Guidelines for dental care provision during the COVID-19 pandemic

Alharbi, Ali H.; Alharbi, Saad; Alqaidi, Shahad

doi:10.1016/j.sdentj.2020.04.001

Cited by 246 publications

(347 citation statements)

References 19 publications

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“…To date, no universal guideline regarding dental management during the COVID-19 epidemic is available. While some National Health Institutions, like NHS, started providing guidance and advices for the management of clinical urgencies during the pandemic, the lack of clear standards severely affected the dental care services [48]. The assessment of the patient risk level through analysis of dental chief complaint, history of COVID-19 exposure, and systemic conditions is the first necessary step to safely manage patients during the epidemic.…”

Section: Discussionmentioning

confidence: 99%

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

Peditto

Scapellato

Marcianó

et al. 2020

IJERPH

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Section: Discussionmentioning

confidence: 99%

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

Peditto

Scapellato

Marcianó

et al. 2020

IJERPH

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“…Infection control is a theme that was discussed extensively in the literature and remains the main theme of many of the Covid-19 articles on dentistry 25,26,27,30,31,34 . Telephone triage using questionnaire to evaluate potential risk of SARS-Cov-2 and type of dental care was implement in the following studies 25,27,31,32,34 . Three studies recommended that patients coming for elective treatments with temperature > 100.4 F or 38 C should be postponed, if possible or performed in an Airborne Infection Isolation Rooms (AIIRs) or negative pressure rooms 27,31,32 .…”

Section: Resultsmentioning

confidence: 99%

Covid-19 outbreak and Oral Health Concerns – A Systematic Review

Mahdi

Ahmed

Allana

et al. 2020

Preprint

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Background:The aim of this systematic review is to shed light on practical implications of Covid-19 pandemic for the profession of dentistry. It examines the current literature and dental guidelines on Covid-19 in a systematic manner.Methods:A sequential systematic literature search was conducted on Pubmed, Medline, CINAHL, Scopus, Google scholar, Embase of Web of Science. The search results yielded the following results-Covid-19 (n=5171), Novel corona virus (n=63), Covid- 19 and dentistry (n=46), Covid-19 and oral health (n=41) Novel Corona virus and Dentistry (n=0), dental health and Novel Coronavirus (n=26), and dental practice and Novel Coronavirus (n=6)Results:The final review included 13 articles after elimination of other articles based on inclusion and exclusion criteria. Original articles and systematic reviews addressing 2019-nCoV and dentistry were entitled for inclusion, case reports, case series, correspondences, editorials were not included. Bias risk assessment was assessed using the Newcastle-Ottawa Scale (NOS)Conclusion:Covid-19 pandemic is an existential crisis for the profession of dentistry and requires a complete rethink about many aspects of the profession due to the nature of dental work. Evidence based research and multi-sectorial collaboration is required to make the profession safe again, both for the patient and dental team.

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“…In the present study, 75% of dentists reported practice closure. International guidelines related to provision of dental care during the pandemic ranged from allowing only public stomatological and general hospitals to deal with emergency cases in China [24], urging practitioners to shut their practices in California, USA [25]; decreasing the number of daily check-ups in the UK [26] to no guidance [27]. The level of dental practice closure in the present study was higher than that reported for non-dental specialties in a WHO survey of 155 countries where 53% reported disruption of treatment services for hypertension, 49% for diabetes and related complications, 42% for cancer and 31% for cardiovascular emergencies [28].…”

Section: Discussionmentioning

confidence: 99%

“…This may be attributed to the high level of preparedness of hospitals. For example, some hospitals designated for the care of COVID-19 patients were equipped with high level PPE for aerosol generating dental procedures [33,34] with strict infection control measures and more dental units to meet patients' need for emergency dental services [27,35,36].…”

Section: Discussionmentioning

confidence: 99%

Dental practice closure during COVID-19 and associated professional, practice and structural determinants: a multi-country survey

Abdelrahman

Atteya

Ihab

et al. 2020

Preprint

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Background: The outbreak of novel coronavirus disease (COVID-19) in China has influenced every aspect of life worldwide. Due to the characteristics of dental settings, the risk of cross infection may be high between dental practitioners and patients. Being on the list of high-risk professions, dentists are very much expected to develop severe anxiety about the current pandemic situation. In addition, the limited provision of services and closure of dental practices raised concerns among dental professionals about the financial consequences of this closure. Therefore, the study assessed the extent of dental practice closure in various countries around the world, factors associated with this closure and whether closure and associated factors differed between private and non-private sectors.Methods: From April to May 2020, a web-based survey was sent to dentists in several countries. The survey assessed professional factors, practice factors and country-level structural factors. Multilevel logistic regression was used to assess the association of practice closure with these factors. Effect modification due to private and non-private sectors was assessed. Results: Dentists (n= 3243) participated from 29 countries. The majority (75.9%) reported practice closure with significantly higher percentage in the private than non-private sector. Fears were associated with significantly higher likelihood of closure in private (OR= 1.54, 95%CI= 1.24, 1.92) and non-private sectors (OR= 1.38, 95%CI= 1.04, 1.82). Non-private, governmental sector dentists (OR= 0.54, 95%CI= 0.31, 0.94) and those in rural areas (OR= 0.58, 95%CI= 0.42, 0.81) and those in hospitals (overall OR= 0.60, 95%CI= 0.36, 0.99) reported low likelihood of closure. High likelihood of closure was reported by those in academia (OR= 2.13, 95%CI= 1.23, 3.71). More hospital beds were associated with lower likelihood of closure in the non-private sector (OR= 0.65, 95%CI= 0.46, 0.91) and private sector dentists in high income countries (HICs) reported less closure than in non-HICs (OR= 0.55, 95%= 0.15, 1.93).Conclusions: Most dentists reported practice closure because of COVID-19 with greater impact in the private than non-private sectors with professional, practice and country-level factors associated.

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Guidelines for dental care provision during the COVID-19 pandemic

Cited by 246 publications

References 19 publications

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

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

Covid-19 outbreak and Oral Health Concerns – A Systematic Review

Dental practice closure during COVID-19 and associated professional, practice and structural determinants: a multi-country survey

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