counseling by patients [58]; and using extra oral radiographs, creating a digital platform related to the faculty to allow sending images, remote diagnosis, reviewing the results and discussing clinical cases with students [38].

Knowledge, attitude and practice of students/staff about infection control

Most students have been familiar with how to prevent getting the virus [71]. There was also a positive attitude when faculty members were asked about fear of COVID-19 virus in the treatment of emergencies in patients whose body temperature was controlled and aerosol-induced therapies were avoided [40, 72].

Theses, exams and assessments

Methods suggested or implemented in this part can be mentioned as followings:

Performing various online examination methods and organizing tests completely online [67, 73,74,75], using lockdown browser in tests (with the lockdown browser, students cannot search for the answer in search engines such as Google) [57], and performing theoretical tests through applications such as WebEx, Google meet, Zoom, etc. to monitor students at the time of writing [58, 76].

Financial and economic security

It has been suggested that various schemes should be planned to prevent and offset the loss of tuition and registration fees and sponsored programs [17].

Students and staff’s mental health

The only practical suggestion in this area has been allocating counseling sessions and support programs for students who need counseling [58, 77, 78].

School’s policies and curricula

These are the main suggestions in this area: consideration of protocols after school reopening [20]; changes in curricula (by department, faculty, or by state law) [42, 79,80,81]; integration of e-learning with traditional teaching methods as a hybrid strategy (resulting in flexibility, time saving and communication improvement) [56, 63, 82, 83]; sharing online education resources between schools [28]; reviewing the schedule and clinical meetings to follow the guidelines related to social distance [22, 84]; quick but thoughtful decision making and strategic planning of leadership teams, communication between universities at the national and international levels and the use of new technologies as well as student’s projects and startups in dental schools [17, 85, 86]; preparation of colleges for some rules such as the safety of students, patients and staff of the school of dentistry, training of students and staff in the practice of infection control and the proper use of PPE [68, 87, 88]; compliance with national laws and guidelines [67]; regular meetings to continuously determine the objectives and to reclassify the content to be presented in the courses [58, 89, 90]; and using free distance learning tools for both live and recorded teaching [48];

Knowledge of students and staff about COVID-19

Mostly the dental students have had the necessary knowledge about COVID-19, its ways of transmission [40, 41, 71, 91] and potential treatment approaches [92], and have been able to correctly define “SARS-CoV-2” as “severe acute respiratory syndrome coronavirus 2”, and have been aware of the COVID-19 virus incubation period [71, 93,94,95]. One of the common misconceptions has been that sneezing is a sign of illness instead of a way of transmitting the virus [96].

Almost all students have been aware that hygiene and using masks are essential to prevent the spread of the virus, and proper nutrition is effective in this regard [97, 98]. Most students were aware of the measures that should be considered for personal protection against the virus. They preferred soap for hand washing [98] and agreed with the effectiveness of using PPE [40, 41], but had little information about the appropriate dental setting suggested by the guidelines [99]. Students who assumed that gloves, masks, and other protective clothing during dental work had no effect on their protection against the COVID-19 virus were significantly more likely to be students in the clinical courses [34].

It has been suggested that knowledge about the diagnostic use of Polymerase Chain Reaction (PCR) test, serological tests, and chest x-ray, as well as being familiar with treatment methods such as plasma therapy among students helps to identify and fight the virus [100,101,102,103]  (Table 2).

Table 2 Opportunities, solutions and Knowledge after facing challenges caused by COVID-19 on dental education (Results from 135 articles)

Appendix 2 shows which of the articles was discussed in each category of changes and concerns, and opportunities and solutions, separately [See Additional file 2].


The first reaction by many dental education institutions to the pandemic was complete shut down or restriction of education and service delivery to only emergency care [104]. When it became evident that the pandemic would probably be a long-lasting situation, the dental education institutions started to develop new and innovative strategies to continue their education, research and care delivery activities with the lowest possible infection risk for their staff, students and patients [105,106,107]. At the same time many of these institutions started to share their experiences and challenges in continuing their activities in the pandemic era.

In this regard, this study was conducted to investigate the effects that COVID-19 has had on dental education, as well as to review the proposed challenges and solutions and to assist in future research.

Scoping review, unlike systematic reviews, is a type of review that does not seek to answer a specific question and does not pick the best studies on the subject under study, but aims to show the perspective of the studies done [16]. Regardless of the level and method of the study, the purpose of the scoping review is to help researchers stay informed about the types of studies that have been done in a particular field.

In the first months after the beginning of the COVID-19 pandemic, most of the studies we reviewed were a kind of expert opinion in the form of letter to the editor, commentary, or review. Gradually, the number of original studies mainly in the form of cross-sectional studies have increased especially those with an online questionnaire. We found no longitudinal and prospective studies. While this was expectable because of the relatively short time passed from the onset of the pandemics, the findings of the reviewed studies should be interpreted cautiously. On the other hand, the nature of educational studies allowing short time measurement of the outcome, have enabled researchers to perform some interventional studies examining the usefulness of various educational methods such as using lockdown browser [57], comprehensive high-stakes online exam for final-year dental students [73], effect of distance education (DE) activities [108] and the Collaborative OMS Virtual Inter-Institutional Didactic (COVID) Program [53].

The negative impact of COVID-19 on the quality of education was the most important challenge raised by several reviewed studies [17, 19, 30]. This challenge has been predictable and somehow inevitable due to the necessity of social distancing and even the closure of educational institutions over a period of time. Social distance and restrictions have made e-learning much more important than ever before, as emphasized by several studies [18, 27, 51, 109,110,111]. This was also true for postgraduate dental education and residency programs [42, 112]. It worth to note that generally the students and teachers have reported a positive view of virtual education and believed that in a time of pandemic, virtual and online education can be used as a suitable alternative, which creates a chance that online education can be used in the future after COVID-19 pandemic [25, 113,114,115]. In spite of its advantages, problems with providing virtual courses do exist. The main problems in dental education, which is completely dependent on practical training, is the inability of virtual training to transfer practical skills to the level of face to face training, a point raised by several reviewed articles [20, 25, 32, 53, 116]. In a study [32], more than half of the students believed that virtual education can only partially replace face-to-face education [32], and in another study [20], students believed that practical training was damaged after the introduction of virtual education, but virtual education in other parts of the educational curriculum could be successful [20].

