Oral healthcare during the COVID-19 pandemic

Lucaciu, Ondine; Tarczali, Dorottya; Petrescu, Nausica Bianca

doi:10.1016/j.jds.2020.04.012

Cited by 35 publications

(59 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Oral hygiene and preventive practices have always been very important, but now, in the current condition, they are more critical than ever. Higher levels of oral hygiene could decrease the need for a person to attend a dental clinic for urgent matters; and at the same time, could significantly help the person to remove the virus from the body in the early contamination phase in day to day life [46] and also to reduce the bacterial load in the mouth and the risk of bacterial superinfection especially in patients who are prone to altered biofilms due to diabetes, high blood pressure or cardiovascular disease [47]. The COVID-19 pandemic has led to the closure of dental offices around the world.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 transmission risk and protective protocols in dentistry: a systematic review

et al. 2020

View full text Add to dashboard Cite

Background Among several potential transmission sources in the spreading of the COVID-19, dental services have received a high volume of attention. Several reports, papers, guidelines, and suggestions have been released on how this infection could be transmitted through dental services and what should be done. This study aimed to review the guidelines in order to develop a practical feasibility protocol for the re-opening of dental clinics and the reorientation of dental services. Methods This study systematically reviewed the published literature and the guidelines of international health care institutions on dentistry and COVID-19. We searched Pubmed, Web of Science, and SCOPUS electronic databases using MESH terms. The recommendations identified were tested with a convenience sample of experienced practitioners, and a practical step-by-step protocol is presented in this paper. Results To the date this paper was drafted, 38 articles were found, of which 9 satisfied our inclusion criteria. As all the nine studies were proposed in a general consensus, any elective non-emergency dental care for patients with suspected or known COVID-19 should be postponed for at least 2 weeks during the COVID-19 pandemic. Only urgent treatment of dental diseases can be performed during the COVID-19 outbreak taking into consideration pharmacological management as the first line and contagion-reduced minimally invasive emergency treatment as the secondary and final management. Conclusions While the currently available evidence has not demonstrated a clear and direct relationship between dental treatment or surgery and the possibility of the transmission of COVID-19, there is clearly the potential for transmission. Therefore, following the protective protocols in the COVID-19 crisis is of utmost importance in a dental setting.

show abstract

Section: Discussionmentioning

confidence: 99%

COVID-19 transmission risk and protective protocols in dentistry: a systematic review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In those circumstances, the dental offices were officially closed, only few selected dental care centers throughout each county remained open for emergencies. The emergency dental treatments could be given only with the appropriate protective equipment [ 7 ], because dentistry staff are the branch most exposed to COVID-19 from the entire medical field [ 8 , 9 ], given the fact that many dentistry procedures involve production of aerosols and COVID-19’s main path of transmission is through saliva droplets [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Dental Emergency Services in Cluj-Napoca Metropolitan Area: A Cross-Sectional Study

Petrescu

Aghiorghiesei

Mesaroş

et al. 2020

IJERPH

View full text Add to dashboard Cite

This study aimed to assess dental care needs in Cluj region during the State of Emergency, declared due to the COVID-19 pandemic, compared to the same period of the year 2019. A descriptive retrospective analysis was conducted, which retrieved patients seeking emergency dental services at the Emergency Department of County General Hospital and “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, the only dental service available in April 2020. Recorded data cover the month of April 2020 and is compared with the same period of 2019. During April 2020, 724 patients received dental care, whereas only 160 patients were treated in April 2019 in the same facility. The number of patients with acute apical periodontitis, abscess, and acute pulpitis was significantly higher in 2020. The percentage of patients receiving sedative filling for the treatment of acute pulpitis in 2020 was significantly higher than in 2019, while the proportion of patients receiving pulpectomy was higher in 2019. The percentage of patients receiving endodontic drainage for the treatment of acute periapical periodontitis in 2020 was higher. This study demonstrates that the COVID-19 pandemic impacted the use of medical care services and could further impact the oral health and quality of life of patients.

show abstract

“…A large number of studies have shown that sodium hypochlorite at 0.1%-0.5%, 62-71% ethanol, and 2% glutaraldehyde are able to disinfect surfaces by decreasing virus load. [24][25][26]33 Direct contact with disinfectants, such as alcohol and hypochlorite, may cause skin reactions, such as peeling, cracking, stinging, bleeding, and dermatitis; therefore, the use of protection is recommended for surface disinfection. 31 In addition, it is important to follow adequate waste management after dental consultation, categorizing the different types of waste into the corresponding packaging, providing better management by the staff responsible for waste disposal.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, X-ray equipment, lights, and the dental chair must be disinfected according to the manufacturer's instructions. 24 Surfaces such as door handles, chairs, desks, elevators, and bathrooms, among others, must be frequently cleaned and disinfected. Disinfectants such as 0.1-0.5% sodium hypochlorite, 62-71% ethanol, or 2% glutaraldehyde can be used for surface decontamination, as well as 62% ethanol or 2% glutaraldehyde in freshly prepared solutions and adequate concentrations.…”

Section: Instrumental and Clinical Materialsmentioning

confidence: 99%

Biosafety Measures at the Dental Office After the Appearance of COVID-19: A Systematic Review

Cabrera-Tasayco

Rivera-Carhuavilca

Atoche-Socola

et al. 2020

Disaster med. public health prep.

View full text Add to dashboard Cite

The purpose of this research was to determine biosecurity measures at the dental office after the appearance of COVID-19. A search was conducted in the main databases of the scientific literature using the words “COVID-19, coronavirus, SARS-Cov2, biosecurity, disinfection and dentistry”. We analyzed biosecurity and disinfection standards at the dental office and dental health personnel to date, and their adaptation to the needs and way of working of each. As a result, according to the information collected the following procedure was identified: a telephone appointment must be made and a questionnaire should be given before dental care; at arrival to the appointment, the temperature of the patient should be taken and proper cleaning and disinfection of the waiting room should be maintained. Panoramic radiography and CBCT are the auxiliary methods of choice. Absolute isolation and atraumatic restorative therapy techniques are a good alternative to decrease fluid exposure. The removal of protective clothing and accessories must follow a specific order and washing hands before and after is essential. In conclusions the efficient biosecurity for dentists and patients in all dental care processes before, during and immediately after the appointment reduces the risk of COVID-19 infection and allows healthy dental care environments.

show abstract

Oral healthcare during the COVID-19 pandemic

Cited by 35 publications

References 2 publications

COVID-19 transmission risk and protective protocols in dentistry: a systematic review

COVID-19 transmission risk and protective protocols in dentistry: a systematic review

Impact of COVID-19 on Dental Emergency Services in Cluj-Napoca Metropolitan Area: A Cross-Sectional Study

Biosafety Measures at the Dental Office After the Appearance of COVID-19: A Systematic Review

Contact Info

Product

Resources

About