COVID-19 and oral lesions, short communication and review

Egido-Moreno, Sonia; Valls-Roca-Umbert, Joan; Jané‐Salas, Enric; López‐López, José; Estrugo‐Devesa, Albert

doi:10.4317/jced.57981

Cited by 20 publications

(21 citation statements)

References 29 publications

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“…Furthermore, there has been confirmation of transmission via persons who have been asymptomatic or pre-symptomatic [3]. Moreover, dentists have reported oral signs of COVID-19 disease both before and following diagnosis, in which this virus can cause cutaneous and mucosal lesions as secondary manifestations such as aphthous-like lesions or erosions [4]. Other reported oral symptoms have included xerostomia, halitosis, parotitis, and sialadenitis [5].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practices of Dentists in Caribbean Countries during the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

et al. 2021

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Background: The COVID-19 pandemic has affected dentists globally, both financially and mentally. This study aimed to determine the knowledge, attitude, and practices of dentists in Caribbean countries during the COVID-19 pandemic. Methods: A non-probability sample was obtained from dentists in more than ten different Caribbean countries. They were invited to complete a self-reported questionnaire, which was conducted from December 2020 to March 2021. Ethics approval was sought and an exemption was received from the UWI ethics committee. Results: One hundred and fifty-two dentists responded. More than one-third (38.8%) were in the >35–45 age group, and 58.6% were females. Most (84.9%) were general dentists and 75% were stressed by the COVID-19 situation with 80.9% being affected financially. The majority, 94.7%, believed that the highest risk of transmission of COVID-19 was via aerosol-generating procedures and 87.5% were worried about contracting it clinically. The majority (69.1%) were willing to receive the vaccine, the main reason reported for vaccine hesitancy was due to the possible side effects (35.3%). Most (75%) consumed alcohol. When the locus of control was determined, 54.6% felt they were in control of protecting themselves while 52% felt that external factors controlled their lives. Conclusions: The findings suggest that most dentists in the Caribbean were knowledgeable about COVID-19 and followed current guidelines in their practice and were willing to receive the vaccine.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practices of Dentists in Caribbean Countries during the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

et al. 2021

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“…Numerous oral lesions have been reported in patients with COVID-19 (3)(4)(5)(6)(7)(8). These manifestations include a wide and varied range, from the inflammation of the papillae of Wharton's duct to plaques on the tongue; however, the exact relationship between many of these lesions and pathologic processes of the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is still a subject of investigation (9).…”

Section: Introductionmentioning

confidence: 99%

Oral Manifestations of COVID-19: Updated Systematic Review With Meta-Analysis

et al. 2021

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There is increasing evidence for oral lesions and manifestations of COVID-19. The aim of this meta-analysis was to investigate the types of oral manifestations of COVID-19 and their prevalence. PubMed/Medline, Scopus, Web of Science, and Google Scholar databases were used to search for publications on oral manifestations in patients with PCR-confirmed COVID-19. A total of 310 records were selected, and 74 were included. Oral lesions in COVID-19 were classified according to their etiologies, including iatrogenic lesions caused by intubation and opportunistic infections. Of the included studies, 35 reported oral lesions probably caused by severe acute respiratory syndrome-Coronavirus-2 (SARS-CoV-2) infection. Meta-analysis of prevalence data on oral manifestations and aphthous lesions indicated high heterogeneity, while meta-analysis of xerostomia prevalence data revealed a pooled prevalence, with considerable heterogeneity. In conclusion, the meta-analysis yielded high heterogeneity between studies: oral lesions yielded a prevalence of 0.33 (95% CI 0.11–0.60), xerostomia lesions a prevalence of 0.44 (95% CI 0.36–0.52) and aphthous lesions 0.10 (95% CI 0.01–0.24). In addition, a gap in the evidence regarding the prevalence of oral lesions in COVID-19 was identified and the need for further observational studies focusing on this issue and on the causal relationships between oral lesions and COVID-19 was highlighted.