Given that practical training is an important part of dental education and given the advancement of technology, it seems that this problem can be solved to some extent with portable tools that students can use at home, and recording instructional videos by professors and sharing them on social media or college websites or video sharing websites like YouTube [18, 52, 117]. Portable Manikin would allow for greater modularity of classrooms hosting preclinical training and, thus, optimal use of space in faculties. Moreover, use of portable equipment would make it possible to adapt to future episodes of social distancing [18, 118].

Another issue that can be considered as a challenge in e-learning is the lack of motivation among students. In a multi-center study, most of the educational centers considered motivating students to pursue online education as one of the main problems [28]. As a response to this challenge, studies have suggested such strategies as short-term exams of chapters taught online [119] and submitting a report from the contents of the previous sessions by the students [120], and educators serving mainly as facilitators of learning [121].

Anyway, with all the challenges ahead, e-learning seems to be an integral part of the future of dental education, especially after the COVID-19 pandemic. Exposure to the Covid-19 virus may force educators and teachers to revolutionize teaching [122, 123]. Researchers believe that new tools should be used in various aspects of education and the education system should be updated to adapt to different conditions [57, 124, 125]. It seems that education in the future after COVID-19 will be hybrid that means in-person and clinical training will be combined with virtual education [63, 126, 127].

The effects that COVID-19 has on education will have a direct impact on how students prepare and graduate, as well as on various aspects of their careers [23, 31, 34, 38]. Postgraduate students also have been concerned about completing graduation requirements and not having sufficient practical skills [42]. The pandemic has intensified concerns about job shortages and difficult employment. Students who believed that their future work schedule would change after the COVID-19 pandemic, were even more stressed [128]. These concerns were due to the possibility of limited employment [37, 128]. On the other hand, COVID-19 provides a good opportunity for students to become more familiar with the concept of pandemics and the importance of global health efforts during the COVID-19 pandemic [50], and to pay more attention to the importance of primary health care workforce role in keeping society healthy [67]. Furthermore, it seems that the time has come for a fundamental overhaul of the integration of community health and dental education. The situation is changing in such a way that public health education will play an important role in dental education in the future and also changes the shape of the oral health workforce [67].

Another aspect of pandemic-induced change in the pattern of dental practice is the need for more emphasis on infection control by the dentistry profession [35, 129, 130]. The dental schools should not only implement strict infection control policies and strategies [131, 132], but also should prepare their students to strictly follow similar strategies in their future career [35]. This, in turn, has led to advancements in infection control and preparedness for infectious diseases in the dental schools [38]. In this regard, the role of e-consultancy and tele medicine is crucial in minimizing the transmission of infection [133], and also to minimize physical contact.

Studying dentistry is costly in most countries, and financial security is a concern for both dental education institutes and students. After the start of the pandemic, due to the need for social distance and the lack of face-to-face education, the issue of costs became a challenge [134, 135]. There seem to be several ways to meet this challenge, such as more universities using virtual education to reduce costs, on the other hand reducing tuition and multi-stage payment or providing low-interest facilities to students [22, 136].

One of the important aspects that COVID-19 virus can affect, and indirectly we can see the trace in different areas of dental education, is the issue of stress and psychological effects on students and professors. Lack of progress in practical training and research, concern about getting the disease through patients, worries about the family getting the virus, and worries about upcoming exams could be some of the reasons [30, 31, 137, 138]. These stresses may have adverse effects on students’ concentration, which will affect both their academic achievement and the treatment of patients, as well as their accuracy in practical work and dealing with patients. In order to maintain the health and efficiency of students, the issues that increase their concern should be reduced [139, 140], and to manage fear during illnesses such as COVID-19, dental schools should be prepared for psychological support [87, 141,142,143]. Students may need counseling and psychological support during and after the COVID-19 pandemic to minimize the negative impacts [21, 39, 144].

Studies on knowledge and attitudes of dental students and dental school staff towards COVID-19 and necessary preparation against its transmission have shown promising results [40, 41, 71, 96, 97]. Of course, with the changes in the guidelines and rules for infection control after the pandemic and new content that is discovered and published daily on the COVID-19 virus, it is necessary for students, faculty members, and staff to be trained and updated about the virus itself and how to deal with it [145,146,147,148]. Passing the training course in connection with covid-19 would have a direct relationship with improve in participants’ knowledge [41, 149,150,151,152,153].


Due to COVID-19 pandemic, dental education has now faced big challenges some of which have never been experienced before. And although the vaccination is now available, several dental students around the world have not yet received it due to the global and local inequalities in COVID-19 vaccine distribution. On the other hand, the pandemic has created some opportunities for dental education as well. Most of these challenges and opportunities are the same among universities, educational institutions, faculty members and students around the world. Thus, the findings of this review can be a good help to overcome the challenges ahead and also a good reference to find the suitable questions for future studies to answer.

Availability of data and materials

All data generated or analyzed during this study are included in this published article [Additional file 1].



World Health Organization


Coronavirus disease 2019


  1. 1.

    Chan HF, Brumpton M, Macintyre A, Arapoc J, Savage DA, et al. How confidence in health care systems affects mobility and compliance during the COVID-19 pandemic. PLoS ONE. 2020;15:10.

    Google Scholar 

  2. 2.

    Taylor CB, Fitzsimmons-Craft EE, Graham AK. Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change. Int J Eat Disord. 2020;53:1155–7.

    Google Scholar 

  3. 3.

    Snapiri O, Rosenberg Danziger C, Krause I, et al. Delayed diagnosis of paediatric appendicitis during the COVID-19 pandemic. Acta Paediatr. 2020;109:1672–6.

    Google Scholar 

  4. 4.

    Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth. 2020.

  5. 5.

    Saggese NP, Cardo VA. A perspective from a NYC chief oral and maxillofacial surgery resident during the COVID-19 pandemic. Br J Oral Maxillofac Surg. 2020;58(6):730–1.

