Digital prosthetic workflow during COVID‐19 pandemic to limit infection risk in dental practice

Papi, Piero; Murro, Bianca Di; Penna, Diego; Pompa, Giorgio

doi:10.1111/odi.13442

Cited by 34 publications

(46 citation statements)

References 20 publications

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“…The inhalation of droplets and aerosol from SARS-CoV-2-positive subjects and even direct contact with mucous membranes, oral fluids, and contaminated instruments and surfaces could enhance virus transmission during dental procedures [5,6]. The implementation of fully digital workflows could be useful in order to limit cross-infection [7]. Moreover, this natural pandemic is also responsible for the onset of feelings that may impact the willingness of people to undergo dental appointments [8].…”

Section: Introductionmentioning

confidence: 99%

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Aquilanti

Santarelli

Mascitti

et al. 2020

IJERPH

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A high level of unmet oral health needs is very common among elderly people. In a society that is getting older and that has been hit so hard by the coronavirus pandemic, the development of new strategies aimed at enhancing general and oral health status should be crucial in order to promote healthy aging. The aim of this systematic review is to assess the feasibility of Teledentistry in communities or in a domiciliary setting where elderly people live. A structured and systematic research was performed on the major electronic databases for studies published in English until 30 June 2020: the PubMed, Cochrane Library, Web of Science, Scopus, and CINAHL databases. A total of 13 articles were identified through database searching using combinations of keywords. Out of 13 papers, eight abstracts were reviewed to assess if they were coherent with the aim of the study, and full texts were retrieved. After abstract reviews, seven articles were selected for closer inspection. Of these, six were assessed for eligibility. Four papers were aimed at assessing patients and health practitioners experiences about Teledentistry, three studies reported a cost analysis and cost description of Teledentistry in residential aged care facilities, and two studies investigated the feasibility and accuracy of Teledentistry for diagnosis dental pathology. The implementation of Teledentistry in residential aged care facilities and in home-assistance programs could be a viable tool for the management of oral care in people who cannot access dental care.

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Section: Introductionmentioning

confidence: 99%

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Aquilanti

Santarelli

Mascitti

et al. 2020

IJERPH

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“…Papi et al have compared digital workflow with conventional workflow and concluded that digital method reduces human contact at multiple steps thereby decreasing risk of transmission of virus, saves time and improves efficacy. 58 …”

Section: Observations and Discussionmentioning

confidence: 99%

Comprehensive review of guidelines to practice prosthodontic and implant procedures during COVID-19 pandemic

Pruthi

Parkash

et al. 2020

Journal of Oral Biology and Craniofacial Research

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Objectives To present a comprehensive review of current literature available on Corona virus disease and dentistry, modifications required in dental and laboratory settings; and recommended disinfection protocols in current scenario. Special emphasis has been given to discuss guidelines for handling different prosthodontic procedures and implications of this pandemic on prosthodontic practice, education and research. Materials and methods Relevant literature pertaining to COVID-19 and dentistry was scrutinized on electronic search engines including PubMed, EMBASE and Cochrane. Guidelines given by various organizations, institutions, national and international regulatory bodies and Indian Prosthodontic Society were also consulted to gather information pertaining to the objectives of our review. Results and observations: A total of 160 articles including cross-sectional studies, in vitro study, narrative reviews, letters to the editor and opinions were found to be relevant in accordance with our search strategy. Documented literature revealed that Covid-19 pandemic has culminated in serious clinical, financial and psychological implications in the field of dentistry. Certain steps such as adoption of teledentistry, judicious use of protective equipment, use of rubber dams, pre-procedural rinses have been suggested unanimously. However, there is a dearth of evidence-based recommendations in literature. Data regarding consequences of delaying prosthodontic procedures and patients’ perspectives is also sparse. Conclusion The COVID-19 necessitates the need to adopt a balanced approach while treating patients and safeguarding the dental professionals at the same time. Risk-benefit ratio has to be assessed along with stringent following of guidelines and disinfection protocols to combat this unprecedented situation.

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“…Tele consultation, tele-diagnosis, tele-triage, and tele-monitoring are subunits of tele-dentistry and must be included in the curriculum; students trained to practice these options and practiced across the different levels and disciplines [ 47 , 48 ]. Another limitation that was not discussed but needs to be emphasized is how a digital workflow using computer-aided design/computer-aided manufacturing (CAD/ CAM) technology may be used during this COVID 19 period to limit infection risk for prosthetic and prosthodontic treatments [ 49 ]. This aspect will form part of other research related to digital workflow specifically, thus it was excluded.…”

Section: Discussionmentioning

confidence: 99%

“…The role of a digital workflow (partial or complete) and its utilization during a pandemic to prevent cross infections [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other limitations noted for this review, is the focus on the basic general dental procedures and not those highlighting differences within the dental disciplines, such as orthodontics, paediatric dentistry or geriatric clinics [39][40][41][42]. With the new information published during the COVID 19 pandemic, researchers were also addressing alternatives to basic operations in practice and related to the teachings at institutions [47][48][49]. These include available alternatives such as tele-dentistry instead of face-to-face consultations which should also have been emphasized, though it is currently not feasible due to the large numbers of underprivileged patients seen at the practice setting and country where this review was completed.…”

Section: Limitationsmentioning

confidence: 99%

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COVID-19 and its impact in the dental setting: A scoping review

et al. 2020

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Introduction The scoping review examined the evidence related to infection control and transmission measures of the SARS-CoV-2 virus in a dental setting during this pandemic. Dental practitioners are normally guided in practice by set ethical principles, thus the researchers wanted to determine how these rules are managed during this pandemic. Methods A protocol specific for the objectives of this study was developed according to the criteria for a scoping review. Relevant databases (Pubmed, Scopus, Elsevier, Science Direct, Wiley), including online access to health/ dental organizations (World Health Organization/ American Dental Association), were searched to identify evidence which was restricted to the English language for the period 2015–2020. Predetermined eligibility criteria were applied, evidence was assessed and data extracted for each included article. Relevant outcomes assessed were: infection control measures, transmission of the SARS-CoV-2 virus, such as modes and sources of transmission and the ethical principles related to the dental setting with a focus on the COVID-19 pandemic. Results Searches yielded a total of 402 articles: 387 from electronic databases and 15 from other sources. Of these, 231 were unrelated to the objectives of the current scoping review. The full text of 69 studies was assessed for eligibility, of which 26 were finalized for inclusion following the objectives and inclusion criteria set for the scoping review. Most of the included articles were reviews, recommendations and guidelines for dentists. A narrative explanation of the pre-specified outcomes is reported for the 3 areas covered for this review. There is no clinical evidence available that can support the recommendations by individuals, dental organizations or health authorities related to the objectives of this review, but these may be considered as the much needed guidelines during the unprecedented COVID-19 pandemic. A different ethical framework is required during a pandemic and these must be informed by evidence.

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Digital prosthetic workflow during COVID‐19 pandemic to limit infection risk in dental practice

Cited by 34 publications

References 20 publications

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Comprehensive review of guidelines to practice prosthodontic and implant procedures during COVID-19 pandemic

COVID-19 and its impact in the dental setting: A scoping review

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