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COVID-19:牙科实践的新转折点。

COVID-19: a new turning point for dental practice.

机构信息

Department of Social and Preventive Dentistry, Dental School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

Department of Paediatric Dentistry, Dental School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Braz Oral Res. 2020;34:e085. doi: 10.1590/1807-3107bor-2020.vol34.0085. Epub 2020 Jul 15.

DOI:10.1590/1807-3107bor-2020.vol34.0085
PMID:32696908
Abstract

Recent new zoonotic respiratory viruses have infected humans and led to severe acute respiratory syndrome: severe acute respiratory syndrome coronavirus (SARS-CoV), influenza A H5N1, influenza A H1N1 and Middle East respiratory syndrome coronavirus (MERS-CoV). The first SARS-CoV outbreak took place in 2003, in Guangdong, China. A decade later, another pathogenic coronavirus, MERS-CoV caused an endemic in Middle Eastern countries. The latest pandemic coronavirus infectious disease (COVID-19) has been related to the newly isolated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). For the first time since the acquired immunodeficiency syndrome (AIDS) in the 1980s. Dentistry is facing a new turning point. This critical review aims to discuss the impact of COVID-19 infection on oral health care. In dental practice COVID-19 patients are the main source of infection and symptomatic patients are more contagious. Dentists can be first line of diagnosis of the disease, as they work in close contact with patients and are at the risk of being affected by COVID-19 and all respiratory infections. Several guidelines for dental practice environments have been published by dental associations and regulatory boards. It is already evident that biological, psychological and social effects of the COVID-19 pandemic have present and future impacts on dental practice. Dental schools, regulatory boards, scientific associations, government authorities, and public and private health care services must join efforts to design enduring answers for severe and long-standing viral challenges.

摘要

近期出现的新型人畜共患呼吸道病毒感染人类并导致严重急性呼吸综合征

严重急性呼吸综合征冠状病毒(SARS-CoV)、甲型 H5N1 流感病毒、甲型 H1N1 流感病毒和中东呼吸综合征冠状病毒(MERS-CoV)。首次 SARS-CoV 爆发于 2003 年在中国广东。十年后,另一种致病性冠状病毒 MERS-CoV 在中东国家引发了地方性流行。最新的冠状病毒传染病(COVID-19)与新分离的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)有关。自 20 世纪 80 年代艾滋病(AIDS)以来,牙科学首次面临新的转折点。本文旨在探讨 COVID-19 感染对口腔保健的影响。在牙科实践中,COVID-19 患者是主要的感染源,有症状的患者更具传染性。牙医可以作为疾病的第一线诊断者,因为他们与患者密切接触,有感染 COVID-19 和所有呼吸道感染的风险。一些牙科实践环境的指南已由牙科协会和监管委员会发布。目前已经很明显,COVID-19 大流行的生物、心理和社会影响对牙科实践具有当前和未来的影响。牙科学校、监管委员会、科学协会、政府当局以及公共和私人医疗保健服务机构必须共同努力,为严重和长期的病毒挑战设计持久的解决方案。

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