    Google Scholar 

  6. 6.

    Mazlooman N, Sahebkar B. Evaluate the effect of teledentistry and information technology on dentistry: Case study Iran. Sixth International Conference on Digital Information and Communication Technology and its Applications (DICTAP). Konya, Turkey. 2016;148–155.

  7. 7.

    Fricton J, Chen H. Using teledentistry to improve access to dental care for the underserved. Dent Clin N Am. 2009;53:537–48.

    Google Scholar 

  8. 8.

    Böhm da Costa C, Peralta FS, Ferreira M, Schaefer AL. How has teledentistry been applied in public dental health services? An integrative review. TMJ. 2019.

  9. 9.

    Galibourg A, Peters OA, Diemer F, Nasr K, Maret D. Continuing endodontic education and COVID-19: before, during and after? Int Endod J. 2020;53(11):1598–9.

    Google Scholar 

  10. 10.

    Singh HK, Joshi A, Malepati RN, Najeeb S, Balakrishna P, Pannerselvam NK, et al. A survey of E-learning methods in nursing and medical education during COVID-19 pandemic in India. Nurse Educ Today. 2021;99:104796.

    Google Scholar 

  11. 11.

    Chavarría-Bolaños D, Gómez-Fernández A, Dittel-Jiménez C, Montero-Aguilar M. E-learning in dental schools in the times of COVID-19: a review and analysis of an educational resource in times of the COVID-19 pandemic. Odovtos. 2020;22(3):69–86.

    Google Scholar 

  12. 12.

    Niazi S. Vaccinations for students going abroad scuppered by shortages. 2021. Accessed 3 Jun 2021.

  13. 13.

    Starr TN, Greaney AJ, Addetia A, Hannon WW, Choudhary MC, Dingens AS, et al. Prospective mapping of viral mutations that escape antibodies used to treat COVID-19. Science. 2021;371(6531):850–4.

    Google Scholar 

  14. 14.

    Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8:19–32.

    Google Scholar 

  15. 15.

    Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group: preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097.

    Google Scholar 

  16. 16.

    Munn Z, Peters M, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143–54.

    Google Scholar 

  17. 17.

    Emami E. COVID-19: perspective of a dean of dentistry. JDR Clin Translat Res. 2020.

  18. 18.

    Galibourg A, Maret D, Monsarrat P, Nasr K. Impact of COVID-19 on dental education: How could pre-clinical training be done at home? J Dent Educ. 2020.

  19. 19.

    Deery C. The COVID-19 pandemic: implications for dental education. Evid Based Dent. 2020;21(2):46–7.

    Google Scholar 

  20. 20.

    Hung M, Licari FW, Hon ES, et al. In an era of uncertainty: impact of COVID-19 on dental education. J Dent Educ. 2021;85:148–56.

    Google Scholar 

  21. 21.

    Spanemberg JC, Simões CC, Cardoso JA. The impacts of the covid-19 pandemic on the teaching of dentistry in Brazil. J Dent Educ. 2020;84:1185–7.

    Google Scholar 

  22. 22.

    Peres KG, Reher P, Castro RD, Vieira AR. COVID-19-related challenges in dental education: experiences from Brazil, the USA, and Australia. Pesqui Bras Odontopediatr Clín Integr. 2020;20(supp1):e0131.

    Google Scholar 

  23. 23.

    Ammar N, Aly NM, Folayan MO, Khader Y, Virtanen JI, Al-Batayneh OB, et al. Behavior change due to COVID-19 among dental academics—The theory of planned behavior: stresses, worries, training, and pandemic severity. PLoS ONE. 2020;15(9):e0239961.

    Google Scholar 

  24. 24.

    Isiekwe IG, Umeizudike KA, Daramola OO, Akeredolu MO, Leo-Olagbaye AA. The COVID-19 pandemic and dental residency training in Nigeria. Eur J Dent Educ. 2021;00:1–9.

    Google Scholar 

  25. 25.

    Schlenz MA, Schmidt A, Wostmann B, Kramer N, Schulz-Weidner N. Students and lecturers perspective on the implementation of online learning in dental education due to SARS-CoV-2 (COVID-19): a cross-sectional study. BMC Med Educ. 2020;20(1):354.

    Google Scholar 

  26. 26.

    Aboalshamat KT. Awareness of, beliefs about, practices of, and barriers to teledentistry among dental students and the implications for Saudi Arabia vision 2030 and coronavirus pandemic. J Int Soc Prev Community Dent. 2020;10(4):431–7.

    Google Scholar 

  27. 27.

    Liu X, Zhou J, Chen L, Yang Y, Tan J. Impact of COVID-19 epidemic on live online dental continuing education. Eur J Dent Educ. 2020;24:786–9.

    Google Scholar 

  28. 28.

    Wang K, Zhang L, Ye L. A nationwide survey of online teaching strategies in dental education in China. J Dent Educ. 2021;85:128–34.

    Google Scholar 

  29. 29.

    John RR, John PR. Impact of lockdown on the attitude of university students in South India-a cross-sectional observational study. J Maxillofac Oral Surg. 2021:1–8.

  30. 30.

    Agius A-M, Gatt G, Vento Zahra E, et al. Self-reported dental student stressors and experiences during the COVID-19 pandemic. J Dent Educ. 2021;85:208–15.

    Google Scholar 

  31. 31.

    Chakraborty T, Subbiah GK, Damade Y. Psychological distress during COVID-19 lockdown among dental students and practitioners in India: a cross-sectional survey. Eur J Dent. 2020;14(1):70–8.

    Google Scholar 

  32. 32.

    Generali L, Iani C, Macaluso GM, Montebugnoli L, Siciliani G, Consolo U. The perceived impact of the COVID-19 pandemic on dental undergraduate students in the Italian region of Emilia-Romagna. Eur J Dent Educ. 2020;00:1–13.

    Google Scholar 

  33. 33.

    Brondani M, Donnelly L. COVID-19 pandemic: students’ perspectives on dental geriatric care and education. J Dent Educ. 2020;84(11):1237–44.

    Google Scholar 

  34. 34.

