Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
Department of Oral Surgery and Implantology, Goethe University Frankfurt, Frankfurt, Germany.
Clin Oral Implants Res. 2020 Dec;31(12):1253-1260. doi: 10.1111/clr.13676. Epub 2020 Oct 30.
The current COVID-19 outbreak in conjunction with the need to provide safe dental treatments and the limited knowledge on the efficacy of protective measures has posed dentists into a challenging situation. Therefore, the present article aimed at collecting experiences and recommendations of frontline clinical experts on critical aspects of dental treatment provision during pandemic.
MATERIAL & METHODS: From a total of 32 European countries, one leading academic expert in Oral and Maxillofacial Surgery or Oral Surgery per country was asked to participate in an anonymous online 10-item survey on COVID-19 covering the topics of safety of dental settings, personal protective equipment (PPE), and patient-related measures to reduce transmission risk. Data collection took place from April 12th to May 22nd, 2020.
A total of 27 experts from different European countries completed the survey. The transmission risk of SARS-CoV-2 in dental settings for aerosol-generating procedures was considered high by all experts except two. For aerosol-free and aerosol-generating procedures, more than 80% of the experts recommended face protection and caps for every single treatment. For aerosol-generating procedures, additional measures (FFP2/FFP3 masks and gowns) were suggested by the vast majority of the experts. To reduce transmission risk, all experts recommended limiting aerosol-generating procedures and reducing the number of patients in waiting areas as well as hand hygiene for the patients.
The limitation of aerosol-generating procedures along with the usage of adequate personal protection equipment was considered to be crucial to protect dental healthcare providers and patients, thus reducing the transmission risk of COVID-19.
当前 COVID-19 疫情的爆发,加上需要提供安全的牙科治疗,以及对防护措施效果的了解有限,这使牙医面临着巨大的挑战。因此,本文旨在收集一线临床专家在大流行期间提供牙科治疗的关键方面的经验和建议。
从总共 32 个欧洲国家中,每个国家都邀请了一名口腔颌面外科或口腔外科的领先学术专家,参与一项关于 COVID-19 的匿名在线 10 项调查,涵盖牙科环境的安全性、个人防护设备 (PPE) 以及降低传播风险的患者相关措施等主题。数据收集于 2020 年 4 月 12 日至 5 月 22 日进行。
共有来自不同欧洲国家的 27 名专家完成了调查。除了两名专家之外,所有专家都认为 SARS-CoV-2 在牙科环境中进行气溶胶产生程序的传播风险很高。对于无气溶胶和有气溶胶产生的程序,超过 80%的专家建议在每次治疗时都使用面罩和帽子。对于有气溶胶产生的程序,绝大多数专家建议使用 FFP2/FFP3 口罩和长袍等额外措施。为了降低传播风险,所有专家都建议限制气溶胶产生程序,减少等候区的患者人数,并对患者进行手部卫生。
限制气溶胶产生程序并使用适当的个人防护设备被认为是保护牙科医护人员和患者的关键,从而降低 COVID-19 的传播风险。