SARS-CoV-2 and regular patient treatment – from the use of rapid antigen testing up to treatment specific precaution measures

Abstract

Introduction The COVID-19 pandemic poses a continued challenge for all parties involved especially for the dentist as routine operation must be resumed. Rapid Antigen Tests (RATs) are actually recommended to identify and minimize infectious risks. However, there is still no guideline on the implementation of RATs in a dental or medical setting. Methods Based on data and an extensive literature research regarding rapid antigen testing and reflecting the recommendations given by the various professional societies a task force was formed to determine a specific testing and treatment strategy. Results A comprehensive test and treatment strategy and risk analysis was developed with practical suggestions for a wide range of typical activities in dental and medical offices. The transmission of SARS-CoV-2 and its variants via aerosols and droplets as well as the difficulties to maintain the minimum distance form special challenges to the dental routine. RATs might in addition to optimal and necessary hygienic standards in combination with the use of adequate personal protection equipment be an important instrument in managing the challenges. Conclusions The present work gives recommendations for dental routine operation (dental practices, outpatient clinics) to provide the necessary dental care for the population while protecting the doctor, practice team and patient at the same time.

Pre-dental treatment screening in Indonesia during the COVID-19 pandemic: a questionnaire survey of dental practitioners

“…Ideally, the need for RATs should be incorporated into dental treatment screening procedures during the pandemic, and the frequency of the test should be increased. The latter applies to both dental staff and dental patients, as an individual who appears healthy may be an asymptomatic carrier [ 33 ]. Another preventive measure to reduce COVID-19 transmission is having patients gargle with mouthwash before having a dental procedure.…”

Verification of lateral flow antigen tests for SARS-CoV-2 by qPCR directly from the test device

“…If the clinic is equipped accordingly the test could be done directly after the LFAT without transport to a laboratory. Faster information helps to take precaution measures, if necessary [12] . However, the more expensive testing by nucleic acid amplification can be reduced to testing of the questionable or positive LFATs only.…”