Department of Clinical and Experimental Medicine, University of Foggia,71121 Foggia, Italy.
Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, 90121 Palermo, Italy.
Int J Environ Res Public Health. 2020 May 27;17(11):3793. doi: 10.3390/ijerph17113793.
The authors performed a narrative review on Severe Acute Respiratory Syndrome- CoronaVirus-2 ( SARS-CoV-2) and all infectious agents with the primary endpoints to illustrate the most accepted models of safety protocols in dentistry and oral medicine, and to propose an easy view of the problem and a comparison (pre- vs post-COVID19) for the most common dental procedures. The outcome is forecast to help dentists to individuate for a given procedure the differences in terms of safety protocols to avoid infectious contagion (by SARS-CoV-2 and others dangerous agents). An investigation was performed on the online databases Pubmed and Scopus using a combination of free words and Medical Subject Headings (MESH) terms: "dentist" OR "oral health" AND "COVID-19" OR "SARS-CoV-2" OR "coronavirus-19". After a brief excursus on all infectious agents transmittable at the dental chair, the authors described all the personal protective equipment (PPE) actually on the market and their indications, and on the basis of the literature, they compared (before and after COVID-19 onset) the correct safety procedures for each dental practice studied, underlining the danger of underestimating, in general, dental cross-infections. The authors have highlighted the importance of knowing exactly the risk of infections in the dental practice, and to modulate correctly the use of PPE, in order to invest adequate financial resources and to avoid exposing both the dental team and patients to preventable risks.
作者对严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)和所有传染性病原体进行了叙述性综述,主要终点是说明牙科和口腔医学中最被接受的安全协议模型,并提出一个简单的问题视图,并对最常见的牙科手术进行(COVID19 之前与之后)比较。预计结果将有助于牙医为特定程序确定安全协议方面的差异,以避免感染(由 SARS-CoV-2 和其他危险病原体引起)。在使用自由词和医学主题词(MESH)术语组合在在线数据库 Pubmed 和 Scopus 上进行了调查:“牙医”或“口腔健康”和“COVID-19”或“SARS-CoV-2”或“冠状病毒-19”。在简要探讨牙科椅上可传播的所有传染性病原体之后,作者描述了所有实际市场上的个人防护设备(PPE)及其适应症,并根据文献比较了(COVID-19 发病之前和之后)每种牙科操作的正确安全程序,强调了总体上低估牙科交叉感染的危险。作者强调了准确了解牙科实践中的感染风险以及正确调节 PPE 使用的重要性,以便投入足够的财务资源,并避免使牙科团队和患者面临可预防的风险。