Infection Control in Dental Practice during the COVID-19 Pandemic: What Is Changed?

Caggiano, Mario; Acerra, Alfonso; Martina, Stefano; Galdi, Marzio; D'Ambrosio, Francesca Romana

doi:10.3390/ijerph20053903

Cited by 10 publications

(7 citation statements)

References 49 publications

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“…46 A survey reported that about 20% of the dental professionals were infected in the dental office. 47 Maximum aerosol is generated when using high-speed rotary handpiece and ultrasonic equipments. 48 This bioaerosol contains saliva, blood, tooth particles, organic matter, dental plaque, bacteria, viruses, fungi, and restorative materials, 48,49 which can spread up to tens of meters and can stay suspended in air for several hours.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Practice of Dentists toward Dental Lasers and Their Use during and Post-COVID-19 Pandemic Scenario in South India: A Cross-Sectional Analytical Study

Ashifa,

Srinivasan,

Viswanathan

et al. 2024

Journal of Health and Allied Sciences NU

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Background The advent of dental lasers has overcome the drawbacks of conventional clinical practice. It is considered to be a safer alternative during and post-coronavirus disease 2019 (COVID-19) pandemic in terms of infection control and reduced aerosol production. The study aims to assess the knowledge and practice of dentists toward dental lasers and their use during and post-COVID-19 pandemic scenario. Methodology This is a cross-sectional, analytical study conducted among dental professionals in South India. A total of 444 dental professionals participated in the study. A self-administered questionnaire with 15 closed questions was given to the participants. Chi-square test was used to analyze the obtained data. Results The results indicated that the majority of the dental professionals were aware of the use, the types, watts, wavelength, and types of emission of dental lasers. They had good knowledge about the common uses of lasers in dentistry. Majority of the dental professionals had not used dental lasers anytime in their practice, but are willing to adopt it as a safer alternative option during and post-pandemic scenario. Conclusion Application of knowledge of dental laser into clinical practice is beneficial in improving dental care and to enhance infection control.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Practice of Dentists toward Dental Lasers and Their Use during and Post-COVID-19 Pandemic Scenario in South India: A Cross-Sectional Analytical Study

Ashifa,

Srinivasan,

Viswanathan

et al. 2024

Journal of Health and Allied Sciences NU

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“…The oral cavity is a complicated ecosystem for the survival of microorganisms, as it is subject to daily fluctuations. Numerous literature sources report the impact of orthopedic structures on the development and maintenance of dysbiosis [17,18]. For example, the presence of minor inaccuracies and impaired density between the tooth and the crown contributes to the accumulation of biofilm, bacterial microleakage, inflammatory reactions, and the development of dysbiosis [17].…”

