COVID-19 in dental practice – An overview of challenges and preventive measures
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Abstract
COVID-19 was identified to be caused by a new coronavirus named as SARS-CoV-2. Since the outbreak of this disease, World Health Organization (WHO) declared a global public health emergency. SARS-CoV-2 has a high estimate rate of human-to-human transmission mainly through inhalation/ingestion/direct mucous contact with respiratory droplets. Considering this high transmission capacity, several countries have already registered cases of infection by health professionals. Even though dentists are not directly involved in the diagnosis and therapy of COVID-19 they represent undoubtedly a risk group due to high exposure and their work environment is a contagion factor for patients and staff. In this manner, the objective of this article is to approach important aspects of COVID-19 concerning dental care and provides an overview of its challenges on dental practice. For this, we used these following keywords in our research: COVID-19; dental general practice; prevention and control; infectious disease transmission; infectious disease transmission, patient to professional. Taking into account the global concern with patient care in midst of this pandemic, we address valid concerns regarding the potential means of contamination in the dental office and highlight practices and guidelines adopted in different countries to minimize risks in dental care in this global public health crisis, thus, reinforcing the challenges of dentistry in this context, highlighting the importance of rigorous preventive measures. However, there is still a lack of standardization of dental care protocols and consequently, reduce the risk of contagion.
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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. https://doi.org/10.1177/0022034520914246
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020:102433. https://doi.org/10.1016/j.jaut.2020.102433
Yu F, Du L, Ojcius DM, Pan C, Jiang S. Measures for diagnosing and treating infections by a novel coronavirus responsible for a pneumonia outbreak originating in Wuhan, China. Microbes Infect. 2020;22(4):74-9. https://doi.org/10.1016/j.micinf.2020.01.003
World Health Organization (WHO). Coronavirus disease 2019 (COVID-19): situation report – 167. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200705-covid-19-sitrep-167.pdf?sfvrsn=17e7e3df_4
Pan X, Ojcius DM, Gao T, Li Z, Pan C, Pan C. Lessons learned from the 2019-nCoV epidemic on prevention of future infectious diseases. Microbes Infect. 2020;22(2):86-91. https://doi.org/10.1016/j.micinf.2020.02.004
Sun P, Lu X, Xu C, Sun W, Pan B. Understanding of COVID‐19 based on current evidence. J Med Virol. 2020;92(6):548-51. https://doi.org/10.1002/jmv.25722
Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9(1):29. https://doi.org/10.1186/s40249-020-00646-x
Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Invest. 2020;24(4):1619-21. https://doi.org/10.1007/s00784-020-03248-x
Qu G, Li X, Hu L, Jiang G. An Imperative Need for Research on the Role of Environmental Factors in Transmission of Novel Coronavirus (COVID-19). Environ Sci Technol. 2020;54(7):3730-2. https://doi.org/10.1021/acs.est.0c01102
Carreras‐Presas CM, Sánchez JA, López‐Sánchez AF, Jané‐Salas E, Pérez MLS. Oral vesiculobullous lesions associated with SARS‐CoV‐2 infection. Oral Dis. 2020. https://doi.org/10.1111/odi.13382
Recalcati S. Cutaneous manifestations in COVID-19: a first perspective. J Eur Acad Dermatol Venereol. 2020;34(5):e212-3. https://doi.org/10.1111/jdv.16387
Gamio L. The Workers Who Face the Greatest Coronavirus Risk. Available from: https://www.nytimes.com/interactive/2020/03/15/business/economy/coronavirus-worker-risk.html
Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12:9. https://doi.org/10.1038/s41368-020-0075-9
Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020;579:(7798):265-9. https://doi.org/10.1038/s41586-020-2008-3
Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579:270-3. https://doi.org/10.1038/s41586-020-2012-7
Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Mil Med Res. 2020;7(1):11. https://doi.org/10.1186/s40779-020-00240-0
