Private practice, Lahijan, Gilan, Iran.
Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Hormozgan, Iran.
Am J Orthod Dentofacial Orthop. 2021 Jan;159(1):e59-e71. doi: 10.1016/j.ajodo.2020.09.009. Epub 2020 Oct 19.
Orthodontic patients worldwide missed appointments during the early months of the coronavirus disease 2019 (COVID-19) pandemic. A significant problem with this virus is its high transmission power. Asymptomatic patients can transmit the virus. The aim of this review is to examine orthodontic emergencies and the necessary strategies and measures for emergency and nonemergency treatment during the coronavirus pandemic.
The following databases were comprehensively searched: PubMed, MEDLINE, Scopus, and Google Scholar. Up-to-date data released by major health organizations such as the World Health Organization and major orthodontic associations involved in the pandemic were also evaluated.
Few studies were conducted on managing orthodontic offices or clinics during the pandemic, and most are not of high quality. Appropriate communication is the most important issue in managing orthodontic patients, particularly virtual counseling. Many orthodontic emergencies can be managed in this way by patients themselves. Most studies recommend using the filtering facepiece 2 masks, equivalent to N95 masks for non-COVID-19 patients undergoing aerosol-generating procedures and all suspected or confirmed COVID-19 patients in orthodontic visits.
At this time, there are no definitive clinical protocols supported by robust evidence for orthodontic practice during the COVID-19 pandemic. Orthodontists should not rush to return to routine orthodontic work and should follow state guidelines. Nonemergency orthodontic visits should be suspended during the severe acute respiratory syndrome coronavirus 2 pandemic in high-risk areas. Resuming orthodontic procedures during the pandemic requires paying special attention to screening, performing maximum efforts to reduce aerosol generation, using appropriate personal protective equipment, having proper ventilation, and fully adhering to sterilization and disinfection principles.
在 2019 年冠状病毒病(COVID-19)大流行的早期,全球正畸患者错过了预约。该病毒的一个显著问题是其高传播力。无症状患者也可以传播该病毒。本综述旨在探讨正畸急症,以及在冠状病毒大流行期间,紧急和非紧急治疗的必要策略和措施。
全面检索了以下数据库:PubMed、MEDLINE、Scopus 和 Google Scholar。还评估了世界卫生组织等主要卫生组织以及参与大流行的主要正畸协会发布的最新数据。
针对大流行期间管理正畸诊室或诊所的研究很少,且大多数质量不高。适当的沟通是管理正畸患者的最重要问题,特别是虚拟咨询。许多正畸急症患者可以通过这种方式自行处理。大多数研究建议在为非 COVID-19 患者进行产生气溶胶的操作以及所有疑似或确诊 COVID-19 患者的正畸就诊时,使用过滤式面罩 2 口罩,其相当于 N95 口罩。
目前,没有强有力证据支持 COVID-19 大流行期间正畸实践的明确临床方案。正畸医生不应急于恢复常规正畸工作,应遵循州指南。在高风险地区,应暂停非紧急的正畸就诊。在 SARS-CoV-2 大流行期间恢复正畸治疗需要特别注意筛查、尽最大努力减少气溶胶产生、使用适当的个人防护设备、保持适当的通风以及完全遵守消毒和灭菌原则。