Ege University, School of Dentistry, Department of Paediatric Dentistry, Bornova, Izmir, 35100, Turkey.
Radboud University, Department of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, 6525 GA, The Netherlands.
Br Dent J. 2020 Oct;229(7):411-416. doi: 10.1038/s41415-020-2153-y. Epub 2020 Oct 9.
The COVID-19 pandemic resulted in severe limitation and closure of dental practices in many countries. Outside of the acute (peak) phases of the disease, dentistry has begun to be practised again. However, there is emerging evidence that SARS-CoV-2 can be transmitted via airborne routes, carrying implications for dental procedures that produce aerosol. At the time of writing, additional precautions are required when a procedure considered to generate aerosol is undertaken.This paper aims to present evidence-based treatments that remove or reduce the generation of aerosols during the management of carious lesions. It maps aerosol generating procedures (AGPs), where possible, to alternative non-AGPs or low AGPs. This risk reduction approach overcomes the less favourable outcomes associated with temporary solutions or extraction-only approaches. Even if this risk reduction approach for aerosol generation becomes unnecessary in the future, these procedures are not only suitable but desirable for use as part of general dental care post-COVID-19.
译文：
新冠疫情导致许多国家的牙科诊所严重限制和关闭。在疾病的急性（高峰）阶段之外，牙科治疗已经开始重新进行。然而，有新的证据表明，SARS-CoV-2 可以通过空气传播途径传播，这对产生气溶胶的牙科手术产生影响。在撰写本文时，当进行被认为会产生气溶胶的手术时，需要采取额外的预防措施。本文旨在提出循证治疗方法，以减少或消除在处理龋齿病变时产生的气溶胶。它尽可能地将产生气溶胶的程序（AGPs）映射到替代的非 AGPs 或低 AGPs。这种降低风险的方法克服了与临时解决方案或仅拔牙方法相关的不利后果。即使未来这种降低气溶胶生成风险的方法变得不必要，这些程序不仅适合而且是在新冠疫情后作为一般牙科护理的一部分使用的理想选择。
