Dentistry during the COVID-19 Epidemic: An Italian Workflow for the Management of Dental Practice

Peditto, Matteo; Scapellato, Simone; Marcianó, Antonia; Costa, Paola Frassinetti Torres Ferreira da; Oteri, Giacomo

doi:10.3390/ijerph17093325

Cited by 71 publications

(125 citation statements)

References 33 publications

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“…Prosthetic, periodontal and all other planned procedures are recommended to be postponed until the end of the acute phase of the epidemic [ 56 ]. Until then, only emergency patients should be admitted.…”

Section: Resultsmentioning

confidence: 99%

“…It is recommended that prosthetic procedure be postponed until the end of the acute phase of the epidemic [ 56 ]. If it is necessary to restore missing teeth with permanent dentures, in patients with congenital hemorrhagic diathesis, supragingival crowns should be considered [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…Postpone all planned procedures, including prosthetic and periodontal procedures, until the end of the acute phase of the epidemic [ 56 ]…”

Section: Tablementioning

confidence: 99%

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Practical Recommendations for Treatment of Dental Patients with Congenital Bleeding Disorders during the Covid-19 Pandemic: A Narrative Review

Czajkowska

Rupa‐Matysek

Gil

et al. 2020

IJERPH

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At the end of 2019, a new disease—COVID-19—was identified, and a few months later, the World Health Organization announced a pandemic. It is now known that SARS-CoV-2 is highly contagious and most confirmed infections are mild to moderate. The situation is particularly difficult for dentists due to the high risk of virus transmission in the dental surgery. Complications including, but not limited to, problems with the respiratory and cardiovascular systems have been reported in patients with SARS-CoV-2. Several changes in the coagulation system, such as lower platelet numbers or increased prothrombin time, as well as increased D-dimer and fibrinogen, were observed. This review is intended to systematize the knowledge on the treatment of patients with congenital bleeding disorders (CBD) during the SARS-CoV-2 pandemic. Extensive literature research was conducted into COVID-19 and the general medical and dental treatment of patients with CBD. Case studies, research results and recommendations of international societies were used in the study. The results of this research are presented in the form of recommendations for the treatment of patients with coagulopathies. It should be remembered that the impact of COVID-19 on the health condition of patients with CBD is unknown to date.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Practical Recommendations for Treatment of Dental Patients with Congenital Bleeding Disorders during the Covid-19 Pandemic: A Narrative Review

Czajkowska

Rupa‐Matysek

Gil

et al. 2020

IJERPH

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“…Segundo a ADA, os serviços de emergência odontológica são sangramentos não controlados, celulite ou infecções bacterianas com comprometimento da via aérea, e traumatismo envolvendo os ossos da face, e os serviços de urgência compreendem dor dentária grave por inflamação pulpar, pericoronarite, osteíte pósoperatória cirúrgica, alveolite pós-operatória, abscessos ou infecção bacteriana localizada, fratura de dente, trauma dentário com avulsão ou luxação, cimentação final da coroa ou ponte se a restauração temporária for perdida, quebrada ou causando irritação na gengiva, biópsia de tecido anormal e tratamento dentário antes de procedimentos médicos críticos 15 .…”

Section: Resultados O Impacto Da Covid-19 Na Cavidade Bucalunclassified

Clínica Radiológica em tempos de pandemia: impacto e condutas na prática odontológica