    Karaaslan F, Dikilitaş A, Aydin EÖ. Comparison of COVID-19 relevant knowledge and attitudes of clinical and preclinical dental students in Turkey. Balkan J Dent Med. 2020;24(3):1–7.

    Google Scholar 

  35. 35.

    Isiekwe IG, Adeyemi TE, Aikins EA, Umeh OD. Perceived impact of the COVID-19 pandemic on orthodontic practice by orthodontists and orthodontic residents in Nigeria. J World Fed Orthod. 2020.

  36. 36.

    Garg D, Kapoor D. Perception of dental students of COMS-TH regarding future of dentistry in Nepal amid COVID-19 pandemic. J Nepal Med Assoc. 2020;58(229):677–80.

    Google Scholar 

  37. 37.

    García DT, Akinkugbe AA, Mosavel M, Smith CS, Brickhouse TH. COVID-19 and dental and dental hygiene students’ career plans. JDR Clin Translat Res. 2021;6(2):153–60.

    Google Scholar 

  38. 38.

    Loch C, Kuan IBJ, Elsalem L, Schwass D, Brunton PA, Jum’ah A. COVID-19 and dental clinical practice: students and clinical staff perceptions of health risks and educational impact. J Dent Educ. 2021;85:44–52.

    Google Scholar 

  39. 39.

    Lingawi H, Afifi I. COVID-19 associated stress among dental students. Open Dent J. 2020;14(1):554–62.

    Google Scholar 

  40. 40.

    Munir Khan A, Nawabi S, Javed MQ, et al. Dental faculty’s knowledge and attitude regarding COVID-19 disease in Qassim, Saudi Arabia; 2020.

    Book  Google Scholar 

  41. 41.

    Hua F, Qin D, Yan J, Zhao T, He H. COVID-19 related experience, knowledge, attitude, and behaviors among 2,669 orthodontists, orthodontic residents, and nurses in China: a cross-sectional survey. Front Med. 2020;7:481.

    Google Scholar 

  42. 42.

    Huntley RE, Ludwig DC, Dillon JK. Early effects of COVID-19 on oral and maxillofacial surgery residency training-results from a national survey. J Oral Maxillofac Surg. 2020;78(8):1257–67.

    Google Scholar 

  43. 43.

    Bellini P, Iani C, Zucchelli G, Franchi M, Mattioli AV, Consolo U. Impact of the COVID-19 pandemic on dental hygiene students in the Italian region of Emilia-Romagna. Minerva Stomatol. 2020.

  44. 44.

    Abdulrazzaq MM, Adnan MM, Abdulhadi Al-Ani ZT. Psychological stress among dental students at al-iraqia university after corona virus pandemic. Ind J Forensic Med Toxicol. 2020;14(3):2397–401.

    Google Scholar 

  45. 45.

    Umeizudike KA, Isiekwe IG, Fadeju AD, Akinboboye BO, Aladenika ET. Nigerian undergraduate dental students’ knowledge, perception, and attitude to COVID-19 and infection control practices. J Dent Educ. 2021;85(2):187–96.

    Google Scholar 

  46. 46.

    Stoopler ET, Tanaka TI, Sollecito TP. Hospital-based dental externship during COVID-19 pandemic: think virtual! Spec Care Dent. 2020;40(4):393–4.

    Google Scholar 

  47. 47.

    Cheng L, Kalvandi M, McKinstry S, et al. Application of DenTeach in remote dentistry teaching and learning during the COVID-19 pandemic: a case study. Front Robot AI. 2021;7:611424.

    Google Scholar 

  48. 48.

    Gurgel BC, Borges SB, Borges RE, Calderon PD. COVID-19: perspectives for the management of dental care and education. J Appl Oral Sci. 2020;28.

  49. 49.

    Al-Taweel FB, Abdulkareem AA, Gul SS, Alshami ML. Evaluation of technology-based learning by dental students during the pandemic outbreak of coronavirus disease 2019. Eur J Dent Educ. 2021;25:183–90.

    Google Scholar 

  50. 50.

    Gaunkar R, Sanjeevan V, Kamath V, Gadiyar A, Kamat AK. Fighting the COVID-19 challenge—public health dentist’s perspective. J Fam Med Prim Care. 2020;9:4502–3.

    Google Scholar 

  51. 51.

    Da Cruz Perez DE, Passos KKM, Machado RA, Martelli-Junior H, Bonan PRF. Continuing education in oral cancer during coronavirus disease 2019 (covid-19) outbreak. Oral Oncol. 2020;105:104713.

    Article  Google Scholar 

  52. 52.

    Yuce M, Adali E, Kanmaz B. An analysis of YouTube videos as educational resources for dental practitioners to prevent the spread of COVID-19. Irish J Med Sci. 2020.

  53. 53.

    Moe J, Brookes C, Dyalram D, Kim R, Melville J, Quereshy F, et al. Resident education in the time of a global pandemic: development of the collaborative OMS virtual interinstitutional didactic (COVID) program. J Oral Maxillofac Surg. 2020.

  54. 54.

    Farooq I, Ali S, Moheet IA, AlHumaid J. COVID-19 outbreak, disruption of dental education, and the role of teledentistry. Pak J Med Sci. 2020;36(7):1726–31.

    Google Scholar 

  55. 55.

    Wicht MJ, Höfer K, Derman SHM, Noack MJ, Barbe AG. Retrospective investigation of organization and examination results of the state examination in restorative dentistry, endodontology and periodontology under simulated conditions in times of Covid-19 compared to standard conditions when treating patients. GMS J Med Educ. 2020;37(7):Doc87.

    Google Scholar 

  56. 56.

    Anwar A, Mansoor H, Faisal D, Khan HS. E-Learning amid the COVID-19 lockdown: standpoint of medical and dental undergraduates. Pak J Med Sci. 2021;37(1):217–22.

    Google Scholar 

  57. 57.

    Chang T-Y, Hong G, Paganelli C, Phantumvanit P, Chang W-J, Shieh Y-S, et al. Innovation of dental education during COVID-19 pandemic. J Dent Sci. 2020.

  58. 58.

    Anjali A, Vidya GD. “Break the chain” to embrace new possibilities in dental education. Ind J Public Health Res Dev. 2020;11(12):11–5.

