Jethi Navdeep, Pandav Gaurav, Nagri Divya, Pandav Sakshi, Kumari Dibya, Kaur Manpreet
Daswani Dental College and Research Center, Kota, Rajasthan, India.
Guru Nanak Dev Dental College and Research Institute, Sunam, Patiala, Punjab, India.
J Family Med Prim Care. 2020 Sep 30;9(9):4552-4556. doi: 10.4103/jfmpc.jfmpc_796_20. eCollection 2020 Sep.
Dentistry is related to the cure of oral and dental infections, so exposure and proximity of dental practitioners to oral and nasal fluids of a patient is very obvious. Before you proceed for an aerosol-generating procedure like RCT, and crown preparations, diagnosis, and screening of COVID-19 is very important, as failure may end up infecting yourself and would become a source of infection to your patient community. Due to limitations of data, medicines, and PPE shortage all around the world, screening of asymptomatic carriers of COVID-19 is very troublesome but necessary. To avoid any silent positive patient, the possible way is to ensure mandatory testing of every patient before you treat it. As the door to door surveillance of COVID-19 patients seems near to impossible in the Pandemic era for densely populated developing countries like India. The possible screening regimes include personal surveillance and contact tracing in the very first appointments. So, on the basis of the knowledge and sources we have so far, we have tried to classify the asymptomatic patients seen in the clinics and their possible screening management there. As it is said classification of a disease, is the first step toward a deep understanding of it. After screening, suspects can be sent to more resourceful places for their managements, and incidences of community spread of the disease through dental clinics can be avoided.
牙科与口腔及牙齿感染的治疗相关,因此牙科从业者接触患者口腔和鼻腔分泌物的情况非常明显。在进行如根管治疗、牙冠制备、诊断以及新冠病毒筛查等产生气溶胶的操作之前,对新冠病毒进行诊断和筛查非常重要,因为筛查失败可能最终导致自身感染,并成为患者群体的感染源。由于全球范围内数据有限、药品短缺以及个人防护装备不足,对新冠病毒无症状携带者进行筛查非常棘手但又很有必要。为避免出现任何无症状阳性患者,可行的办法是在治疗每位患者之前确保进行强制检测。在新冠疫情时代,对于像印度这样人口密集的发展中国家而言,挨家挨户对新冠患者进行监测几乎是不可能的。可能的筛查方式包括在初次就诊时进行个人监测和接触者追踪。因此,基于我们目前所掌握的知识和信息来源,我们试图对诊所中见到的无症状患者进行分类,并探讨在那里对他们可能的筛查管理方法。正如人们所说,疾病的分类是深入了解它的第一步。筛查后,疑似患者可被转至资源更丰富的地方进行管理,从而避免疾病通过牙科诊所发生社区传播。