Control of SARS-CoV-2 transmission in orthodontic practice

Guo, Yongwen; Yan, Jing; Wang, Yunshi; To, Aileen; Du, Shufang; Wang, Liuzheng; Bai, Ding

doi:10.1016/j.ajodo.2020.05.006

Cited by 22 publications

(43 citation statements)

References 38 publications

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“… Local sample survey 3 9 Eliades et al, 16 2020 To list the sources of aerosol production during an orthodontic standard procedure, analyze the constituent components of aerosol and their dependency on modes of grinding, the presence of water and type of bur, and suggest a method to minimize the quantity and detrimental characteristics of the particles comprising the solid matter of aerosol. Minimization Review of reported data 5 10 Guo et al, 17 2020 To update the preventive strategies for control of SARS-CoV-2 transmission to protect both staff and patients during the orthodontic practice. Narrative review 5 11 Turkistani K., 18 AJODO, 2020 To report to orthodontists on the emergence, epidemiology, risks, and precautions during the disease crisis.…”

Section: Resultsmentioning

confidence: 99%

“… Studies providing guidelines and recommendations for orthodontic set-up and practice Studies mentioning appropriate appliance selection for an orthodontic practice. Isiekwe IG et al, 14 2020 Cotrin et al, 15 2020 Xiong Xi et al, 19 2020 Shenoi et al, 21 2020 Martina et al, 23 2020 Suri et al, 8 2020 Park et al, 9 2020 M. Srirengalakshmi et al, 10 2020 M. Srirengalakshmi et al, 11 2020 Perillo et al, 13 2020 Eliades et al, 16 2020 Guo et al, 17 2020 Turkistani K., 18 AJODO, 2020 Turkistani K., 20 2020 Garcia-Camba et al, 22 2020 Bennardo et al, 24 2020 M. Srirengalakshmi et al, 11 2020 Marya A., 12 2020 Perillo et al, 13 2020 Eliades et al, 16 2020 …”

Section: Resultsmentioning

confidence: 99%

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Appropriate orthodontic appliances during the COVID-19 pandemic: A scoping review

Kaur

Kochhar

Gupta³

et al. 2020

Journal of Oral Biology and Craniofacial Research

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Introduction The esoteric Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) infection or COVID-19 has been an unusual plummet in dental/orthodontic practice. Based on current recommendations for various amendments in an orthodontic practice, this scoping review aims to identify orthodontic appliances that are most appropriate to us during this on-going pandemic. Methods Electronic databases (PubMed, Scopus, Web of Science, Science Direct, and Google Scholar) were searched up until August 11, 2020. Full-text articles in English with keywords “COVID-19 and Orthodontics” and related search terms were included. Results Out of 17 retracted articles, only 4 articles were found to be brief the choice for orthodontic appliances in pandemic times speculating clear aligner therapy (CAT) to be a pragmatic solution. The remaining articles were also thoroughly studied and the new norms set by the pandemic were determined. Criteria for orthodontic appliance selection included careful patient screening and collection of records, minimal physical visits, efficient use of technology, virtual consultations but the use of PPE for physical appointments; and lesser AGPs with a lesser risk of airborne transmission. Conclusions Subject to regional demands, CAT can be considered as the relatively safer modality-predictable and effective apposite to fixed orthodontic appliances in these unprecedented times.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Appropriate orthodontic appliances during the COVID-19 pandemic: A scoping review

Kaur

Kochhar

Gupta³

et al. 2020

Journal of Oral Biology and Craniofacial Research

View full text Add to dashboard Cite

show abstract

“…The patients should be instructed to spit gently into a disposable cup. Use saliva ejectors with low or high volume to eject the gargle immediately to reduce the generation of droplets [40].…”

Section: Pre-procedural Mouthrinsesmentioning

confidence: 99%

“…For patients with high throat sensitivity, the reflector should not be placed too deep in the mouth, which may otherwise cause irritation, nausea, and vomiting, leading to the generation of droplets [41]. Photographers should strictly implement the principle of "one patient, one use, and one disinfection" for auxiliary equipment such as retractors and reflectors [40].…”

