Atendimento odontológico em tempos de COVID-19: compartilhando boas práticas protetivas e de biossegurança

Abstract

INTRODUCTION: During the COVID-19 pandemic, dentists were classified as a high-risk professional category for SARS-Cov2 infection and transmission, due to the proximity of the patient's face as well as the frequent performance of aerosol-generating procedures. Transmission of this pathogen during dental procedures can occur by inhaling aerosols/droplets from infected individuals or by direct contact with mucous membranes, oral fluids or contaminated instruments and surfaces. Aware of the risks inherent to the exercise of this profession and facing the world scenario, several recommendations have been suggested for dental surgeons and dental students in patient care. Although biosafety is already part of the dentist's routine, the pandemic context presupposes the need to revisit the guiding principles of this practice and to know the particularities imposed by a hitherto unknown virus. OBJECTIVE: This work aims to propose and discuss measures to deal with the spread of SARS-Cov2 in the dental environment, emphasizing the necessary care for the protection of professionals and patients, in the context of Dentistry in Brazil. METHODS: To this end, a compilation of measures and recommendations was made based on the main technical documents published in recent months by the health authorities. RESULTS: The main recommendations include patient screening, social distance, adjustments to personal protective equipment (PPE) and the use of appropriate disinfection products and techniques. CONCLUSION: This work presented, in an objective and practical way, essential measures for dental work during the COVID-19 pandemic, highlighting the probable permanence of these actions and the importance of adopting rigid, adequate and feasible measures.

Atendimento odontológico em tempos de COVID-19: avaliação da taxa de infecção e impacto econômico entre dentistas do estado do Paraná, Brasil.

“…No entanto, a análise dos dados mostrou que apenas 49 (17,2%) dos dentistas paranaenses entrevistados foram infectados antes de serem vacinados, enquanto a grande maioria 183 (64,2%) não contraiu COVID-19. Esses resultados podem estar relacionados à série de medidas protetivas implementadas nesse período; essenciais para barrar a disseminação do vírus (13).…”

EXPRESSÃO DOS RECEPTORES DE SARS-CoV-2 EM GLÂNDULAS SALIVARES E SUA REPERCUSSÃO NA PRÁTICA ODONTOLÓGICA

“…Para a limpeza do piso recomenda-se hipoclorito de sódio a 1%. As áreas externas (portão, corrimão e cadeiras da recepção) podem ser higienizadas com pulverizador contendo solução a 0,3% de ácido peracético (diluição 3 mL de ácido peracético 15% em 1litro de água) (MORAES et al, 2020).…”

Lesiones cutáneas asociadas con el uso de respiradores N95 en profesionales de la salud de Brasil durante 2020

“…Dental surgeons were classified as a high-risk category for COVID-19 infection. Their physical proximity to the patient’s face, direct contact with mucous membranes and oral fluids, and frequent procedures that generate aerosols during their service to patients while wearing an N95 respirator favor the appearance of skin lesions ( 28 ) .…”