    Google Scholar 

  59. 59.

    Haroon Z, Azad AA, Sharif M, Aslam A, Arshad K, Rafiq S. COVID-19 Era: challenges and solutions in dental education. J Coll Physicians Surg Pak. 2020;30(10):129–31.

    Google Scholar 

  60. 60.

    Nair RU, Marchini L, Johnsen DC, Xie XJ. Implementation of an online treatment planning exercise focused on vulnerable patient groups. J Dent Educ. 2020.

  61. 61.

    Goodacre CJ, Younan R, Kearbey V, Fitzpatrick M. An educational experiment resulting from COVID-19: the use of at-home waxing and webinars for teaching a 3-week intensive course in tooth morphology to first year dental students. J Prosthodont. 2021;30(3):202–9.

    Google Scholar 

  62. 62.

    Dusane SR, Marure PS, Joshi Y, Kangane SK, Ambekar AS, Khanapure C. COVID 19 impact and exploring new avenue for dental education. MIDSR J Dent Res. 2020;2:2.

    Google Scholar 

  63. 63.

    Haridy R, Abdalla MA, Kaisarly D, Gezawi ME. A cross-sectional multicenter survey on the future of dental education in the era of COVID-19: alternatives and implications. J Dent Educ. 2021;85(4):483–93.

    Google Scholar 

  64. 64.

    Doughty F, Moshkun C. The impact of COVID-19 on dental education and training. Dent Update. 2020;47:527–8.

    Google Scholar 

  65. 65.

    France K, Hangorsky U, Wu CW, Sollecito TP, Stoopler ET. Participation in an existing massive open online course in dentistry during the COVID-19 pandemic. J Dent Educ. 2021;85(1):78–81.

    Google Scholar 

  66. 66.

    Rosa BS, Ferreira MD, Moreira GC, Bastos MF, Pinto RR, Visconti MA, et al. The COVID-19 post-pandemic scenario to oral radiology at dental schools. Oral Radiol. 2020.

  67. 67.

    Quinn Ba, Field J, Gorter R, Akota I, Manzanares M-C, Paganelli C, et al. COVID-19: the immediate response of european academic dental institutions and future implications for dental education. Eur J Dent Educ. 2020.

  68. 68.

    Maltezou HC, Tseroni M, Vorou R, Koutsolioutsou A, Antoniadou M, Tzoutzas I, et al. Preparing dental schools to refunction safely during the COVID-19 pandemic: an infection prevention and control perspective. J Infect Dev Ctries. 2021;15:22–31.

    Google Scholar 

  69. 69.

    Sharaf RF, Kabel N. Awareness and knowledge of undergraduate dental students about the signs and symptoms of Corona viral infection (COVID-19), and the required infection control measures to prevent its spread. Bull Natl Res Cent. 2021;45(1):32.

    Google Scholar 

  70. 70.

    Ammar N, Aly NM, Folayan MO, Khader Y, Mohebbi SZ, Attia S, et al. Perceived preparedness of dental academic institutions to cope with the COVID-19 pandemic: a multi-country survey. Int J Environ Res Public Health. 2021;18(4):1445.

    Google Scholar 

  71. 71.

    Bennardo F, Buffone C, Fortunato L, Giudice A. Are dental students aware of and knowledgeable about covid-19? A questionnaire-based investigation. Open Dent J. 2020;14(1):623–30.

    Google Scholar 

  72. 72.

    Ghaus S, Waheed MA, Khan SZ, Mustafa L, Siddique S, Quershi AW. Effect of COVID-19 pandemic on the levels of empathy among undergraduate dental students in Pakistan. Eur J Dent. 2020;14(1):110–5.

    Google Scholar 

  73. 73.

    Khalaf K, Kishawi ME, Moufti MA, Kawas SA. Introducing a comprehensive high-stake online exam to final-year dental students during the COVID-19 pandemic and evaluation of its effectiveness. Med Educ Online. 2020;25:1.

    Google Scholar 

  74. 74.

    Ellis R, Oeppen RS, Brennan PA. Virtual postgraduate exams and assessments: the challenges of online delivery and optimising performance. Br J Oral Maxillofac Surg. 2021;59(2):233–7.

    Google Scholar 

  75. 75.

    Lee YS. Presidential address: quarantine guidelines to protect examinees from coronavirus disease 2019, clinical skills examination for dental licensing, and computer-based testing for medical, dental, and oriental medicine licensing. J Educ Eval Health Prof. 2021;18.

  76. 76.

    Carlson ER. COVID-19 and educational engagement. J Oral Maxillofac Surg. 2020;78(7):1049–51.

    Google Scholar 

  77. 77.

    Sa Y, Lin WS, Morton D, Huang C. Coronavirus disease 2019 (COVID-19): experiences and protocols from the Department of Prosthodontics at the Wuhan University. J Prosthetic Dent. 2021;126(1):41–50.

    Google Scholar 

  78. 78.

    Khanagar SB, Alfadley A. Psychological impact of the COVID-19 pandemic on dental interns in Riyadh, Saudi Arabia: a cross-sectional survey. Int J Clin Pediatr Dent. 2020;13(5):508.

    Google Scholar 

  79. 79.

    Iyer P, Aziz K, Ojcius DM. Impact of COVID-19 on dental education in the United States. J Dent Educ. 2020;84(6):718–22.

    Google Scholar 

  80. 80.

    Chopra SS, Sahoo NK. Pandemic proofing dental education. Med J Armed Forces India. 2021;77:31–6.

    Google Scholar 

  81. 81.

    Hong G, Chang TY, Terry A, Chuenjitwongsa S, Park YS, Tsoi JK, et al. Guidelines for innovation in dental education during the coronavirus disease 2019 pandemic. J Oral Sci. 2020;20:0399.

    Google Scholar 

  82. 82.

    Norina F. COVID-19 challenges in dental health care and dental schools. Rom J Oral Rehab. 2020;12:6–12.

    Google Scholar 

  83. 83.

    Alkadi L. Dental education in the COVID-19 era: challenges, solutions and oppor-tunities. Open Dent J. 2021;15(1).

