Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Vieira‐Meyer, Anya Pimentel Gomes Fernandes; Coutinho, Maíra Barbosa; Santos, Helena Paula Guerra dos; Saintrain, Maria Vieira de Lima; Candeiro, George Táccio de Miranda

doi:10.1017/dmp.2020.342

Cited by 15 publications

(18 citation statements)

References 23 publications

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“…One of the limitations of the present study was that no distinction was made between professionals from public and private clinics. There are likely differences inherent in the practices of each sector, including operating costs and access to PPE (Vieira-Meyer et al, 2020). Another limitation concerns gender, in response to which future studies should include proportional responses from women and men.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil

et al. 2021

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Dentists are healthcare professionals who are at high risk of infection and transmission of the coronavirus disease-19 (COVID-19). The primary objective of the present study was to evaluate the changes in clinical practice made by Brazilian dentists during the COVID-19 pandemic. From June 22 to July 13, 2020, an online questionnaire was sent to dentists using Google Forms. After providing consent, 1,178 dentists answered questions regarding their knowledge and clinical experiences related to COVID-19. Data were analyzed using Chi-square, Fisher’s exact, or Kruskal–Wallis tests, with a significance level of 5%. Brazilian dentists significantly changed their routine dental practices. Biosafety measures were added in their offices by 98% of the dentists, increasing operating costs for 88.3% of dentists. Greater discomfort due to the increase in personal protection equipment (PPE) worn during the pandemic was reported by 58.6%. Furthermore, 84.2% reduced heir hours of service. It was found that the dentists decreased their workload, used additional PPE, and took additional biosafety measures.

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Section: Discussionmentioning

confidence: 99%

“…Also, rubber dam isolation and high power suction should be used during procedures. Thorough cleaning and disinfection of public contact areas, including door handles, chairs, and bathrooms, should also be carried out (Ahmed et al, 2020; Khader et al, 2020; Vieira-Meyer et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil

et al. 2021

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“…Studies addressing training support or knowledge exchange between practitioner, professional regulators, and public health institutions mainly observed that communication and coordination needed improvement ( De Stafani et al 2020 ; Mustafa et al 2020 ; Sarfaraz et al 2020 ; Tysiąc-Miśta 2020 ; Vieira-Meyer et al 2020 ).…”

Section: Resultsmentioning

confidence: 99%

Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

McNally

Rock

Gillis³

et al. 2021

JDR Clinical & Translational Research

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Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

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“…Entretanto, na pesquisa realizada, nenhum dos voluntários que teve a doença confirmada tinha algum tipo de doença sistêmica crônica e/ou apresentou a forma grave da doença -a SARG. Os principais sinais e sintomas relatados pelos participantes são compatíveis com os apresentados na literatura 17,18,19,24 .…”

Section: Discussionunclassified

“…No que diz respeito às fontes de informação, é necessário ressaltar a importância da procedência das informações às quais os cirurgiões-dentistas se submetem 16,18 . Na literatura é possível perceber um direcionamento da maioria dos profissionais para a busca de informações nos sites de órgãos oficiais, entretanto existe também um considerável número de participantes que tem como procedência dados a partir das redes sociais 16,17,28 , as quais não se constituem em fontes consideradas confiáveis.…”

Section: Discussionunclassified

Conhecimento E Mudanças Nas Condutas Clínicas Dos Cirurgiões-Dentistas Da Esf De Maceió Frente À Pandemia De Covid-19

et al. 2021

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O processo de adequação dos cirurgiões-dentistas em relação às medidas de biossegurança e controle da infecção frente à pandemia de COVID-19 é relevante, visto que a equipe de saúde bucal tem na região orofacial sua área de atuação. A Estratégia de Saúde da Família (ESF) exerce um papel central em tais emergências sanitárias. Sendo assim, o objetivo do estudo é identificar o nível de conhecimento, as mudanças ocorridas nas condutas clínicas e no comportamento dos cirurgiões-dentistas da ESF de Maceió em relação ao atendimento odontológico durante a pandemia de COVID-19. Trata-se de um estudo descritivo, de corte transversal e abordagem qualitativa, cujos dados são provenientes da aplicação de um questionário a 20 cirurgiões-dentistas das equipes de saúde bucal vinculadas a ESF. Vinte e cinco por cento (25%) dos voluntários da pesquisa testaram positivo para a doença. Uma mudança considerável pós-pandemia foi a adoção dos protetores faciais nas rotinas profissionais dos cirurgiões-dentistas – 95% passaram a usá-los. Aproximadamente, 68,42% passaram a atender apenas urgência/emergências. A clorexidina 0,12 - 2% foi o colutório pré-procedimento mais utilizado (68,42%) pelos cirurgiões-dentistas como método de diminuição da carga viral. Setenta e cinco por cento (75%) dos profissionais enfrentaram problemas na obtenção de equipamentos de proteção individual. A maioria (55%) fez uma autoavaliação considerando seu conhecimento suficiente, mas apenas 40% concluiu um curso a respeito do tema, o que demonstra que existe uma necessidade de capacitação e treinamento dos profissionais na perspectiva da Educação Permanente em Saúde por parte da gestão municipal.

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Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Cited by 15 publications

References 23 publications

Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil

Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil

Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

Conhecimento E Mudanças Nas Condutas Clínicas Dos Cirurgiões-Dentistas Da Esf De Maceió Frente À Pandemia De Covid-19

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