Varma Sudhir Rama, Jaber Mohamed, Abu Fanas Salem, Desai Vijay, Thomas Sam, Khair Moutassem
Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE.
Department of Oral and Maxillofacial Surgery, College of Dentistry, Ajman University, Ajman, UAE.
J Int Soc Prev Community Dent. 2020 Nov 24;10(6):713-718. doi: 10.4103/jispcd.JISPCD_327_20. eCollection 2020 Nov-Dec.
Emergency surgical treatment has been challenging and the risk of blood contamination has been high, which is a concern among the medical and dental fraternity. The risk outweighs the benefits in these unprecedented times if proper screening and inactivation of blood products are not performed. Pathogen reduction technologies incorporate various modalities for the inactivation of blood products mainly related to blood transfusion. Oral surgical procedures and periodontal surgeries use platelet-rich fibrin for various regenerative procedures that amplify the prognosis positively. The use of blood products for various treatments could result in contamination, a factor which should be significant attention. The objective of this study was to review the role of pathogen reduction technology in inactivating pathogens in blood products and its use in oral and periodontal surgical procedures. The literature presented in the study is from original studies from a period of 2000 to 2020 which was sourced from Medline, PubMed, and Cochrane central databases. Relevant published papers and in-press papers that provided information were identified and selected. The studies presented have shown data related to implementation of pathogen reduction technologies in relation to the severe acute respiratory syndrome, Middle East respiratory syndrome, and its possible implementation in coronavirus disease-2019 (COVID-19). The paper reviews the various technologies offered and the possibility to eradicate pathogens found in routine blood products, used in oral and periodontal surgical procedures. In all probability, the use of pathogen reduction technology might offer a ray of light to contain the spread among dental treatment procedures.
急诊外科治疗一直具有挑战性,且血液污染风险一直很高,这是医学和牙科界所关注的问题。在这些前所未有的时期,如果不对血液制品进行适当的筛查和灭活,风险将超过益处。病原体灭活技术包含多种用于灭活血液制品的方法,主要与输血相关。口腔外科手术和牙周手术使用富含血小板的纤维蛋白进行各种再生手术,这对改善预后有积极作用。使用血液制品进行各种治疗可能会导致污染,这一因素应予以高度关注。本研究的目的是回顾病原体灭活技术在灭活血液制品中的病原体方面的作用及其在口腔和牙周外科手术中的应用。该研究中的文献来自2000年至2020年期间的原始研究,这些研究来自Medline、PubMed和Cochrane中心数据库。识别并选择了提供相关信息的已发表论文和即将发表的论文。所呈现的研究显示了与病原体灭活技术在严重急性呼吸综合征、中东呼吸综合征方面的实施相关的数据,以及其在2019冠状病毒病(COVID-19)中可能的应用。本文回顾了所提供的各种技术以及根除口腔和牙周外科手术中常规使用的血液制品中病原体的可能性。很有可能,病原体灭活技术的使用可能会为控制牙科治疗过程中的传播带来一线希望。