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牙科实践中关于唾液在新冠病毒传播中的作用所面临的困境:当前证据简述

The dilemma of COVID-19 in dental practice concerning the role of saliva in transmission: a brief review of current evidence.

作者信息

Hamedani Shahram, Farshidfar Nima, Ziaei Ava, Pakravan Hamidreza

机构信息

Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz,Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz,Iran.

出版信息

Eur Oral Res. 2020 May 1;54(2):92-100. doi: 10.26650/eor.20200050.

Abstract

From December 12, 2019, a pandemic of acute respiratory syndrome, the novel human coronavirus disease (COVID-19), caused by a novel β-coronavirus (2019- nCoV) began to grow globally by person-to-person transmission. The production of airborne material during aerosol generating dental procedures would expose dental team and patients to remarkable risk of transmission concerning the faceto- face communication and splattered saliva, blood, and other body fluids. Dental professionals can be a substantial help in preventing the transmission of COVID-19. This study has reviewed relevant current evidences in literature that has addressed the role of saliva and the threats that may be inherent in transmission of the disease during dental procedures. The study also offers feasible proactive and preventive measures for dental practice during the outbreak to block possible person-toperson or indirect transmission in dental settings.

摘要

自2019年12月12日起,由新型β冠状病毒(2019-nCoV)引起的急性呼吸综合征大流行,即新型人类冠状病毒病(COVID-19),开始通过人际传播在全球范围内蔓延。在产生气溶胶的牙科操作过程中产生的空气传播物质,会使牙科团队和患者面临因面对面交流以及飞溅的唾液、血液和其他体液而导致的显著传播风险。牙科专业人员在预防COVID-19传播方面可以发挥重要作用。本研究回顾了文献中有关唾液作用以及牙科操作过程中疾病传播可能存在的内在威胁的相关现有证据。该研究还为疫情期间的牙科实践提供了可行的主动预防措施,以阻断牙科环境中可能的人际传播或间接传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e475/7787515/2553522392f5/eor-054-092-e001.jpg

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