Section: «Art Of Medicine»mentioning

confidence: 99%

Correlating Features Between Dental and Pulmonary Disease

Komarytsia,

Paliy,

Krukovskiy

et al. 2024

Scientific and practical journal

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The article reviews the factors of dental exposure that may have a potential risk for the development of pulmonary diseases. Objective. To analyze the current national and foreign literature on the relationship between dental health and pulmonary disease, while exploring current data and future research directions. Materials and Methods. The study used analytical and bibliosemantic methods. The search for scientific information on the medical research topic was conducted in the databases of the following search engines: the electronic library of abstracts and theses of the Vernadsky National Library of Ukraine, PubMed, Medline, MedNet, Embase, BMJ Group, Free Medical Journals, Free Medical Book, Scirus. Research results and discussion. The analysis of literature data provides evidence of a host-pathogen interaction associated with the oropharyngeal microbiome and its metabolites. Cross-species interactions between microorganisms create a symbiotic relationship with the host macroorganism by acting as a "sensor", "mediator" and "killer" of pathogens to prevent pathogens from colonising and integrating into the host. Conversely, the immune response of the macroorganism must balance between inflammation to destroy the pathogen and prevent unwanted immune responses against host tissue and its own microorganisms. When the composition, activity and function of the oral microbiome is disturbed, it causes dysbiosis. In the presence of orthopaedic structures in the oral cavity, the eubiotic balance is more or less shifted to a pathogenic state. The article analyses the influence of structural materials and methods of their production, which are mainly used in prosthetic dentistry, on the formation of biofilm, changes in the oral microbiome, and the spread of an inflammatory reaction in the prosthetic bed. The oral cavity is the first line of defence of the immune system against most foreign pathogens, which can affect the immune and inflammatory reactions of the body as a whole. This factor can spread systemic inflammation that affects other organs, including the lungs. The oral microbiota can influence the microbial community in the lungs through microaspiration and dispersal. In general, the oral-pulmonary axis can exchange components of its microbiome The most common respiratory diseases associated with dust among dentists and its irritating effects on the respiratory system are also analyzed. In general, ultrafine and nanoscale airborne particles have been studied for a long time, but with the development of new technologies, their acute or chronic effects on the health of healthcare workers associated with dental practice require more detailed study. Conclusion. Understanding the relationship between oral health and systemic diseases, including pulmonary diseases, and studying a multidisciplinary approach to the treatment of a particular disease can be important in terms of extending healthy life expectancy and improving its quality. For effective health management, it remains an unsolved issue whether it is possible to prevent systemic diseases by influencing oral diseases (and vice versa).

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“…Many studies have evaluated the differences in the oral microbiome between subjects with fixed prosthetic restorations fabricated with different materials and manufacturing methods [38,39]. The results highlighted some peculiarities depending on the nature of the dental biomaterials and the production methods used.…”

Section: How Can Prosthetic Materials Affect the Development Of Oral ...mentioning

confidence: 99%

Characterization of the Oral Microbiome in Wearers of Fixed and Removable Implant or Non-Implant-Supported Prostheses in Healthy and Pathological Oral Conditions: A Narrative Review

et al. 2023

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Oral commensal microorganisms perform very important functions such as contributing to the health of the host. However, the oral microbiota also plays an important role in the pathogenesis and development of various oral and systemic diseases. The oral microbiome may be characterized by a higher prevalence of some microorganisms than others in subjects with removable or fixed prostheses, depending on oral health conditions, the prosthetic materials used, and any pathological conditions brought about by inadequate prosthetic manufacturing or poor oral hygiene. Both biotic and abiotic surfaces of removable and fixed prostheses can be easily colonized by bacteria, fungi, and viruses, which can become potential pathogens. The oral hygiene of denture wearers is often inadequate, and this can promote oral dysbiosis and the switch of microorganisms from commensal to pathogens. In light of what emerged from this review, fixed and removable dental prostheses on teeth and on implants are subject to bacterial colonization and can contribute to the formation of bacterial plaque. It is of fundamental importance to carry out the daily hygiene procedures of prosthetic products, to design the prosthesis to facilitate the patient’s home oral hygiene practices, and to use products against plaque accumulation or capable of reducing oral dysbiosis to improve patients’ home oral practices. Therefore, this review primarily aimed to analyze the oral microbiome composition in fixed and removable implant or non-implant-supported prostheses wearers in healthy and pathological oral conditions. Secondly, this review aims to point out related periodontal self-care recommendations for oral dysbiosis prevention and periodontal health maintenance in fixed and removable implant or non-implant-supported prostheses wearers.

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Infection Control in Dental Practice during the COVID-19 Pandemic: What Is Changed?

Cited by 10 publications

References 49 publications

Knowledge and Practice of Dentists toward Dental Lasers and Their Use during and Post-COVID-19 Pandemic Scenario in South India: A Cross-Sectional Analytical Study

Knowledge and Practice of Dentists toward Dental Lasers and Their Use during and Post-COVID-19 Pandemic Scenario in South India: A Cross-Sectional Analytical Study

Correlating Features Between Dental and Pulmonary Disease

Characterization of the Oral Microbiome in Wearers of Fixed and Removable Implant or Non-Implant-Supported Prostheses in Healthy and Pathological Oral Conditions: A Narrative Review

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