Abramovitz Itzhak, Palmon Aaron, Levy David, Karabucak Bekir, Kot-Limon Nurit, Shay Boaz, Kolokythas Antonia, Almoznino Galit
Quintessence Int. 2020;51(5):418-429. doi: 10.3290/j.qi.a44392.
This paper is aimed at addressing the urgent need to develop a protocol that will address the operatory and clinical aspects of dental care during the Coronavirus disease 2019 (COVID-19) outbreak.
The epidemiology, clinical signs and symptoms, and modes of transmission of COVID-19 are presented. This protocol was established as an international collaboration of three dental universities: Hadassah School of Dental Medicine, Israel; University of Rochester Medical Center, USA; and the University of Pennsylvania, USA. This protocol is based on a detailed review of the existing English language literature as well on the logistic and clinical experience of each facility and the opinion of the authors. The protocol is designed for a hospital setting and includes considerations related to dental treatment in both healthy subjects and those suspected or diagnosed with COVID-19. The first part of this review discusses operatory considerations; the second part discusses general dental clinical aspects; the third part discusses endodontic considerations; and the fourth part discusses surgical aspects. This protocol may be applicable to other future similar pandemics.
Logistic and clinical steps are required to provide dental care during the COVID-19 outbreak while preventing cross-contamination and protecting the dental team during the provision of care.
本文旨在满足一项紧迫需求，即制定一项方案，以应对2019冠状病毒病（COVID-19）疫情期间牙科护理的操作和临床方面问题。
介绍了COVID-19的流行病学、临床体征和症状以及传播方式。该方案是由三所牙科大学开展国际合作制定的，这三所大学分别是：以色列的哈达萨牙科学院；美国罗切斯特大学医学中心；以及美国宾夕法尼亚大学。本方案基于对现有英文文献的详细综述，以及各机构的后勤和临床经验及作者的意见。该方案是针对医院环境设计的，涵盖了健康受试者以及疑似或确诊COVID-19患者的牙科治疗相关考量。本综述的第一部分讨论操作方面的考量；第二部分讨论一般牙科临床方面；第三部分讨论牙髓病学方面的考量；第四部分讨论外科方面。本方案可能适用于未来其他类似的大流行情况。
在COVID-19疫情期间提供牙科护理时，需要采取后勤和临床措施，以防止交叉污染，并在提供护理期间保护牙科团队。