Salzedas¹,

Delamura²,

Barroti³

et al. 2020

Arch Health Invest

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Introdução: O novo coronavírus é responsável pela síndrome respiratória aguda grave, causando óbito, em 5 meses de pandemia, de 646 mil indivíduos mundialmente. As principais formas de transmissão identificadas são gotículas de saliva expelidas ao falar e tossir ou pelo contato em uma superfície com secreções salivares, com característica agressiva de contágio e potencial letalidade. Objetivo: Relatar as práticas do serviço radiológico em tempos de pandemia e evidenciar práticas seguras de biossegurança para o Cirurgião-Dentista. Métodos: Para elaboração deste trabalho foram selecionados 13 artigos utilizando a base de dados do Pubmed. Foram utilizados como descritores “Coronavirus Infections”, “Betacoronavirus”, “Dentistry”, “Radiology” e “Containment of Biohazards. Os critérios de inclusão foram artigos publicados em inglês, espanhol e português com os resumos disponíveis, do ano de 2020. Resultados: Os Cirurgiões-Dentistas estão entre os profissionais que mais sofrem risco de contaminação, uma vez que estão expostos a riscos biológicos e contato direto com a saliva, sendo necessário, neste cenário crítico de pandemia do coronavírus, adotar medidas mais eficazes de prevenção e controle de infecção a fim de evitar ou reduzir ao máximo a transmissão deste vírus. Na Radiologia Odontológica, a baixa incidência de aerossóis não exclui a possibilidade de contaminação pelo contato com fluido salivar nas tomadas radiográficas intrabucais, preconizando radiografias extrabucais. Conclusão: A presente revisão de literatura é baseada em relevantes diretrizes e pesquisas, introduzindo conhecimentos essenciais sobre o coronavírus, condutas a serem adotadas em ambiente odontológico e fornece protocolos de orientações recomendadas para dentistas e estudantes.Descritores: Infecções por Coronavirus; Betacoronavirus; Odontologia; Radiologia; Contenção de Riscos Biológicos.ReferênciasOrganização Mundial da Saúde (OMS). Coronavirus disease (COVID-19) pandemic. 2020. Disponível: https://www.who.int/emergencies/diseases/novel-coronavirus-2019Zhu HD, Zeng CH, Lu J, Teng GJ. COVID-19: What should interventional radiologists know and what can they do? J Vasc Interv Radiol. 2020; 31(6):876-81.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.Conselho Federal de Odontologia (CFO). Manual de Boas Práticas em Biossegurança para Ambientes Odontológicos. 2020. Disponível em: http://website.cfo.org.br/wp-content/uploads/2020/04/cfo-lanc%CC%A7a-Manual-de-Boas-Pra%CC%81ticas-em-Biosseguranc%CC%A7a-para-Ambientes-Odontologicos.pdfSalzedas LMP, Oliva AH, Coclete GEG, Coclete GA. Protocolo de biossegurança e gerenciamento de resíduos no ensino de radiologia odontológica da Faculdade de Odontologia de Araçatuba-UNESP. Arch Healt Invest. 2014;3(6):20-27.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(1):9.Fini MB. What dentists need to know about COVID-19. Oral Oncol. 2020;105:104741.Société Française de Stomatologie, Chirurgie Maxillo-Faciale et Chirurgie Orale (SFSCMFCO). Praticiens de la cavité orale. Recommandations professionnelles. Risques infectieux par le COVID-19. Faire front pour faire face. J Stomatol Oral Maxillofac Surg. 2020;121(2):e3-6.Han P, Ivanovski S. Saliva – friend and foe in the COVID-19 outbreak. Diagnostics (Basel). 2020;10:290.Dziedzic A, Wojtyczka R. The impact of coronavírus infectious disease 19 (COVID-19) on oral health. Oral Dis. 2020;101111Wu R, Wang L, Kuo HCD, Shannar A, Peter P, Chuo PJ, Li S, Hudlikar, Liu X, Liu Z, Poiani, Amorosa L, Brunetti L, Kong AN. An update on current therapeutic drugs treating COVID-19. Curr Pharmacol Rep. 2020;11:1-15.Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, Tamin A, Harcourt JL, Thornburg NJ, Gerber SI, Lloyd-Smith JO, Wit E, Munster VJ. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-67.American Dental Association (ADA). What Constitutes a Dental Emergency? 2020. Disponível: https://success.ada.org/~/media/CPS/Files/Open%20Files/ADA_COVID19_Dental_Emergency_DDS.pdf?_ga=2.253879752.110187285.1584496315-1622146531.1565271894Center for Disease Control and Prevention (CDC). Interim Infection Prevention and Control for Patients with Suspected or Confirmed Coronavirus disease 2019 (COVID-19) in Healthcare Settings. 2020. Disponível em: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.htmlPeditto M, Scapellato S, Marcianò A, Costa P, Oteri G. Dentistry during the COVID-19 epidemic: an italian workflow for the management of dental practice. Int J Environ Res Public Health. 2020;17(9):3325.Tuñas ITC, Silva ET, Santiago SBS, Maia KD, Silva-Júnior GO. Doença pelo Coronavírus 2019 (COVID-19): Uma abordagem preventiva para Odontologia. Rev Bras Odontol. 2020;77(1):1-6.Salzedas LMP, Oliva AH, Oliveira LQC, Simas MCO, Coclete GA. Biossegurança na clínica de radiologia odontológica. Arch Health Invest. 2014;3(6):6-13.Escola de Educação Permanente do Hospital das Clínicas da USP (HC). COVID-19: dicas e cuidados para enfrentar a pandemia. 2020. Disponível em: https://jornal.usp.br/wp-content/uploads/2020/05/e-book-covid-19.pdfSaki M, Haseli S, Iranpour P. Oral radiology center as a potential source of COVID-19 transmission; Points to consider. Acad Radiol. 2020;27(7):1047-48.Yu J, Ding N, Liu XJ, He WJ, Dai WC, Zhou ZG et al. Infection control against COVID-19 in departments of radiology. Acad Radiol. 2020;27(5):614-17.

