Aerosol phobia and SARS-CoV-2 spread amongst dentists: Hype vs reality!

Abstract

The definite mechanism of SARS-CoV-2 transmission remains unclear, but it is certain that basically it is through aerosols produced by coughing or other sources. Besides, these aerosolized droplets can remain suspended in an area, even after the person responsible for the transmission has left and thus may result in the surface contamination and infection of the health-care professionals. Most of the dentists worldwide are anxious and have chief concerns about aerosols. Aerosols containing the virus can be a risk. So far, no clear evidence in the literature exists that aerosols containing the virus have affected people and of course, no proof to reject that, either. Most of the dentists have profound fear and anxiety of getting infected while working during the current viral outbreak that has usually been due to the overwhelming reports on the COVID-19 pandemic. Most dental professionals get exposed to infections, and older generations have lived through various health scares in the past, including HIV and SARS. Indeed, there is so much we still don't know about COVID-19, but we can't live with this fear for eternity; we have to find a way to live with this pandemic. Since the aerosols increase during and after the dental procedures, therefore, the Dental offices should adhere to CDC and OSHA guidelines to reduce the risk of transmission of infections. In consideration of the current situation, it will be a wise decision to decrease patient contact, restrict the generation of aerosols and use the best PPE.

Covid-19 pandemic and pediatric dentistry: Limitations from a student\\\'s viewpoint

“…A critical test for a practicing dental specialist and an educator is to stay informed concerning changes in dentistry and now should think about how to progress from active proceeding with instruction classes or hands-on continuing education to virtual sessions. 1,2,4 The more up-to-date technique for attending to patients virtually prompted a different perspective of discovering the way in this pandemic. The clinicians currently taking up teledentistry and virtual patient management more effectively.…”

Dilemmas and Opportunities in Dentistry in the Face of the Covid-19 Pandemic

“…The novel Coronavirus-2 (SARS-CoV-2) primarily spreads by direct or indirect contact with the infected patients' respiratory secretions. 1,2 During the pandemic, dental facilities worldwide remain closed to all but urgent and emergency procedures due to an upsurge in infections. Dental care providers experienced difficulties because of their closeness to infected patients.…”

“…4 harbouring the virus can be a risk. 2 So far, no convincing evidence in the literature exists that SARS-COV-2 virus-laden droplets have affected patients and of course, no data to reject that, either. 2 Aerosol-generating procedures on suspected or confirmed COVID-19 patients are categorised as "very high-risk" by the Occupational Safety and Health Administration.…”

“…2 So far, no convincing evidence in the literature exists that SARS-COV-2 virus-laden droplets have affected patients and of course, no data to reject that, either. 2 Aerosol-generating procedures on suspected or confirmed COVID-19 patients are categorised as "very high-risk" by the Occupational Safety and Health Administration. Also, infection transmission from asymptomatic individuals is a grave concern for dental staff in safeguarding themselves from the supplies of Personal protective equipment (PPE), aerosols generating procedures and equipment add to the danger.…”

“…1 Utilisation of minimally invasive therapies as well as atraumatic restorative techniques, such as selective carious tissue excavation, sealants, resin infiltration, Silver Diamine Fluoride (SDF) application, Hall technique and decreased aerosolgenerating procedures (AGP), reduces the risk of viral cross-infection, favouring a safer clinical environment. 2,14 SDF (Silver Diamine Fluoride) is a colourless solution with a pH of 10. To minimise droplet and aerosol production, the carious tooth surface is dried with cotton instead of compressed air, and then SDF is applied using a micro brush or a tiny applicator tip without the need for complicated instruments and dental equipment.…”