Section: Photographingmentioning

confidence: 99%

“…Patients should also be instructed to inhale through the nose and exhale out the mouth. After solidification and taking out of the impression, wash the saliva or blood on the surface gently with slow running water to prevent splashing and then disinfect the impressions [40]. Alginate and silicone rubber impressions should be disinfected by immersing in 1000 mg/L chlorine-containing disinfectants for 15-30 minutes before they are cast or sent to the factories [43,44].…”

Section: Dental Impression Takingmentioning

confidence: 99%

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COVID-19 pandemic: What changes for orthodontists? A review of approaches to infection control

Yemitan¹,

Odunsi²,

Victor-Osho³

et al. 2021

Int. J. Sci. Res. Arch.

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This narrative review provides a comprehensive summary of the implications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and coronavirus disease 2019 (COVID-19) on orthodontic treatment and a review of treatment protocols recommended for control of spread of this infection, using currently available data and literature. Relevant sources of information were searched using electronic databases including PubMed and Google Scholar and current reports from major health bodies such as Centers of Disease Control and Prevention, World Health Organization, Nigeria Centre for Disease Control, and major national orthodontic associations. The SARS-CoV-2 virus may be transmitted through direct or indirect contact with infected people through infected secretions such as saliva and respiratory secretions or through their respiratory droplets. Aerosol generating procedures often carried out in the orthodontic clinic can become a source of its spread as well as cross-infection. The asymptomatic patients and patients in their incubation period are also carriers of SARS-CoV-2 and can be infectious. Elective orthodontic treatment should be delayed until there has been sufficient reduction in COVID-19 transmission rates from community transmission to cluster cases or according to official recommendations at national, sub-national or local level while urgent or emergency interventions that are vital for preserving a person's oral functioning, managing severe pain or securing quality of life should be provided. Treatment advice should be delivered remotely first when possible, and where necessary, in-person treatment can be performed in a well-prepared operatory following the necessary precautions and infection prevention and control (IPAC) protocol.

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Challenges, limitations, and solutions for orthodontists during the coronavirus pandemic: A review

Malekshoar

Javanshir

2021

American Journal of Orthodontics and Dentofacial Orthopedics

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Objectives Orthodontic patients around the world had to miss appointments during the early months of the COVID-19 pandemic. A significant problem with this virus is its high transmission power. Asymptomatic patients can transmit the virus. This aim of this review is to examine orthodontic emergency situations and the necessary strategies and measures for emergency and non-emergency during the coronavirus pandemic. Methods The following databases were comprehensively searched: PubMed, MEDLINE, Scopus, and Google Scholar. Up-to-date data released by major health organizations such as WHO and major orthodontic associations involved in the pandemic were also evaluated. Results Few studies are conducted on how to manage orthodontic offices or clinics during the pandemic and mostly are not of high quality. Appropriate communication is the most important issue in managing orthodontic patients, particularly virtual counseling. Many cases of orthodontic emergencies can be managed in this way by patients themselves. Most studies recommend using the FFP2 masks, equivalent to N95 masks for non-COVID-19 cases undergoing aerosol-generating procedures and all suspected or confirmed COVID-19 cases in orthodontic visits. Conclusions At this time, there are no definitive clinical protocols supported by robust evidence for orthodontic practice during COVID-19 pandemic. Orthodontists should not rush to return to routine orthodontic work and should follow state guidelines. Non-emergency orthodontic visits should be suspended during the SARS-CoV-2 pandemic in high-risk areas. Resuming orthodontic procedures during the pandemic requires paying special attention to screening, performing maximum efforts to reduce aerosol, appropriate PPE, proper ventilation, and full adherence to sterilization and disinfection principles.

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Control of SARS-CoV-2 transmission in orthodontic practice

Cited by 22 publications

References 38 publications

Appropriate orthodontic appliances during the COVID-19 pandemic: A scoping review

Appropriate orthodontic appliances during the COVID-19 pandemic: A scoping review

COVID-19 pandemic: What changes for orthodontists? A review of approaches to infection control

Challenges, limitations, and solutions for orthodontists during the coronavirus pandemic: A review

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