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牙科与新冠疫情:封锁后的手术适应证。

Dentistry and Covid-19 pandemic: operative indications post-lockdown.

机构信息

Department of Dentistry, IRCCS San Raffaele Hospital, Vita Salute University, via Olgettina N.48, Zip Code 20123 Milan, Italy.

出版信息

New Microbiol. 2021 Jan;44(1):1-11. Epub 2020 Oct 31.


DOI:
PMID:33135082
Abstract

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.

摘要

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。

相似文献

[1]
Dentistry and Covid-19 pandemic: operative indications post-lockdown.

New Microbiol. 2021-1

[2]
The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2) in Dentistry. Management of Biological Risk in Dental Practice.

Int J Environ Res Public Health. 2020-4-28

[3]
Air disinfection procedures in the dental office during the COVID-19 pandemic.

Med Pr. 2021-2-3

[4]
[Odontología en entorno COVID-19. Adaptación de las Unidades de Salud Bucodental en los centros de salud de la Comunidad de Madrid.].

Rev Esp Salud Publica. 2020-11-12

[5]
Transmission routes of 2019-nCoV and controls in dental practice.

Int J Oral Sci. 2020-3-3

[6]
Coronavirus Disease-2019 and dental practice: A project on the use of ozonized water in the water circuit of the dental armchair.

Stomatologija. 2020

[7]
Impact of COVID-19 on Dentistry.

Adv Exp Med Biol. 2021

[8]
Impact of SARS-CoV-2 on dentistry: a review of literature.

Eur Rev Med Pharmacol Sci. 2022-5

[9]
COVID-19: a new turning point for dental practice.

Braz Oral Res. 2020-7-15

[10]
COVID-19 and Paediatric Dentistry after the lockdown.

Eur J Paediatr Dent. 2020-6

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[2]
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J Clin Med. 2024-5-10

[3]
Pragmatic Return to Effective Dental Infection Control through Triage and Testing (PREDICT): an observational, feasibility study to improve dental office safety.

Pilot Feasibility Stud. 2024-2-28

[4]
A Novel Piezoelectric-Assisted Non-Surgical Periodontal Treatment: A Prospective Case Series.

Dent J (Basel). 2023-7-20

[5]
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World J Clin Cases. 2023-5-6

[6]
The clinical efficacy of periodontally accelerated osteogenic orthodontics in patients with bone fenestration and dehiscence: a retrospective study.

Head Face Med. 2022-12-8

[7]
Impact of Dentistry Materials on Chemical Remineralisation/Infiltration versus Salivary Remineralisation of Enamel-In Vitro Study.

Materials (Basel). 2022-10-17

[8]
Challenges and Opportunities for Dental Education from COVID-19.

Dent J (Basel). 2022-10-6

[9]
Increased Handpiece Speeds without Air Coolant: Aerosols and Thermal Impact.

J Dent Res. 2023-1

[10]
Food Bolus Properties in Relation to Dentate and Prosthetic Status.

Healthcare (Basel). 2022-8-23

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