Chen Y, Guo Y, Pan Y, Zhao ZJ. Structure analysis of the receptor binding of 2019-nCoV. Biochem Biophys Res Commun. 2020;525:135-40. https://doi.org/10.1016/j.bbrc.2020.02.071
Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020;12:8. https://doi.org/10.1038/s41368-020-0074-x
Lai CC, Liu YH, Wang CY, Wang YH, Hsueh SC, Yen MY, et al. Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): Facts and myths. J Microbiol Immunol Infect. 2020;53(3):404-12. https://doi.org/10.1016/j.jmii.2020.02.012
Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020;104(3):246-51. https://doi.org/10.1016/j.jhin.2020.01.022
Singhal T. A Review of Coronavirus Disease-2019 (COVID-19). Indian J Pediatr. 2020;87(4):281-6. https://doi.org/10.1007/s12098-020-03263-6
The Lancet. COVID-19: protecting health-care workers. Lancet. 2020;395:922. https://doi.org/10.1016/S0140-6736(20)30644-9
Ong SWX, Tan YK, Chia PY, Lee TH, Ng OT, Wong MSY, et al. Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient. JAMA. 2020;323(16):1610-12. https://doi.org/10.1001/jama.2020.3227
Liu L, Wei Q, Alvarez X, Wang H, Du Y, Zhu H, et al. Epithelial Cells Lining Salivary Gland Ducts Are Early Target Cells of Severe Acute Respiratory Syndrome Coronavirus Infection in the Upper Respiratory Tracts of Rhesus Macaques. J Virol. 2011;85(8):4025-30. https://doi.org/10.1128/JVI.02292-10
Xu J, Li Y, Gan F, Du Y, Yao Y. Salivary glands: potential reservoirs for COVID-19 asymptomatic infection. J Dent Res. 2020;99(8):989. https://doi.org/10.1177/0022034520918518
Izzetti R, Nisi M, Gabriele M, Graziani F. COVID-19 Transmission in dental practice: brief review of preventive measures in Italy. J Dent Res. 2020;99(9):1030-8. https://doi.org/10.1177/0022034520920580
World Health Organization (WHO). Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages. Available from: https://apps.who.int/iris/bitstream/handle/10665/331695/WHO-2019-nCov-IPC_PPE_use-2020.3-eng.pdf
Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM. Guidelines for Infection Control in Dental Health-Care Settings - 2003. MMWR Recomm Rep. 2003;52(RR-17):1-61.
American Dental Association. ADA Interim Guidance for Minimizing Risk of COVID-19 transmission. Available from: https://www.ada.org/~/media/CPS/Files/COVID/ADA_COVID_Int_Guidance_Treat_Pts.pdf
Silva AM, Silva Jr. DN, Lima KC. Orientações aos cirurgiões-dentistas para o atendimento odontológico no enfrentamento à COVID-19. Available from: https://ufrn.br/imprensa/noticias/35005/departamento-de-odontologia-orienta-profissionais-sobre-cuidados-durante-pandemia
Sociedade Brasileira de Periodontologia (SOBRAPE). Guia odontológico para atendimento durante a pandemia COVID-19. Available from: https://www.dfl.com.br/especiais/wp-content/uploads/2020/04/guia_atendimento_pandemia.pdf
Società Italiana di Parodontologia e Implantologia (SIP). Covid-2019 norme per l’attivita’ odontoiatrica. Available from: https://www.sidp.it/media/taxtbu3.pdf
Itália. Ministero della Salute. Cinque regole da rispettare dal dentist. Available from: http://www.salute.gov.it/portale/nuovocoronavirus/dettaglioNotizieNuovoCoronavirus.jsp?lingua=italiano&menu=notizie&p=dalministero&id=4231
Odontoiatria33. Decalogo AIO su come affrontare il COVID-19 negli studi odontoiatrici. Available from: http://www.odontoiatria33.it/approfondimenti/19086/decalogo-aio-su-come-affrontare-il-covid-19-negli-studi-odontoiatrici.html
Brasil. Conselho Federal de Odontologia (CFO). Nota técnica GVIMS/GGTES/ANVISA nº 04/2020. Orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo corona vírus (SARS-CoV-2). Available from: http://website.cfo.org.br/wp-content/uploads/2020/04/Nota-Tecnica-Anvisa-CFO-contra-covid-19.pdf
Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. J Endod. 2020;46(5):584-95. https://doi.org/10.1016/j.joen.2020.03.008
American Dental Association (ADA). What Constitutes a Dental Emergency Available from: https://success.ada.org/~/media/CPS/Files/Open%20Files/ADA_COVID19_Dental_Emergency_DDS.pdf
American Dental Association (ADA). ADA Interim Guidance for Management of Emergency and Urgent Dental Care. Available from: https://www.ada.org/~/media/CPS/Files/COVID/ADA_Int_Guidance_Mgmt_Emerg-Urg_Dental_COVID19
Odeh ND, Babkair H, Abu-Hammad S, Borzangy S, Abu-Hammad A, Abu-Hammad O. COVID-19: Present and Future Challenges for Dental Practice. Int J Environ Res Public Health. 2020;17(9):3151. https://doi.org/10.3390/ijerph17093151