  84. 84.

    Panesar K, Dodson T, Lynch J, Bryson-Cahn C, Chew L, Dillon J. Evolution of COVID-19 guidelines for University of Washington oral and maxillofacial surgery patient care. J Oral Maxillofac Surg. 2020;78(7):1136–46.

    Google Scholar 

  85. 85.

    Machado RA, Bonan PR, Perez DE, Martelli H. COVID-19 pandemic and the impact on dental education: discussing current and future perspectives. Br Oral Res. 2020;34.

  86. 86.

    Gambarini G, Di Nardo D, Obino FV, Miccoli G, Patil S, Bhandi S, et al. Academic dental activities and COVID-19 pandemic. J Contemp Dent Pract. 2020;21(6):598.

    Google Scholar 

  87. 87.

    Akinkugbe AA, Garcia DT, Smith CS, Brickhouse TH, Mosavel M. A descriptive pilot study of the immediate impacts of COVID-19 on dental and dental hygiene students’ readiness and wellness. J Dent Educ. 2021;85(3):401–10.

    Google Scholar 

  88. 88.

    Aboalela A, AlShafei A, Almousa MA, Alharbi GK, Alqahtani AS, Bin Shraim NM. Knowledge and awareness of COVID-19 among dental students, interns, clinicians and academics. Int J Med Res Health Sci. 2020:25–31.

  89. 89.

    Oeppen RS, Rutherford E, Sadler P, Isaac R, Brennan PA. Virtual ARCP assessment and trainee feedback meetings: facilitating the best experience and practice. Br J Oral Maxillofac Surg. 2020:1240–4.

  90. 90.

    Ramesh A, Case A, Stockstill L, Dragan I. Applying “think-pair-share” for virtual curriculum retreat. J Dent Educ. 2021.

  91. 91.

    Sarkarat F, Tootoonchian A, Hosseinpour M, Moghadasi M, Rakhshan V. Knowledge of Iranian dentists, dental specialists, and dental students towards COVID-19: a preliminary survey of 778 subjects. Shiraz E-Med J. 2020;21(12).

  92. 92.

    Harini P, Preetha S, Abilasha R, Prathap L. Knowledge and awareness of existing potential treatment approaches for COVID-19 among dental students. Int J Cur Res Rev. 2020;12(19):248.

    Google Scholar 

  93. 93.

    Subaraman M, Keerthi Sasanka L, Gayathri R, Dhanraj Ganapathy. Knowledge and awareness about isolation and incubation of Covid 19 among dental students- a survey. IJRPS. 2020;11(SPL1):1615–21.

    Google Scholar 

  94. 94.

    Shahin SY, Bugshan AS, Almulhim KS, AlSharief MS, Al-Dulaijan YA, Siddiqui I, et al. Knowledge of dentists, dental auxiliaries, and students regarding the COVID-19 pandemic in Saudi Arabia: a cross-sectional survey. BMC Oral Health. 2020;20(1):1–8.

    Google Scholar 

  95. 95.

    Mahalingam NV, Abilasha R, Kavitha S. Awareness of symptomatic differences COVID-19, sars, swine flu, common cold among dental students. Int J Res Pharm Sci. 2020;11(Special Issue 1).

  96. 96.

    Quadri MFA, Jafer MA, Alqahtani AS, Odabi NI, Daghriri AA, Tadakamadla SK. Novel corona virus disease (COVID-19) awareness among the dental interns, dental auxiliaries and dental specialists in Saudi Arabia: a nationwide study. J Infect Public Health. 2020;13(6):856–64.

    Google Scholar 

  97. 97.

    Priya VV, Prathap L, Gayathri R. Awareness on preventive measures in Covid-19 among dental students-a questionnaire survey. Eur J Mol Clin Med. 2020;7(1):2842–8.

    Google Scholar 

  98. 98.

    Sneka S, Gayatri Devi GRR, Priya VV. Knowledge and awareness in maintaining good health practices during infection outbreak among dental students- a survey. Ann Trop Med Public Health. 2020;23:232–340.

    Google Scholar 

  99. 99.

    Aljarbou FA, Bukhary SM, Althemery AU, Alqedairi AS. Clinical dental students’ knowledge regarding proper dental settings for treating patient during COVID-19: a cross-sectional study. Pak J Med Sci. 2021;37(2):503–9.

    Google Scholar 

  100. 100.

    Reshmi B, DhanrajGanapathy. Awareness of diagnostic tests for COVID among dental students. Eur J Mol Clin Med. 2021;8(1):521–30.

    Google Scholar 

  101. 101.

    Viswasini RD, Abilasha R. General awareness about covid-19 and the role of convalescent plasma therapy in the treatment of covid-19 among post graduate dental students-a kap survey. Int J Res Pharm Sci. 2020;11(Special Issue 1).

  102. 102.

    Ram VV, Abilasha R, Preetha S. Improving knowledge and assessing the awareness about COVID-19 testing among dental students-a questionnaire-based survey. Int J Res Pharm Sci. 2020;11(Special Issue 1).

  103. 103.

    Rieshy V, Gayathri R, Devi RG, Priya VV. Awareness on the treatment and vaccines for covid-19 infection among dental students-a survey. Int J Pharm Res. 2020;12.

  104. 104.

    Hall AK, Nousiainen MT, Campisi P, Dagnone JD, Frank JR, Kroeker KI, et al. Training disrupted: practical tips for supporting competency-based medical education during the COVID-19 pandemic. Med Teach. 2020;42(7):756–61.

    Google Scholar 

  105. 105.

    Sukumar S, Dracopoulos SA, Martin FE. Dental education in the time of SARS-CoV-2. Eur J Dent Educ. 2021;25(2):325–31.

    Google Scholar 

  106. 106.

    Madiyal A, Bhat S, Babu GS, Achalli S. Impact of COVID-19 on dental education. J Health Allied Sci. 2021;11(02):057–60.

    Google Scholar 

  107. 107.

    Chowdhry A, Kapoor P, Deepika Bablani Popli P. Strengthening health care research and academics during and after COVID19 pandemic-an Indian perspective. J Oral Biol Craniofac Res. 2020;10(4):343.