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“…Given the mode of transmission of COVID-19, dental healthcare professionals including dentists, dental assistants and dental hygienists are at high risk of exposure among all healthcare personnel [ 4 , 5 ]. In this regard, studies from multiple groups around the globe have reported on critical infection control measures [ 5 , 6 , 7 ] and guidelines for modifications to dental clinic workflows that were implemented during the pandemic [ 8 , 9 ]. Reports have also described the impact of COVID-19 on the practice of dental specialties, including oral medicine [ 10 ] oral and maxillofacial surgery [ 11 , 12 , 13 ], orthodontics [ 14 ] and endodontics [ 4 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Managing the Oral Health of Cancer Patients During the COVID-19 Pandemic: Perspective of a Dental Clinic in a Cancer Center

Manuballa

Abdelmaseh

Tasgaonkar

et al. 2020

JCM

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The practice of dentistry has been dramatically altered by the coronavirus disease 2019 (COVID-19) pandemic. Given the close person-to-person contact involved in delivering dental care and treatment procedures that produce aerosols, dental healthcare professionals including dentists, dental assistants and dental hygienists are at high risk of exposure. As a dental clinic in a comprehensive cancer center, we have continued to safely provide medically necessary and urgent/emergent dental care to ensure that patients can adhere to their planned cancer treatment. This was accomplished through timely adaptation of clinical workflows and implementation of practice modification measures in compliance with state, national and federal guidelines to ensure that risk of transmission remained low and the health of both immunocompromised cancer patients and clinical staff remained protected. In this narrative review, we share our experience and measures that were implemented in our clinic to ensure that the oral health needs of cancer patients were met in a timely manner and in a safe environment. Given that the pandemic is still on-going, the impact of our modified oral healthcare delivery model in cancer patients warrants continued monitoring and assessment.

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Dentistry during the COVID-19 Epidemic: An Italian Workflow for the Management of Dental Practice

Abstract: The COVID-19 outbreak has raised concerns about infection control all over the world.

Cited by 71 publications

References 33 publications

Practical Recommendations for Treatment of Dental Patients with Congenital Bleeding Disorders during the Covid-19 Pandemic: A Narrative Review

Practical Recommendations for Treatment of Dental Patients with Congenital Bleeding Disorders during the Covid-19 Pandemic: A Narrative Review

Clínica Radiológica em tempos de pandemia: impacto e condutas na prática odontológica

Managing the Oral Health of Cancer Patients During the COVID-19 Pandemic: Perspective of a Dental Clinic in a Cancer Center

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