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“…Enfatizamos que en nuestro estudio se hizo un examen clínico en un momento determinado de la estadía hospitalaria de los enfermos y además se revisó las historias clínicas para valorar antecedentes que estuvieran descritos en estas en el momento preciso del ingreso de los enfermos o en los días previo a nues- tro examen, sin encontrar registros de lesiones .Una de las manifestaciones orales más prevalentes en pacientes COVID-19 publicada son las alteraciones gustativas presentes en promedio de 45 % de los enfermos (Amorim Dos Santos et al), pero en este estudio no se pudo evaluar por las características de ellos, centrándonos en las alteraciones objetivas que pudimos observar. Si se analizan los hallazgos presentes en estos enfermos con COVID-19 sintomáticos confirmados con PCR TR y se contrastan con aquello que los especialistas han tratado de documentar podemos discutir que si bien las lesiones ulcerativas son comunes en enfermos con COVID-19 (Iranmanesh et al, 2021;Egido-Moreno et al, 2021), no se vio que tuvieran un patrón determinado ni específico, creemos que pueden tener explicaciones variables y en general pudieran no ser efecto directo del patógeno (SARS -CoV-2), su ubicación coincide con áreas de mayor presión o roce de dispositivos que mantienen con vida a estos enfermos o en cercanía de dientes en regular estado que podrían ocasionar traumatismos sobre la lengua o labios, que son las áreas más afectadas por ulceraciones en este grupo de personas, considerando que durante los episodios de Pronación o en VMI toda la musculatura está relajada farmacológicamente, eso justifica porque la lengua se vea agrandada, edematosa e hipo reactiva, más vulnerable nos parece a traumatismos, por otra parte los enfermos en decúbito supino suelen estar con la boca abierta por la sedación profunda, sin deglutir, a lo que se suma un gran resecamiento oral (Figs. 7 y 8) por evaporación o por deshidratación, en algunos casos producto de su estado de salud grave (fiebre) o como efecto de medicamentos que pueden causar hipo salivación, dado que la sequedad oral se aprecia en 54,9 % de los enfermos en VMI, de Biadsee et al (2020), describe un alto porcentaje de sequedad de la cavida oral, a pesar de que en su estudio no son enfermos hospitalizados.…”

Section: Discussionunclassified

Estado de Salud Oral de una Muestra de Enfermos con COVID 19 del Hospital Dr. Sótero del Río, Santiago de Chile

Palacios-Inostroza

Squella-Jara²,

Dowling-Schilling³

2021

Int. J. Odontostomat.

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RESUMEN:Con el objetivo de conocer la presencia de manifestaciones clínicas específicas de COVID-19 en la cavidad oral y describir el estado de salud oral de los enfermos se realizó un examen de la cavidad oral básico a 99 personas con COVID-19 internados en la Unidad de Paciente Crítico (UPC) y en otras dependencias del Hospital Dr. Sótero del Río en Santiago de Chile, durante julio 2020. Del total de enfermos 51 estaban en estado crítico con ventilación mecánica invasiva (VMI), edad promedio 55 años y 48 se encontraban sin VMI, con 66 años en promedio, la mayoría era de sexo masculino, con 25,5 % de mujeres con VMI y 37 % entre los sin VMI, la Hipertensión arterial fue la co-morbilidad sistémica más frecuente entre los enfermos seguida por Diabetes mellitus y Obesidad tanto entre los en VMI como sin ella. Respecto a salud oral se observó un predominio de lesiones ulcerativas y erosivas en 57 % de las personas en VMI, el número de estas y su patrón clínico sin embargo pareció inespecífico, también destacó la alta frecuencia de sequedad de la cavidad oral, alcanzando un 54 % en los enfermos en estado crítico y un 34 % en los de menor gravedad, llamó la atención la palidez presente en las mucosas y el aspecto clínico de la lengua. La presencia de Inflamación periodontal se pudo evidenciar clínicamente, pero no fue posible determinar el nivel de inserción, ni evaluar con radiografías a los enfermos, siendo solo un dato aproximado. Los dientes se encontraban en general en regular estado concordante a lo que se observa en grupos poblacionales similares en Chile. No se pudo determinar la presencia de lesiones específicas de COVID-19 en este grupo estudiado.

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COVID-19 and oral lesions, short communication and review

Cited by 20 publications

References 29 publications

Knowledge, Attitude, and Practices of Dentists in Caribbean Countries during the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

Knowledge, Attitude, and Practices of Dentists in Caribbean Countries during the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

Oral Manifestations of COVID-19: Updated Systematic Review With Meta-Analysis

Estado de Salud Oral de una Muestra de Enfermos con COVID 19 del Hospital Dr. Sótero del Río, Santiago de Chile

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