Rutkowski James L, Camm Daniel P, El Chaar Edgard
Editor-in-Chief, Journal of Oral Implantology; University of Buffalo School of Dental Medicine, Buffalo, NY.
Private practice, New Brunswick, Ohio.
J Oral Implantol. 2020 Oct 1;46(5):454-466. doi: 10.1563/aaid-joi-D-20-00316.
The scientific community's understanding of how the SARS-CoV-2 virus is transmitted and how to best mitigate its spread is improving daily. To help protect patients from acquiring COVID-19 from a dental office nosocomial infection, many state or local governments have classified dental treatments as "nonessential" and have paused routine dental care. Dentists have been instructed to perform only procedures designated as emergencies. Unfortunately, there is not a good understanding of what a dental emergency is among governmental leaders. What a government agency may perceive as an elective procedure may be seen as "essential" by the dental clinician responsible for maintaining the oral health of the patient. Each dental specialty understands the effects delayed care has on a patient's oral and systemic health. Dentistry has made extensive progress in improving oral health through prevention of the dental emergency. The dental profession must work together to prevent the reversal of the progress dentistry and patients have made. This American Academy of Implant Dentistry (AAID) White Paper discusses what COVID-19 is and how it impacts dental treatments, presents guidelines for dentistry in general and for dental implant related treatments, specifically. Recommendations for implant dentistry include the following: (1) what constitutes a dental implant related emergency, (2) how patients should be screened and triaged, (3) what personal protective equipment is necessary, (4) how operatories should be equipped, (5) what equipment should be used, and (6) what, when, and how procedures can be performed. This paper is intended to provide guidance for the dental implant practice so patients and dental health care providers can be safe, and offices can remain open and viable during the pandemic.
科学界对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒的传播方式以及如何最有效地减缓其传播的理解正在与日俱增。为帮助保护患者免受牙科诊所医院感染而感染2019冠状病毒病(COVID-19),许多州或地方政府已将牙科治疗归类为“非必要”,并暂停了常规牙科护理。牙医已接到指示,仅进行指定为紧急情况的程序。不幸的是,政府领导人对什么是牙科紧急情况并没有很好的理解。政府机构可能视为选择性程序的情况,负责维护患者口腔健康的牙科临床医生可能会将其视为“必要”程序。每个牙科专业都了解延迟治疗对患者口腔和全身健康的影响。牙科在通过预防牙科紧急情况改善口腔健康方面取得了长足进展。牙科行业必须共同努力,防止牙科和患者所取得的进展出现倒退。这份美国种植牙科学会(AAID)白皮书讨论了什么是COVID-19以及它如何影响牙科治疗,提出了一般牙科以及与牙种植相关治疗的指导方针,特别是。种植牙科的建议包括以下内容:(1)什么构成与牙种植相关的紧急情况,(2)如何对患者进行筛查和分诊,(3)需要哪些个人防护设备,(4)手术室应如何配备,(5)应使用哪些设备,以及(6)可以进行哪些程序、何时进行以及如何进行。本文旨在为牙种植实践提供指导,以便在大流行期间患者和牙科保健提供者能够安全,诊所能够保持营业并维持运营。