    Google Scholar 

  108. 108.

    Silva PG, de Oliveira CA, Borges MM, Moreira DM, Alencar PN, Avelar RL, et al. Distance learning during social seclusion by COVID-19: improving the quality of life of undergraduate dentistry students. Eur J Dent Educ. 2021;25(1):124–34.

    Google Scholar 

  109. 109.

    Desai BK. Clinical implications of the COVID-19 pandemic on dental education. Journal of dental education. 2020;84(5):512.

    Google Scholar 

  110. 110.

    Gadbury-Amyot CC. Challenges facing the profession 2020: dental hygiene education in the era of COVID-19. J Dent Hyg. 2020:4-5.

  111. 111.

    Saeed SG, Bain J, Khoo E, Siqueira WL. COVID-19: finding silver linings for dental education. J Dent Educ. 2020;84(10):1060–3.

    Google Scholar 

  112. 112.

    Yang SC, Wang TT, Giannakopoulos HE, Saghezchi S. The virtual residency fair: a legacy of the COVID-19 Era and an opportunity for the future. J Oral Maxillofac Surg. 2021;79(2):275–6.

    Google Scholar 

  113. 113.

    Majeed MM, Durrani MS, Bashir MB, Ahmed M. COVID-19 and dental education in Pakistan. J Coll Physicians Surg Pak. 2020;30:115–7.

    Google Scholar 

  114. 114.

    Röhle A, Horneff H, Willemer MC. Practical teaching in undergraduate human and dental medical training during the COVID-19 crisis. Report on the COVID-19-related transformation of peer-based teaching in the Skills Lab using an Inverted Classroom Model. GMS J Med Educ. 2021;38(1).

  115. 115.

    Patil D, Singh S, Katge F, Jain R, Bhanushali N, Bhanushali P. Perception of undergraduate dental students toward online lectures during COVID-19 lockdown period. World. 2021;12(1):65.

    Google Scholar 

  116. 116.

    Alzahrani SB, Alrusayes AA, Aldossary MS. Impact of COVID-19 pandemic on dental education, research, and students. Int J Health Sci Res. 2020;10:207–12.

    Google Scholar 

  117. 117.

    France K, Hangorsky U, Wu CW, Sollecito TP, Stoopler ET. The impact of the COVID-19 pandemic on online oral medicine education as viewed through increased engagement in the oral cavity: portal to health and disease. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;131(3):380–2.

    Google Scholar 

  118. 118.

    Shrestha RM, Shrestha S, Acharya A, Gupta A. Online education status at dental colleges during COVID-19 pandemic in Nepal. Kathmandu Univ Med J. 2020;18(2):15–20.

    Google Scholar 

  119. 119.

    George ML. Effective teaching and examination strategies for undergraduate learning during COVID-19 school restrictions. J Educ Technol Syst. 2020;49(1):23–48.

    Google Scholar 

  120. 120.

    Jiang Z, Wu H, Cheng H, Wang W, Xie A, Fitzgerald SR. Twelve tips for teaching medical students online under COVID-19. Med Educ Online. 2021;26:1.

    Google Scholar 

  121. 121.

    Irizarry BL. Becoming a dentist from home: online dental education during the Covid-19 pandemic. Dent Hypotheses. 2020;11(4):126.

    Google Scholar 

  122. 122.

    Bennardo F, Buffone C, Fortunato L, Giudice A. COVID-19 is a challenge for dental education—a commentary. Eur J Dent Educ. 2020;24(4):822–4.

    Google Scholar 

  123. 123.

    Rad FA, Otaki F, Baqain Z, Zary N, Al-Halabi M. Rapid transition to distance learning due to COVID-19: Perceptions of postgraduate dental learners and instructors. Plos one. 2021;16(2):e0246584.

    Google Scholar 

  124. 124.

    Martin K, Archer N, Johnston L. Redeployment of dental trainees: challenges and opportunities during the COVID-19 pandemic. Faculty Dent J. 2020;11(4):190–5.

    Google Scholar 

  125. 125.

    Pontual ML, do Nascimento EH, da Cruz Perez DE, Pontual AA, Ramos-Perez FM. Challenges in oral radiology teaching during COVID-19 pandemic. Dentomaxillofac Radiol. 2020;49(5):20200178.

    Google Scholar 

  126. 126.

    Artese F. Covid 19 pandemic unveiling the opportunities and challenges in orthodontic training. Dent Press J Orthod. 2020;25(3):7–8.

    Google Scholar 

  127. 127.

    Amir LR, Tanti I, Maharani DA, Wimardhani YS, Julia V, Sulijaya B, et al. Student perspective of classroom and distance learning during COVID-19 pandemic in the undergraduate dental study program Universitas Indonesia. BMC Med Educ. 2020;20(1):1–8.

    Google Scholar 

  128. 128.

    Patel M, Menhadji P, Mayor S. Covid-19 pandemic and challenges of dentistry: redeployment of dental core trainees in the United Kingdom due to coronavirus disease 2019. Eur J Dent. 2020;14(Suppl 1):44.

    Google Scholar 

  129. 129.

    Santhakumar P, Prathap L. Awareness on preventive measures taken by health care professionals attending COVID-19 patients among dental students. Eur J Dent. 2020;14(S 01):105–9.

    Google Scholar 

  130. 130.

    Prati C, Pelliccioni GA, Sambri V, Chersoni S, Gandolfi MG. COVID-19: its impact on dental schools in Italy, clinical problems in endodontic therapy and general considerations. Int Endodontic J. 2020;53(5):723.

    Google Scholar 

  131. 131.

    Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481–7.

    Google Scholar 

  132. 132.

    Al Kawas S, Al-Rawi N, Talaat W, Hamdoon Z, Salman B, Al Bayatti S, et al. Post COVID-19 lockdown: measures and practices for dental institutes. BMC Oral Health. 2020;20(1):1–7.

    Google Scholar 

  133. 133.

    Barabari P, Moharamzadeh K. Novel coronavirus (COVID-19) and dentistry–A comprehensive review of literature. Dent J. 2020;8(2):53.

