Manuballa Sunita, Abdelmaseh Marym, Tasgaonkar Nirmala, Frias Vladimir, Hess Michael, Crow Heidi, Andreana Sebastiano, Gupta Vishal, Wooten Kimberly E, Markiewicz Michael R, Singh Anurag K, Hicks Wesley L, Seshadri Mukund
Department of Oral Oncology/Dentistry and Maxillofacial Prosthetics, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.
Department of Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine, Buffalo, NY 14214, USA.
J Clin Med. 2020 Sep 28;9(10):3138. doi: 10.3390/jcm9103138.
The practice of dentistry has been dramatically altered by the coronavirus disease 2019 (COVID-19) pandemic. Given the close person-to-person contact involved in delivering dental care and treatment procedures that produce aerosols, dental healthcare professionals including dentists, dental assistants and dental hygienists are at high risk of exposure. As a dental clinic in a comprehensive cancer center, we have continued to safely provide medically necessary and urgent/emergent dental care to ensure that patients can adhere to their planned cancer treatment. This was accomplished through timely adaptation of clinical workflows and implementation of practice modification measures in compliance with state, national and federal guidelines to ensure that risk of transmission remained low and the health of both immunocompromised cancer patients and clinical staff remained protected. In this narrative review, we share our experience and measures that were implemented in our clinic to ensure that the oral health needs of cancer patients were met in a timely manner and in a safe environment. Given that the pandemic is still on-going, the impact of our modified oral healthcare delivery model in cancer patients warrants continued monitoring and assessment.
2019年冠状病毒病（COVID-19）大流行极大地改变了牙科诊疗实践。鉴于提供牙科护理和会产生气溶胶的治疗程序涉及密切的人际接触，包括牙医、牙科助理和牙科保健员在内的牙科医疗专业人员面临着很高的暴露风险。作为一家综合癌症中心的牙科诊所，我们继续安全地提供医疗必需的紧急牙科护理，以确保患者能够坚持其计划好的癌症治疗。这是通过及时调整临床工作流程并按照州、国家和联邦指南实施实践改进措施来实现的，以确保传播风险仍然很低，免疫功能低下的癌症患者和临床工作人员的健康都能得到保护。在这篇叙述性综述中，我们分享我们在诊所实施的经验和措施，以确保在安全的环境中及时满足癌症患者的口腔健康需求。鉴于大流行仍在持续，我们改进后的口腔医疗服务模式对癌症患者的影响值得持续监测和评估。
