Department of Dentistry, IRCCS San Raffaele Hospital, Vita Salute University, via Olgettina N.48, Zip Code 20123 Milan, Italy.
New Microbiol. 2021 Jan;44(1):1-11. Epub 2020 Oct 31.
A new Coronavirus, the seventh member of the Coronaviridae family, identified as SARS-CoV-2, spread in late December 2019 in the territory of Wuhan in China. CoV-2019 can be transmitted directly from person to person by respiratory drops, direct contact and contaminated material. Furthermore, 2019-nCov penetrates cells similarly to the SARS coronavirus, i.e., through the ACE2 receptor. This may promote human-to-human transmission. Patients and dental professionals are exposed daily to pathogenic microorganisms, including viruses and bacteria, which infect the oral cavity and respiratory tract. Dental procedures carry the risk of 2019-nCoV infection due to their specificity. Direct transmission regards the distance between operator and patient, exposure to saliva, blood and other body fluids, the use of sharp instruments and "droplet-generating" rotating instruments, contact with the conjunctival mucosa, and finally the contact with droplets produced by coughing and nasal secretion of an infected individual without mask at short distance, increasing the biological risk for the operator. In light of the pandemic linked to COVID-19, although there is no clear scientific evidence in the literature, it is necessary to identify protections with regard to clothing, operating protocols, disinfection of environments and management of waiting rooms and front offices. This paper is a basis for operative indications for dentists and other health care professionals in phase 2 post lockdown for both private and public structures.
一种新型冠状病毒,即冠状病毒科的第七个成员,被鉴定为 SARS-CoV-2,于 2019 年 12 月在中国武汉地区传播。CoV-2019 可以通过呼吸道飞沫、直接接触和受污染的物质直接在人与人之间传播。此外,2019-nCov 通过 ACE2 受体与 SARS 冠状病毒相似地穿透细胞。这可能促进人与人之间的传播。患者和牙科专业人员每天都接触到包括病毒和细菌在内的致病微生物,这些微生物感染口腔和呼吸道。由于其特殊性,牙科手术存在感染 2019-nCoV 的风险。直接传播涉及操作人员和患者之间的距离、接触唾液、血液和其他体液、使用锐利器械和“飞沫生成”旋转器械、接触结膜黏膜,最后是接触未戴口罩的感染者咳嗽和鼻分泌物产生的飞沫,从而增加操作人员的生物风险。鉴于与 COVID-19 相关的大流行,尽管文献中没有明确的科学证据,但有必要确定与服装、操作方案、环境消毒以及等候室和前厅管理相关的防护措施。本文为封锁后阶段私人和公共结构的牙医和其他医疗保健专业人员的手术适应证提供了基础。
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