    Google Scholar 

  134. 134.

    Goldstein LB, Trombly R, McLeod D, Goldstein JM, Lymberopoulos G. Dental education in the time of COVID-19 and beyond. Compend Contin Educ Dent. 2021;42(1):47–8.

    Google Scholar 

  135. 135.

    Wu DT, Wu KY, Nguyen TT, Tran SD. The impact of COVID-19 on dental education in North America—Where do we go next? Eur J Dent Educ. 2020;24(4):825–7.

    Google Scholar 

  136. 136.

    Goldstein LB, Trombly R, McLeod D, Goldstein JM, Lymberopoulos G. Dental education in the time of COVID-19 and beyond. Compendium Continuing Educ Dent. 2021;42(1):47–8.

    Google Scholar 

  137. 137.

    Gaş S, Ekşi Özsoy H, Cesur Aydın K. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. CRANIO®. 2021;6:1–6.

    Google Scholar 

  138. 138.

    Alawia R, Riad A, Kateeb E. Knowledge and attitudes among dental students about COVID-19 and its precautionary measures: a cross-sectional study. J Oral Med Oral Surg. 2021;27(1):17.

    Google Scholar 

  139. 139.

    Brar B, Bayoumy M, Salama A, Henry A, Chigurupati R. A survey assessing the early effects of COVID-19 pandemic on oral and maxillofacial surgery training programs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;131(1):27–42.

    Google Scholar 

  140. 140.

    Ciavoi G, Farcasiu C, Bechir ES, Dina MN, Farcasiu TA, Tarlungeanu DI, et al. The impact of the COVID-19 pandemic on the educational process of Dental Medicine Department students in Oradea University during the lockdown period. Acta Marisiensis-Seria Med. 2021;67(1).

  141. 141.

    Ataş O, Yildirim TT. Evaluation of knowledge, attitudes, and clinical education of dental students about COVID-19 pandemic. PeerJ. 2020;8:e9575.

    Google Scholar 

  142. 142.

    Walker K, Baker C, Hooper C, Mckenna C, Knepil GJ. Dental core trainees on the intensive care unit-a novel training opportunity? Br J Oral Maxillofac Surg. 2021;59(2):249–50.

    Google Scholar 

  143. 143.

    Özdede M, Sahin S. Views and anxiety levels of Turkish dental students during the COVID-19 pandemic. J Stomatol. 2020;73(3):123–8.

    Google Scholar 

  144. 144.

    Gaballah K. The emotional impact of the coronavirus disease 2019 (COVID-19) pandemic on the dental students during the lockdown time. J Int Dent Med Res. 2021;14(2).

  145. 145.

    Esmaeelinejad M, Mirmohammadkhani M, Naghipour A, Hasanian S, Khorasanian S. Knowledge and attitudes of Iranian dental students regarding infection control during the COVID-19 pandemic. Br Oral Res. 2020;34.

  146. 146.

    Ammar N, Aly NM, Folayan MO, Mohebbi SZ, Attia S, Howaldt HP, et al. Knowledge of dental academics about the COVID-19 pandemic: a multi-country online survey. BMC Med Educ. 2020;20(1):1–2.

    Google Scholar 

  147. 147.

    Vikraman KS, Kavitha S. Knowledge about the effects of medicinal plants against COVID-19 among dental students-A questionnaire study. Int J Curr Res Rev. 2020;12(19 Special Issue).

  148. 148.

    Mustafa RM, Alrabadi NN, Alshali RZ, Khader YS, Ahmad DM. Knowledge, attitude, behavior, and stress related to COVID-19 among undergraduate health care students in Jordan. Eur J Dent. 2020;14(1):50–5.

    Google Scholar 

  149. 149.

    Ghai S. Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID-19? J Dent Educ. 2020:631–3.

  150. 150.

    Naveed D, Thailavathy D, Sabapathy D. Awareness of COVID-19 among dental students in Chennai, India-A questionnaire based study. Eur J Mol Clin Med. 2020;7(4):1620–5.

    Google Scholar 

  151. 151.

    Al Jasser R, Al Sarhan M, Al Otaibi D, Al Oraini S. Awareness toward COVID-19 precautions among different levels of dental students in king saud university, riyadh, Saudi Arabia. J Multidiscip Healthc. 2020;13:1317.

  152. 152.

    Kallivayalil JG, Abilasha R, Kavitha S. Knowledge and awareness of COVID-19 symptoms among dental students-a questionnaire based survey. Int J Res Pharm Sci. 2020;11(Special Issue 1).

  153. 153.

    Holden AC, Shaban AR, Spallek H. COVID-19 and the dental profession: professional tensions and ethical quandaries. A COVID-19 Sydney policy paper in depth. Sydney (Australia): University of Sydney; 2020.–and-the-dental-profession. Accessed 17 Jun 2020

    Google Scholar 

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Conceptualization: MRK. Study design: MRK. Data collection: FF, FzF. Supervision: MRK, SZM. Writing manuscript: MRK, FF. Literature review: F.F. Preparation of tables and supplementary material: FF, FzF. Critical review: MRK, SZM. All authors have read and approved the manuscript.

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Correspondence to Mohammad Reza Khami.

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Supplementary Information

Additional file 1.

Summary of chosen articles about the impact of COVID 19 on dental education. Information (Article title, country, year, design of study, aim of study, number of participants, data collection duration, conclusion) of 135 articles which are about the impact of COVID-19 on dental education.

Additional file 2: Table S2.

Changes and concerns imposed by COVID-19 pandemic on Dental education (Results from 135 Articles). Articles that discuss about changes and concerns imposed by COVID-19 pandemic on Dental education. Table S3. Opportunities, solutions and Knowledge after facing challenges caused by COVID-19 on Dental education (Results from 135 Articles). Articles that discuss about opportunities, solutions and Knowledge after facing challenges caused by COVID-19 on Dental education

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Farrokhi, F., Mohebbi, S.Z., Farrokhi, F. et al. Impact of COVID-19 on dental education- a scoping review. BMC Med Educ 21, 587 (2021).

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  • COVID-19
  • Corona virus
  • Dentistry
  • Dental education
  • Scoping review